Our Services
Medical Billing Services
Medical Coding Solutions
Hello, healthcare champions! We are Optimal Billing Solution LLC, and our mission is to simplify your practice management. Whether it’s moving from order to intake, intake to claim, or claim to payment, our specialized medical billing services are here to support you every step of the way. Our aim? To equip you with innovative strategies and insights that fortify your healthcare billing and revenue cycle management.
Credentialing Solutions
Optimal Billing Solution LLC is a highly-rated Medical Credentialing Service Provider, celebrated for its exceptional management of credentialing processes. We provide outsourced credentialing services, allowing healthcare providers to entrust us with their credentialing needs rather than managing them internally. Our services are overseen by credentialing specialists who possess extensive expertise and experience, ensuring comprehensive and efficient handling of all credentialing tasks
Reports Cycle
Welcome to Optimal Billing Solution LLC, your ultimate destination for premium medical billing services and RCM solutions designed to elevate your revenue and patient care. Our detailed reports give you in-depth insights into your practice’s financial performance! We offer medical billing revenue cycle reports on a daily, weekly, and monthly schedule, along with comprehensive patient and insurance accounts receivable (AR) reports. Need a rapid assessment? Simply reach out, and we’ll take care of it swiftly.
Our All-Inclusive Medical Billing Solutions for Every Specialty
We are committed to boosting revenue and patient care across all specialties, allowing you to concentrate on what truly counts—delivering outstanding healthcare.
Our Extensive Service Offerings
Our suite of medical billing, practice management consulting, and revenue cycle management services is utilized by the following:
Healthcare SEO
Our suite of medical billing, practice management consulting, and revenue cycle management services is utilized by the following:
Medical Audit
We are committed to boosting revenue and patient care across all specialties, allowing you to concentrate on what truly counts—delivering outstanding healthcare.
Medical coding complexities shouldn't hinder your practice.
As a premier medical billing and coding company, we offer exceptional services to meet all your needs. Our Certified Coders ensure seamless, error-free coding with expertise in CPT Category I & II and ICD-10, guaranteeing accuracy and compliance. Trust us to assign the most accurate codes, aligned with AMA and CMS guidelines, while resolving potential coding issues.
ICD-10-CM Combination Code
We specialize in creating ICD 10 CM combination codes that accurately reflect multiple diagnoses. This ensures that your patients’ complex medical conditions are precisely represented in billing, minimizing the risk of claim denials.
Premium
ICD-10-CM Activity and Occurrence Codes
Our specialists are highly skilled in utilizing ICD-10-CM activity and occurrence codes to precisely document the circumstances and causes of injuries or health conditions.
Outpatient Surgery and Ambulatory Surgery Centers (ASC) Services
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Physician Evaluation and Management (E/M) Services
Accurate coding for E/M services demands meticulous attention to detail, which is our expertise. We ensure that the time and effort physicians dedicate to patient care are accurately represented in the coding, avoiding both underbilling and overbilling.
Emergency Department E/M Services
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Interventional Radiology Services
Our expertise in coding for interventional radiology allows you to concentrate on performing advanced procedures, while we handle the precise coding and documentation of the complex services you offer.
Emergency Department E/M Services
Our specialists excel at documenting the urgency and complexity of emergency encounters, streamlining the billing process for greater efficiency.
Premium
Interventional Radiology Services
Our expertise in coding for interventional radiology allows you to concentrate on performing advanced procedures, while we handle the precise coding and documentation of the complex services you offer.
ICD-10-PCS Codes for General and Root Operations
This ensures that procedures and interventions are accurately coded, resulting in improved communication with payers and fewer billing issues.
Z-Codes for Encounter Reasons
Our expertise guarantees that these codes are used correctly, providing organizations with a thorough understanding of the medical necessity behind each visit.
Medical Billing Services for US Providers
No more restrictive contracts holding you back. Trust us to guide your practice toward financial
stability and exceptional profitability. Your success is our promise!
Customized Medical Billing Services for Your Needs
At Optimal Billing Solution LLC, we offer tailored medical billing solutions ensuring 100% accurate claim submissions and a 99% First Time Payment Rate (FTPR). Our comprehensive revenue cycle management services include billing, coding, credentialing, and enrollment, with prompt claims submissions, effective denial management, and diligent follow-up.
Our HIPAA-certified billers and compliant tools ensure top security and confidentiality. We actively manage your accounts, functioning as your dedicated offsite billing department. With our specialized expertise, we maximize your reimbursements, allowing you to focus on delivering outstanding patient care. Choose smart, efficient, and reliable billing with us.
Benefits & Eligibility Verification
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Charge Entry
Precise billing begins at this step. We make sure every service is properly recorded and converted into accurate charges.
Claims Editing, Auditing, and Processing
Our thorough editing and auditing procedures reduce errors and guarantee fast claims processing.
Rapid Claim Submission
We process and submit both electronic and paper claims within one business day of receipt.
Pre-Authorization
We secure coverage for treatments right from the beginning.
Dedicated Follow-Up
Count on consistent follow-up within 7 days to ensure smooth claim progression.
ICD-10 Compliance
Our certified coders guarantee ICD-10 compliance, preventing any avoidable disruptions.
Patient Statement Billing and Follow-Up
We manage payment posting and adjustments with accuracy and care.
Patient Call Center
Our patient call center handles inquiries with professionalism and empathy.
Managing Collections
Our effective collection strategies keep your financial health robust.
Tracking / Claims Management
We handle accounts receivable to maintain your practice’s financial stability.
Explaining EOBs
We help clinicians and patients understand their Explanation of Benefits (EOBs) clearly.
Secondary and Tertiary Claims Management
We handle the submission of secondary and tertiary claims, maximizing your revenue potential.
AR Follow-Up
Our premier outsourced accounts receivable services empower you to take control of your revenue. We offer tailored solutions for physicians, hospitals, clinics, and care centers, addressing gaps in the revenue cycle. With a proven collection process to expedite payments and customized strategies for receivables needing special attention, we ensure effective follow-up and faster collections.
The greatest advantage? By selecting us, one of the most cost effective medical billing companies in the US, you achieve control over intricate financial processes without the steep cost.
Accounts Receivable Services
- Thorough examination of accounts to develop a tailored action plan.
- Ongoing analysis of codes, procedures, and national issues, with timely, relevant reports.
- Regular quality assurance checks with accessible medical billing reports for clients.
- Real-time eligibility verification
- Real-time claim scrubbing before submission
- Quarterly updates on medical coding
- 24/7 support, with additional assistance during emergencies.
- Reduced overhead costs (25 to 35% lower than operational expenses)
- Customized monthly reporting
Denials Management
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Credentialing
Range of Services:
Our diverse range of services is crafted to simplify complex tasks and enhance your practice’s financial well being.
Charge Entry Analysis
We thoroughly review each claim in real time, validating CPT and ICD codes to ensure they comply with payer guidelines. This meticulous approach minimizes the risk of errors and delays.
Sophisticated Rules Engine
Dealing with payer rules can be challenging, but not with our support. Our advanced rules engine closely monitors payer denial trends and updates, ensuring you’re always informed and prepared.
Claim Alerts
Transparency is crucial in billing. Our automated alerts keep you informed about claim re-submissions and statuses, ensuring you’re always updated.
In-Depth Analytics
Our tailored reports offer real-time insights into your medical billing operations. We ensure your claims are fully paid and pinpoint areas for improvement. Our goal is to maximize your revenue while fostering continuous enhancement.
We believe in affordable specialty healthcare for all.
We track patient care episodes from registration and appointment scheduling to the final payment of a balance, ensuring maximum reimbursement and minimizing delays.