Credentialing
- Streamlining the credentialing process for providers and groups with payers.
- Managing various credentialing initiatives tailored to your needs.
- Checking in on all applications every 2-3 weeks to ensure progress.
- Providing transparent updates on the status of each application throughout the process.
- Handling updates and re-credentialing for existing applications efficiently.
Eligibility & Benefits
- Access detailed data directly within your electronic health record system.
- Confirm if services are covered based on specific CPT codes.
- Identify if prior authorization is necessary for certain procedures.
- Ensure patients receive the maximum benefits available under their plans.
- Clarify what patients are accountable for regarding deductibles, copays, and coinsurance.
- We align with your protocols for checking eligibility and benefit details for patients.
- Equip your team with the knowledge to collect necessary payments at the time of service.
- Enhance your practice's collection rates by improving patient understanding and preparation.
Fax Management
- Safely manage your fax documents and electronic health records from a distance.
- Keep an eye on incoming faxes during business hours to ensure timely processing.
- Follow your established faxing procedures to maintain consistency and compliance.
- Your OptiMediPaid reviews incoming faxes, organizes them in the patient’s chart, and alerts the relevant staff members.
Medical Biller
- We thoroughly investigate unpaid claims, rectify errors, submit appeals, track missing payments, and analyze denial trends, all in line with your billing supervisor’s guidelines.
- We meticulously review and input charges into your EHR/billing system, ensuring all modifiers and details are accurate for clean claims and faster payments.
- We accurately record and reconcile payments through ERA, EOB, or patient contributions to maintain correct account balances.
- We’ll bridge any gaps in your billing team to enhance your revenue cycle management, tailored to your clinic’s specific protocols.
Medical Coding
- Coding Specialists: Our team comprises AAPC Certified CPCs and CRCs, along with seasoned professionals in the field.
- We offer valuable tips and insights to identify coding errors and suggest necessary documentation enhancements to boost coding accuracy for both providers and management.
- Our team ensures that all documented quality measures are accurately reported, helping you maximize participation in your programs.
Medical Records
- Medical Records Management: We securely access your EHR to process requests for medical records, ensuring compliance with privacy standards.
- Quick Retrieval for Authorized Staff: Authorized team members can swiftly access patient records for ongoing care, consultations, or legal needs.
- Patient Registration and Data Entry: Upon receiving new patient records, we input the relevant information into your Electronic Health Record (EHR), including essential demographics and medical history.
Referral Management
- We handle all follow-up tasks, including checking referral statuses, scheduling and confirming appointments, and sending necessary records to ensure continuity of care and enhance patient satisfaction.
- Your virtual medical assistant swiftly collaborates with both referring and receiving providers to ensure a seamless referral process without delays.
- We carefully complete all required information to minimize errors that could impede the referral process.
- We monitor the status of each referral within your EHR or other systems, keeping your clinic informed throughout the process.
- We communicate with patients during the referral process, providing updates and addressing any inquiries, which improves their experience and reduces the likelihood of no-shows.
Revenue Cycle Management
- Integration with EHR/PMS
- Charge Entry
- Claims Scrubbing
- Claims Clearinghouse Management
- Insurance and Patient Payment Posting
- Denial Management and Appeals
- Accounts Receivable Oversight
- Patient Statement Generation
- Patient Follow-Up Calls
- Detailed Billing Report
- Regular Practice Meetings
- Claims Submission
Transcription & Live Scribe
- Live Scribe Services: Our dedicated staff attends virtual patient encounters alongside your provider, accurately documenting the details in real time.
- Instant Dictation Support: Providers can dictate notes immediately after patient encounters, and we ensure transcriptions are ready for review and signature within 15-30 minutes.
- Standard Transcription Solutions: Providers can complete their dictation by the end of the day, with transcriptions prepared and ready for signature within 24-48 hours.
24/7 Monitoring
Proactive Cybersecurity Measures
Risk Management
Incident Response Planning