ORS recognizes that organizations today have to work harder with less people all while watching reimbursement shrink nationwide.
Taking a holistic approach, ORS sees the typical revenue cycle differently than most other billing service firms.
While the core functions of a billing services firm is fairly defined, ORS provides tools, processes, and training to create far more positive outcomes across the entirety of the healthcare business cycle.
As a turn-key service provider, clients can expect a complete compliment of services and technology value adds designed with one goal in mind: increase net reimbursement at an overall lowered cost base.
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Revenue Cycle Service
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ORS
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Client
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Joint
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Online data collection for patient registration
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Online data collection for medical information
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Online electronic insurance verification
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Manual verification for non electronic payers for scheduled admissions, surgeries, radiology
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Financial counseling based on verification info
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Claim scrubber feedback on all errors
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Electronic claim correction and submission
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Billing for Primary, Secondary, Tertiary payers
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True or technical denial follow-up
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Bank Lockbox processing
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Cash/contractual and adjustment posting
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Lockbox and remittance advice balancing
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Payment validation (proration) per contract
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Respond to payment inquiries/customer service
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Follow-up on unpaid claims or self-pay accounts
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Online patient payment, statements
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Online patient payment arrangements
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Charity applications and approval
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Prepare refund documention for provider payables dept.
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Monthly monitoring of collection vendors
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Monthly accounts receivable/dashboard reporting
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Secure access to Provider's PFS/EMR systems
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Accounts receivable detail resides on Provider System
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Provider maintains accounts receivable data in HIPAA compliant electronic format
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Provides access to following documents electronically:
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Fully complete registration source documents
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ABNs
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Itemized charges
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ICD9/10 and CPT codes
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Complete MSP Questionnaire
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HIPAA-AS compliant electronic transaction files
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Provide requested medical records or other needed claims processing information within 3 days of request
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Physician credentailing for payment
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Charge master set up, maintenance and coding current
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Confirm CMS/HIPAA compliance of ORS claim editor
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Develop agreed-upon processes for obtaining info from each other
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Develop standards or thresholds for moving insured accounts to self-pay, write-off status or outside collection
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Determine ORS personnel "scope of authority" for individual account adjustments/write-offs
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