When you choose us for your revenue cycle management, we manage the administrative and clinical functions associated with collecting billing information, coding and posting charges, claims processing, payment, and revenue generation.
We focus on achieving fast and efficient reimbursements by using methods and best practices for selecting the most appropriate code for your services to help prevent claim denials, effectively manage claim denials, diligently collect insurance and patient payments and implement procedures to resolve claim reimbursement issues quickly.
We provide services that are appropriate for the size of your practice. Since smaller practices are able to implement changes and corrections to their processes easily, we focus on billing and collections for them. Large practices need comprehensive services, which may include consulting services to help improve processes such as collecting complete and correct insurance and all relevant information, verify accurate demographics for the patient, and collect the patient’s financial responsibility at the front end. All of these reduce rework throughout the revenue cycle and ultimately reduce potential denials and speed up reimbursements.
In order to achieve the best possible outcome, we use available technology and the best billing and collections practices such as
1. regular staff training on coding and billing processes
2. educating patients about medical costs
3. automated coding software for certain medical specialities
4. upfront insurance eligibility verification using insurance verification software
5. data analytics for revenue cycle efficiency, data-driven decisions and troubleshooting
6. claims tracking
7. denials tracking
Our business model is based on a percentage of collections. This incentivizes us to drive practice efficiencies for lowering costs and improving your financial margins. We provide the peace of mind that revenue management is scrutinized for maximum and consistent returns. With over 35 years of helping medical practices grow, we support your administrative, clinical, and business office entities as one dynamic system. This holistic oversight utilizes sub-system checks and balances that result in our surpassing national standards for revenue cycle key performance indicators. Let us share how our revenue cycle management and practice consulting services under one fee structure can remove the financial burdens of practice management/electronic health record and the associated electronic interface expenses.
Our practice management consulting services focus on optimizing your practice’s specific workflows and processes and policies.
We use a comprehensive approach. We conduct a thorough assessment of your front and back office workflows to give you our best recommendations with the goal of maximizing your revenue and increasing cashflow.
Our leadership has been helping practices improve cashflow, profitability and patient care for over 35 years. When you choose us, you can expect that we will identify areas of improvement and provide our best recommendations, such as:- how to increase collections and improve cash flow- how to increase efficiency in registration and data collection, patient flow, billing and collections- help solve problems that limit or impair productivity- tools and strategies to improve your practice workflows, billing and collections
The Optimax Management Services Organization (MSO) is designed to allow private practice physicians to maintain 100 percent control of their practice. The objective is to consolidate business and financial management services for functional improvements and lowering costs. Optimax’s "turnkey" management affords physicians primary focus on enhancing the level of care they provide to their patients.
Billing operations oversight management
Bonuses and Taxes
Buying and Selling Physician Practices
Discounts and provision of EHRs and medical equipment
Employee benefit management
Fee schedule management
HIPAA compliance plan administration
Human resources management
IT infrastructure management
Management and Board retreats
Payer contract negotiation
Physician compensation modeling
Providing and managing office space
Patient centered care
Practice financial dashboard(s)
Regulatory compliance oversight and management
Retirement plan management
Risk management (contract, financial, institutional)
Staff education and training
Tax planning and compliance