Offering the most comprehensive, accurate revenue cycle services to our providers. We pay attention to details to rid you of all the headaches, mounds of paperwork, and confusion with the insurance companies! Our medical billing team works in tandem with our customer support team enabling us to provide maximum efficiency and best-practice customer service.
We specialize in:
✓Credentialing/Enrollment
✓Charge EntryBullet List
✓Coding
✓Claim Submission
✓Payment Posting
✓Accounts Receivable
✓Under-Paid and Denied Claims
✓Patient Statement, Collections and Inquiries
✓Advanced Reporting and Analytics
We are the best at what we do:
✓Increase the practice revenue minimum
✓Convert paper EOBs & checks to electronic
Insurance in network list to avoid pre-authorization & pre-certification denials
Appeal denied claims to reverse the payer decision
MIPS consulting & certified coders
Incoming patient balance calls answering
96% of claims collected in first 21 days
Denied claims are followed up within 48 hrs
Clearing house & insurance rejections are followed up in 48 hrs Charges & ERAs posted within 8 hours
Customized reports
Offering the most comprehensive, accurate revenue cycle services to our providers. We pay attention to details to rid you of all the headaches, mounds of paperwork, and confusion with the insurance companies! Our medical billing team works in tandem with our customer support team enabling us to provide maximum efficiency and best-practice customer service.
We specialize in:
✓Credentialing/Enrollment
✓Charge EntryBullet List
✓Coding
✓Claim Submission
✓Payment Posting
✓Accounts Receivable
✓Under-Paid and Denied Claims
✓Patient Statement, Collections and Inquiries
✓Advanced Reporting and Analytics
We are the best at what we do:
✓Increase the practice revenue minimum
✓Convert paper EOBs & checks to electronic
Insurance in network list to avoid pre-authorization & pre-certification denials
Appeal denied claims to reverse the payer decision
MIPS consulting & certified coders
Incoming patient balance calls answering
96% of claims collected in first 21 days
Denied claims are followed up within 48 hrs
Clearing house & insurance rejections are followed up in 48 hrs Charges & ERAs posted within 8 hours
Customized reports
Our experts will navigate the difficult process of provider enrollment and medical credentialing at a low cost.
We handle the entire enrollment process from start to finish:
✓An “All Purpose” credentialing manager to represent you with commercial and government payers.
✓We complete all applications and necessary paperwork on your behalf with the chosen payor networks and government entities.
✓Status reports so you know where you are in the process with each payor.
✓Maintain and update CAQH profile.
✓Complete all necessary credentialing requirements for each payor and follow through to completion.
✓Follow all payor contracts through to contract load date and provide copy of fully executed contract and fee schedules to your practice or billing company
We remove your mundane pain points so you can concentrate on providing expert care to your patients:
✓Save you on average at least 2 months of time and over 100 or more hours of work!
✓Take away all the headaches due to the mounds of paperwork and endless applications!
✓Increased patient referrals!
✓Get you paid by the insurance companies faster!
✓Contracts and applications are set up right the first time and we will not stop until the process is 100% completed! ✓Dedicated project manager assigned to your project!
✓We make all the phone calls, follow-ups, and submit all applications, e-mails and faxes for you!
✓24/ 7 access to documents related to your project!
✓The service is typically provided at a cost less than it would be for you to hire your own provider enrollment or credentialing team and we can handle any volume you have!
✓Commercial Insurance Provider Enrollment and Credentialing
(ie. Aetna, Anthem, BCBS, CIGNA, TriCare, Humana,
UnitedHealthcare, Many More!)
✓Medicare and Medicaid Provider Enrollment and Credentialing
✓Medicare and Medicaid Revalidation
✓PECOS
✓CAQH Registration
✓NPI Registration (Type I and Type II)
✓Reimbursement Issues
✓Managed Care Contracting Issues
✓Hospital Privileging
Our intricate knowledge of the healthcare payor landscape spans across all medical specialties and organizational settings.
We provide credentialing services to:
✓Physicians
✓PAs/ NPs
✓Hospitals
✓PT/OT/SLP
✓Podiatrists (DPM)
✓Chiropractors (DC)
✓Ambulatory Surgery Centers (ASC)
✓Urgent Care Facilities
✓Clinical Laboratories
✓Diagnostic Testing Facilities (IDTF)
✓Sleep Labs
✓Dentists/ Orthodontists
✓Optometrists
✓Audiologists
✓Behavioral Health Providers
✓And Many More
Claim Manager
✓Upload in any supported format: (ANSI X12 4010, NSF or Print Image)
✓Create and Edit claims online (No software required). ✓Realtime claim validation and feedback.
✓Generate secondary claims.
✓Detailed history tracked across multiple re-submissions. ✓Electronic attachments for supported payers.
✓Electronic WorkersComp Realtime edits validate SNIP 1-7,
diagnoses, CPT and NCCI.
ERA Tools:
✓Download ERA as 835, XML or CSV files.
✓Easily search for prior stored history.
✓Generate printable remits with custom ordering or zero pay summaries.
✓Single patient ERA creator.
Eligibility:
✓Web portal real time eligibility checks.
✓API and Batch Eligibility.
✓Over 400 payers supported.
Support
✓One login for claims,
✓ERA eligibility & support.
✓Click GetHelp from any service.
✓Experienced U.S. based support team.
✓Automate transactions using SFTP or API
✓Easy appeal generator.
✓Fix rejected claims in real-time to speed up cash flow and eliminate delays
Our system is a comprehensive, all-in-one financial logging, management, and auditing solution, which provides a digital interface to perform most financial transactions. It also automates some of the most routine accounting chores like accounts reconciliation, ledger management, and transaction matching.
Some of these features include managing accounts receivable and accounts payable, entering incurred expenses, calculating employee salaries, generating cash flow reports, and creating late payment reminders.
