We help our customers solve the most difficult financial challenges, including rising costs, alternative payment models, growth and complexity through consolidation, consumerism, and the desire for a better patient experience. Our end-to-end revenue cycle solutions seamlessly integrate with our client’s existing infrastructures to provide a standardized enterprise approach that delivers scalability and speed to value.
Opulex HealthCare provides End to End Revenue Cycle Solution to Practices and hospitals which maximizes the efficiency of your practice by cutting your costs and improving your bottom line. Our Revenue Cycle Solutions are tailored-made to the specific needs of your organization.
We combine extensive knowledge and experience in medical billing, coding, Account Receivables, Payment Posting, AR, Denial Management, with streamlined processes to help our clients overcome obstacles to maximum reimbursement. We work with you and your staff as closely as an in-house biller, saving you money by eliminating the cost of medical billing staff. Our clients include solo practices and group practices, large medical centers, hospitals, surgical centers, and pain management centers. Regardless of your specialty, Opulex HealthCare will transform your revenue cycle Operations into a Seamless Experience.
Ensure timely and accurate receipt of the information on insurance coverage and accurately determine your patient's responsibility to pay for their healthcare services. We have Integrated a Financial Clearence check just 48 hours (about 2 days) before of the DOS to ensure there should be no last-minute changes in Patient Demography and Patient Benefits to achieve the 95%+ First Pass Ratio as per Medical Group Medical Association (MGMA) Standards.
As a medical practitioner, you are constantly on the run attending to one patient after another, managing your healthcare business, and juggling several other responsibilities simultaneously. We do Support our Providers with medical Transcription Services which will be handy in Creating Medical Records for Billing Purpose.
Medical practitioners should be interacting with patients, not their computer screens. Did you know a third of physicians spend over 20 hours every week on documentation and administrative? We support live Scribing Team works with you to help you prepare your Patient Visit Documentation.
Opulex HealthCare coders work in accordance with CPT, HCPCS and ICD-10 codes with highest level of accuracy and consists of CPC/CPC-H certified coders from AAPC, CCS certified coders from AHIMA and BCHH-C certified with several years of multi-specialty coding experience.
Medical coding controls the lifeblood of any practice, so we employ highly experienced, AHIMA-credentialed coders for medical coding support and auditing services. Better coding allows your practice to maximize reimbursement and save time by not having to go back and change codes.
Our end-to-end medical billing services are designed to obtain maximum financial reimbursement for our clients while reducing overall costs. Our Internal API Integrations ensure that all Claims get submitted to Carriers within TFL and all other required documentation.
Denial Management and Prevention Ensure full reimbursement and proactively address chronic errors to stop denials ahead of time by achieving 95% + First Pass Ratio.
Medical billing and patient collections are among the most critical areas of your healthcare practice. Without efficient patient cash flow, it is near impossible for a medical practice to sustain. We Support Patient Collection Services for our Clients based on demand.
Let us Understand your Pain Area and Change it into a Seamless Revenue Cycle experience with Optimized financial performance.