End-to-End Solutions

Smarter Billing. Stronger Revenue.

Comprehensive RCM Solutions

We identify hidden revenue losses in your practice within the first 7 days.

Medical Billing & Coding

Clean claims. Accurate coding. Faster reimbursements.

  • CPT, ICD-10, HCPCS coding accuracy
  • 98%+ clean claim rate target
  • First-pass claim acceptance optimization
  • Compliance with payer guidelines

πŸ‘‰ We don’t just submit claims β€” we optimize them for approval

AR Management

Recover revenue faster with aggressive follow-ups.

  • Insurance follow-ups within 24–48 hours
  • Aging report analysis (30/60/90+)
  • Dedicated AR specialists
  • Old claims recovery

πŸ‘‰ Focus on reducing aging >90 days, not just reporting it

Denial Management

Turn denials into revenue.

  • Root cause analysis of denials
  • Appeal filing & tracking
  • Denial trend reporting
  • Preventive workflow improvements

πŸ‘‰ Most companies fix denials β€” we prevent future ones

Credentialing & Enrollment

Get credentialed faster, start billing sooner.

  • Medicare / Medicaid enrollment
  • Commercial payer credentialing
  • Revalidation & updates
  • CAQH profile management

πŸ‘‰ Faster onboarding = faster revenue generation

Eligibility Verification

Avoid claim rejections before they happen.

  • Real-time insurance verification
  • Benefits & coverage validation
  • Co-pay / deductible checks
  • Pre-authorization support

πŸ‘‰ Prevents front-end revenue loss

Charge Entry & Payment Posting

Accurate financial tracking and reconciliation.

  • Charge capture & entry
  • ERA/EOB posting
  • Payment reconciliation
  • Underpayment identification

Reporting & Analytics

Make smarter decisions with real data.

  • Monthly performance reports
  • KPI tracking (collections, denial rate, AR days)
  • Revenue leakage analysis
  • Custom dashboards

πŸ‘‰ You don’t just report β€” you recommend improvements

High-Value Specialties

Tailored RCM solutions for complex healthcare environments.

Primary Care / Family Medicine

Challenges:
  • High patient volume
  • Preventive care billing complexity
What We Provide:
  • Chronic care management billing
  • Preventive services optimization
  • Faster claim turnaround

πŸ‘‰ Advantage: Handle volume efficiently without revenue leakage

Pain Management

Challenges:
  • Complex procedure coding
  • Frequent audits
What We Provide:
  • Injection & procedure coding expertise
  • Compliance-focused billing
  • Audit risk reduction

πŸ‘‰ Advantage: Minimize denials for high-value procedures

Orthopedic

Challenges:
  • Surgical coding complexity
  • Modifier usage
What We Provide:
  • Surgery & procedure billing
  • Accurate modifier application
  • Post-surgical billing workflows

πŸ‘‰ Advantage: Maximize reimbursement per procedure

Cardiology

What We Provide:
  • Diagnostic & procedure billing
  • Stress test & imaging claims
  • High-value claim optimization

πŸ‘‰ Edge: Expertise in complex, high-revenue claims

Dermatology

What We Provide:
  • Procedure-based billing
  • Cosmetic vs medical claim separation
  • Biopsy & treatment coding

Mental / Behavioral Health

What We Provide:
  • Telehealth billing
  • Therapy session coding
  • Insurance authorization handling

πŸ‘‰ Advantage: Strong support for growing telehealth market

Urgent Care

What We Provide:
  • Same-day billing workflows
  • Fast claim submissions
  • Volume-based optimization

Physical Therapy / Chiropractic

What We Provide:
  • Session-based billing
  • CPT code accuracy
  • Visit tracking & limits

Frequently Asked Questions

We specialize in a wide range of high-value specialties including Cardiology, Orthopedics, Mental Health, Urgent Care, and Primary Care.

Our seamless onboarding process typically takes 1-2 weeks, ensuring zero disruption to your current cash flow during the transition.

We believe in earning your business every month. While we offer long-term agreements with favorable terms, we also provide flexible month-to-month options.

We use AI-driven claim scrubbing and expert oversight before submission, addressing root causes of denials rather than just fixing them post-rejection.

Why OPTUS Stands Out

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Specialty-focused billing

Not generic solutions, but tailored expertise.

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Faster claim submission

24–48 hour turnaround time.

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Dedicated account manager

A single point of contact per client.

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Denial prevention system

Proactive strategies, not just fixing errors.

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Transparent reporting

Real KPIs and actionable insights.

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HIPAA-compliant

Secure processes and data handling.

Ready to Optimize?

We identify hidden revenue losses in your practice within the first 7 days.