Our Story
The company originally began as an Accounting and Taxation company for Doctors in 1999. We had a great opportunity to work at our doctors’ office, which helped us to understand the effort behind every patient care and associated claim reimbursement..
The doctors we worked with, encouraged our leadership to understand more about the specifics in Medical Coding, Billing, Auditing and Revenue Cycle Management. As we delved further into things, we looked to how we could better assist our clients and make a difference, from other Medical Billing and Coding, RCM companies.
The one thing that stuck out, was to always look at the RCM process from the provider prospective and not just pushing claims out the door. We approached things from a 360 degree view and not just the bottom line. As we did this and incorporated the trust that our clients put in us with managing their life’s work and financial health, it made a major difference and significantly improved our client outcomes. In doing so, it has allowed us to retain our clients over the years.
At Online Medical Solutions, our continued goal is to ensure peace of mind for our clients, knowing that they can work on the business of treating patients, focusing on improved outcomes and excellent patient care, while we work on the business of providing excellence in Revenue Cycle Management!
Continuing Education System: CES
Online Medical Solutions found that only 44.38% of Physicians’ Offices use Certified Coders. 29.96% of Providers do the Coding themselves.
Many Providers are having challenges in staying abreast of ongoing payer requirements, including Coding, Billing and OIG/CMS Guidelines. It is always recommended to have AAPC/AHIMA Certified Coders in-house, but it can be costly for a practice to do so.
Under our CES (Continuing Education System) program, our Certified Coders attend Coding/Billing related Events and Conferences and actively participate in AAPC Forums.
It allows our Clients the freedom to go about their daily practice lives and eliminates the need for them to be concerned about any Coding/Billing Challenges that a payer may present.
RCM Tools to Track & Fix Reimbursement Challenges Once-for-all:
Survey says that on an average of 15% of Claims get Denied. More than 66% of Providers do not have a proper tool in place to Track and Fix Denials.
We have over 17 years of Medical Coding & Billing experience, which has helped us understand the intricacies of Claim Denials that payers often present to the providers who treat their members. This often leads to significant revenue loss, as many back offices, do not have adequate staff with experience who can appeal claims.
We wanted to develop some tools that would help alleviate this issue with payers and we came up with a solution that can Track, Categorize, Strategize, Correct & Learn (TCSCL),
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It can Track & Categorize every Denial,
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by Denial Code along with Reason
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by Source
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by Root-cause based on Root Cause Analysis (RCA)
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that can set Denial Addressing Strategies (DAS)
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that can set 24-48 hour TAT to fix Denials
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that can fix certain Denials permanently
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that can self-learn upon every Denial Solution derived
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We are able to track and report KPIs for the practice.