Billing Proposal
Hi,
We sincerely hope you are doing great.
We at OptimiseMD provide premier Revenue Cycle Management services and assure you to increase your
revenue by fixing rejections and denials properly and in a timely manner.
We with our utmost commitment assure to review your current operations and determine how they can be improved.
We have an extensive experience in different specialties including “Chiropractor, Psychiatrist, Gastroenterology,
Gynecology, Cardiology, Urology, Neurology, ENT, Podiatry, Internal Medicine/Family Medicine, Physical therapy,
vision, and more.
Our skillful and proficient staff has a depth of experience in the billing cycle, thus handling your entire medical billing
Operations, from claim creation, quick submission, extensive follow-ups, denial management, appeals, payment
posting, and reporting on a monthly basis.
We with your permission would audit your billing to identify and rectify your revenue losses. Our team would
thoroughly examine the following categories especially,
- Not on file cases
- Lack of eligibility
- verification/Incorrect submission
- Billing/Coding errors
- Referral/Authorization Missing cases
- Lack of AR follow up
- Incorrect or Missing submission to Secondary Insurance
- Unposted/ Delay posting cases
- Inappropriate/Undefined claims Adjustments
- Unapplied Payments
- Out of Network/ Non-Par claims issues
- Payment posting Errors
- Timely filling issues
- Incorrect/Inappropriate appeals issues
Audit Objectives
- Tracking AR per insurance carriers. Analyzing
- Denied insurance claims. Uncovering patterns of
- Non-payments. Identifying turnaround time for
- Claim submission. Reviewing coding and billing
- Compliance. Performing fee schedule,
- Credentialing and CPT Analysis (Billed/Paid/Adjusted)
Key Benefits of working with OptimiseMD:
- No Setup Fee or any upfront fee for the start.
- Maximum possible recovery of Old AR/Aging.
- Reduction in Payer/Insurance Denials.
- All claims submission within 24 to 48 hours.
- 100% follow up on unpaid/outstanding or rejected claims and
Updated reports. - Automated Claims Generation and Electronic Submission.
- Access Medical Billing and Collection experts
- HIPAA Compliance at its Best.
- Complete AR report at the end of every month.
- All customized “Billing Reports” as per your requirements
WHAT WE OFFER:
- Advance Eligibility and Benefits verification for the daily scheduled patients.
- Prior Authorizations for all procedures.
- Electronic and / or paper claim submission to insurance carriers.
- Initial Practice Setup which includes Complete information of the provider, lists of insurance carriers,
Fee schedules, entered into the software prior to starting the use of EHR. - Accurate ICD-10 and CPT coding for reimbursements.
- Persistent follow up on all open claims regularly.
- Statements sent to your patients every month after proper verification.
- Denial Handling: We follow insurance guidelines for all appeals and pursue all possible avenues to receive payments. If the appeal process has been exhausted, we forward the
information back to the client for review and analysis. - An in-house captive collection and AR team.
- Charged only to 2.99 % from the collected amount.
- We charge 3.99 % on benefits and eligibility for one time only.
- Credentialing and contracting $99 per each payers
Most importantly, we can audit your practice at very nominal cost to provide you valuable suggestions,
which will make your operations more efficient and productive.