Empowering Healthcare Finance Through Innovation and Excellence
To enhance the financial health of healthcare organizations by delivering unparalleled service, leveraging cutting-edge technology, and achieving superior performance through the dedication and expertise of our exceptional team.
Our Services
Insurance Verification
Confirm patient insurance coverage and eligibility by checking policy details with insurance providers, ensuring seamless billing, and reducing claim rejections.
Patient Demographic Entry
Precisely enter patient information into the billing system, including personal details, contact information, and insurance data, to create a dependable foundation for billing and claims processing.
CPT & ICD-10 Coding
Convert medical procedures and diagnoses into standardized codes (CPT and ICD-10) to streamline precise billing and insurance claims, maintaining adherence to coding guidelines and optimizing reimbursement.
Charge Entry
Input charges for medical services into the billing system, including CPT codes, quantities, and rates, to generate thorough and accurate claims, ensuring prompt reimbursement from insurance providers.
Claims Submission
Assemble and submit precisely coded insurance claims to insurers, ensuring efficient processing and maximizing the likelihood of successful reimbursement for rendered healthcare services.
Payment Posting
Document and reconcile payments received from insurance companies and patients, updating accounts with accurate payment details to uphold financial precision and transparency in healthcare billing.
A/R Follow-up
Actively pursue outstanding accounts receivable, engaging with payers and patients to resolve billing issues, minimize delays, and recover overdue payments for healthcare services provided.
Denial Management
Systematically analyze and address claim denials, identifying underlying causes and implementing corrective measures to prevent future denials, ultimately enhancing revenue and streamlining the billing process.
Reporting Generate
comprehensive reports summarizing crucial financial and operational metrics, offering valuable insights to facilitate informed decision-making and optimize the healthcare billing cycle.
WHY OPTICURE-MEDIX?
INCREASED REVENUE
Boost your monthly revenue by 10-20% in the first quarter with Opticure-Medix! By adopting industry best practices, we can significantly improve your monthly collections. Our approach includes overnight claim submissions, diligent follow-ups with insurers, and robust denial management processes. We also motivate our teams with performance incentives to foster a competitive and professional environment. Statistics show that simple billing errors and delays common in in-house setups lacking experienced oversight can lead to substantial revenue losses. At Opticure-Medix, we typically increase monthly collections by up to 20% for our clients, equating to 2.5 months of extra revenue. Additionally, our low billing rates mean even greater savings for you.
Opticure-Medix can further reduce your administrative costs by managing your scheduling, patient calling, advance eligibility checks, and yearly audit reports all free of hidden fees.
Moreover, our IT staff is available to remotely assist with your IT needs, including equipment procurement, device setup, network troubleshooting, antivirus scanning, and HIPAA compliance analysis, all at a discounted rate.
MULTI-SPECIALTY BILLING
Given that each medical specialty has its own specific coding rules and reimbursement combinations, it’s advantageous to work with a team that has an in-depth understanding of the relevant regulations and industry standards for your specialty. Our team has extensive experience with various specialties and multi-specialty clinics.
Our billing team is proficient with a wide range of top-tier billing and clinical applications, ensuring seamless integration with whatever system you currently use in your office. Whether you’re using super-bills and scanning them or aiming for a completely electronic, paper-free environment, we can accommodate your needs. Additionally, we have strong relationships with leading software vendors and can assist you in selecting the right software solution for your practice if needed.
REDUCED DENIALS & DENIAL HANDLING
From a billing perspective, each denial demands additional time and effort, which increases workload. Our goal is to minimize denials from the outset and work diligently to resolve any that occur with insurers. Fewer denials lead to reduced payment delays and improved overall accounts receivable. Essentially, timely and accurate claims should not be denied; issues arise from incorrect or incomplete information. Although each payer has its own complex submission rules, billing isn’t rocket science, especially with an experienced and dedicated team. Our specialized processes ensure adherence to insurance-specific billing rules and continuous follow-up on each claim, leaving little opportunity for denial.
MEDICAL SPECIALTIES
Here are the medical specialties where we have extensive expertise and core knowledge.
ALLERGY / IMMUNOLOGY
Internal Medicine
CARDIOLOGY
OPHTHALMOLOGY
NEUROLOGY
DERMATOLOGY
VASCULAR SURGERY
NEPHROLOGY