Our system is fully customizable to ensure the reporting settings and layouts fit your needs and that you can easily find the information you’re looking for. By providing an easy way to log your expenses from anywhere, our accounting software can help you ensure that you receive and pay the right amount every time.
ACCOUNTING AT A GLANCE:
✓Patient Billing
✓Receivables
✓Payables
✓Vendor Management ·
✓General Ledger
✓Financial Reporting
✓Journal Entry(s)
✓Budget & Variances
✓State Reporting
✓Federal Reporting
✓Profiling Center
✓Daily Schedules
✓Monthly Schedules
✓Time & Attendance
✓Licenses & Certificates (Registration & Renewal)
✓Maintenance (Both Proactive & Reactive)
✓Inventory Control
✓Employee Satisfaction & Well-Being
✓Security & Safety
✓Emergency Management
✓Environmental Governance & Sustainability
Use of this system ensures that a medical practice complies with its outside regulatory and legal requirements, as well as internal policies and bylaws.
The Payment Card Industry Data Security Standard is an information security standard for organizations that handle branded credit cards from the major card issuers.
Adhere to the national standards for the security of electronic protected health information (e-PHI), electronic exchange, and the privacy and security of health information.
Provide a workplace free from serious recognized hazards and comply with standards, rules, and regulations issued under the OSH Act.
PRICING
$0 Set-Up Fee
$500/Month or $5000/Year
2 Months Free with Annual Plan
Custom Built System for your clinic/agency
Web-Based Service Help desk services
Data storage
Voice-to-type dictation
E-Scribe Services
Text/Email appointment reminders
Customized forms
Workflows
Customized Alignment of your Departments in the system Payment Processing: which includes a super bill, rejection follow-up, remittance deposits ICD-10, HCPSS Codes, and modifiers
PCI Compliance
HIPAA Compliance
OSHA Compliance
Patient Portal Includes general information, appointments, medical records access, prescription history, and payments. billing history, as well as educational videos (as provided by the clinic).
TeleHealth Portal
Employee Level of Access
Decisions Patient/Case
Management Scheduling
Facility Management Includes Daily schedules, inventory control, profiling center, time and attendance
Accounting & Financials Includes payables, receivables, patient billing, vendor management, general ledger, financial reporting
Customized Look to EMR
AND MORE!
$1497 Set-Up Fee
$1497/Month or $14970/Year
2 Months Free & No Set-Up Fee with Annual Plan
Everything in Crimson+
Unlimited Funnels
Unlimited Websites
Unlimited Landing Pages
Unlimited Contacts
Unlimited Users
Smart CRM
Calendar Booking
Memberships/Course Creation
Affiliate Management System & Affiliate Portal
Forms & Surveys
E-Signature
Social Media Post/Planner
Media & Document Storage
Custom Invoicing & Text-2-Pay
Auto Missed Call Text Back
Blogging
Review/Reputation Management
Conversations Inbox
Automation Workflows
Birthday Reminders
Email Marketing
Email Builder
SMS Marketing
SMS Builder
SMS & Email Templates
Zoom Integration
Reserve With Google Integration
Wordpress Website Integration & Hosting
Facebook, Twitter, Tik Tok, Instagram, LinkedIn and Google My Business Integration
Shopify Integration
Clio Integration
Quickbooks Integration
Payment Integrations Include: Stripe, Paypal, Authorize.net, NMI, Square, Apple Pay, Google Pay, Affirm, Klarna, ACH Direct Debit, Bank Redirect and more!
Mobile App
Live WebChat
Apple Business Chat
Power Dialer, Outbound & Inbound Calling
Ringless Voicemail
Call Tracking
Video Hosting
Image and Video Editor
A/B Testing
Tracking & Analytics
Data Reporting
Pipeline Analytics
Onboarding Assistance
Support Ticket & Training
Complimentary Credit of $10/Month toward Email and Text.
That’s about 133 texts or 117 mins in calls or 1481 emails
$1997 Set-Up Fee
$1997/Month or $19970/Year
2 Months Free & No Set-Up Fee with Annual Plan
Everything in Crimson & Bronze+
Brand Recognition & Awareness Feature: OmniSuite will list your business on 75+ of the World's Top business directories. You will be listed on maps, apps and search engines. Boosting Your SEO Tremendously!
OmniSuite Ads: We Will Create FB Ads "THAT WORK" for your Industry. All You have to do is click a few boxes and BOOM! Leads Galore for Your business inside your OmniSuite Back Office. Close new clients without trying to find them on your own. We Bring Them To You!
Niche Discounts Membership: Receive access to discounts & rewards within a network of over 700,000 merchant in-store locations offering discounts of 10-50% off on Food, Entertainment, Shopping and Travel.
Complimentary Credit of $50/Month toward Email and Text. That’s about 667 texts or 588 mins in calls or 7407 emails
$3997 Set-Up Fee
$3497/Month or $34970/Year
2 Months Free & No Set-Up Fee with Annual Plan
Everything in Crimson, Bronze & Silver+
Live Client Nurturing & Inbound Calls: OmniSuite Staff will respond on your behalf to every lead/prospect/client and take Inbound Calls + Chats for your business. We will also respond to leads, prospects or clients that engages with your Facebook page, website, GMB (Google My Business) and Instagram DM's with the goal of getting them scheduled for an appointment via phone, virtual or in-person. Its like having your own staff/call center.
Done For You Full Automations and Website: We Create All of your website, automations, triggers, forms, funnels, workflows customized for your business. Say goodbye to trying to figure it out on your own.
Complimentary Credit of $100/Month toward Email and Text. That’s about 1333 texts or 1176 mins in calls or 14814 emails
© Copyright 2023. OmniSuite. All rights reserved.