We maintain a constantly updated database of payer rules, prior authorization logic, and documentation protocols. All claims pass through an automated rule-engine before submission.
At The Outsourcing Medical Billing, we provide Revenue Cycle Management (RCM) solutions specifically designed for healthcare organizations dealing with shrinking margins, growing payer complexity, and administrative burden. Whether you’re running a small group practice, managing a specialty clinic, or scaling a multi-location hospital system, our services are designed to identify gaps in your revenue cycle and correct them — early, systematically, and accurately.
We work with providers globally who are tired of rising denials, inconsistent cash flow, underpaid claims, and long DSO (Days Sales Outstanding) cycles. Our goal is simple: plug revenue leaks and reduce dependency on reactive billing cycles.
Outcome: 15–20% reduction in first-pass denial rates over 3 months.
Outcome: Improves reimbursement timelines, reduces rework load for your staff.
Outcome: Increased cash flow consistency and better forecasting accuracy.
Outcome: 30–50% fewer repeat denials within 60 days.
Outcome: Eliminates revenue slippage from unnoticed underpayments.
Outcome: Better strategic decisions based on quantifiable payer behavior.
Delays in clean claims, slow AR recovery, and a reactive billing model compound losses over time. You’re not just leaving money on the table — you’re inviting administrative chaos.
In an environment where:
a robust revenue cycle framework isn’t optional — it’s essential for survival.
We maintain a constantly updated database of payer rules, prior authorization logic, and documentation protocols. All claims pass through an automated rule-engine before submission.
Yes. We support integration with over 25 major systems including Epic, Kareo, Athenahealth, AdvancedMD, and can also work via manual data transfer protocols when needed.
Each denial is categorized (CO, PR, OA, PI, etc.), analyzed for root cause, and queued for appropriate action: recoding, rebilling, appeal with supporting documentation, or patient contact (if required).
You’ll get access to a real-time dashboard showing key metrics: claim status, AR aging, denial rates, payer mix, revenue by CPT, etc. A monthly call reviews trends and issues.
Yes. We handle both paper and electronic statements, offer call-center follow-ups, and support secure payment portals if needed.
If your internal team is stretched, cash flow is unpredictable, or denials are eating into your margins — this is built for you.
We’ll show you how we reduce leakage, manage complexity, and improve financial control — using your data, not assumptions.
Providing trusted medical billing solutions designed to streamline payment processes, reduce claim denials, and ensure efficiency tailored to your practice’s unique needs. Count on us for expert support you can rely on.
Kemp House, 152 – 160 City Road London, EC1V 2NX United Kingdom
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