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Solutions Catalog

Comprehensive medical billing & RCM solutions

Accelerate cash flow, reduce payer denials, and stabilize practice operations with VOPSS.

Medical Billing & Claims

Complete daily charge entries, claim scrubbing, electronic submissions, and clearinghouse rejection management.

Medical Coding Audits

AAPC-certified coding reviews of ICD-10, CPT, and HCPCS code selections to ensure compliance and modifier precision.

Provider Credentialing

Seamless commercial and government payer enrollments, provider re-validations, and directory updates.

Revenue Cycle Management

End-to-end RCM optimization targeting front-desk eligibility verification, clean submissions, and financial reporting.

Denial Management

Aggressive, root-cause audits and appeal submissions for unpaid claims within 48 hours of payer notifications.

AR Follow-up & Recovery

Targeted campaigns and follow-up procedures to recover outstanding patient and payer balances over 60, 90, and 120 days.

In-house billing vs. VOPSS RCM partnership

Compare the operational costs and performance metrics of standard models.

Operational ParameterIn-House StaffVOPSS RCM
Direct Salary & BenefitsHigh (salary, healthcare, PTO)Included in percentage fee
Clearinghouse & Software CostsPaid by practice directlyUses existing tools (no setup fee)
Certified Coding AuditsRarely done (requires outsourcing)Included with AAPC managers
Claim Denial ManagementLimited by daily administrative tasksAggressive, daily follow-ups
Average Clean Claim Rate75% to 85% standard99%+ average clean rate
Average Days in A/R45 to 60+ daysUnder 30 days average

Driving practice growth through administrative focus

Outsourcing your medical billing to VOPSS is a strategic decision that goes beyond cost reduction. Our RCM partnerships are designed to give practice managers and physicians their time back. Instead of spending hours checking insurance coverages, correcting coding errors, appealing payer denials, or resolving patient inquiries, your staff can focus on patient care.

Our team works inside your existing EHR/PM system. By checking patient eligibility before visits, scrubbing claims pre-submission, and following up on unpaid balances, we optimize your entire cash flow cycle. This helps reduce outstanding accounts receivable, accelerate payouts, and protect your practice's financial health.

RCM Services FAQs

Answers to common questions about our billing and RCM services.

Do I need to sign up for all VOPSS services or can I select individual options?

Our RCM partnerships are completely flexible. While many clinics choose our end-to-end RCM solution, you can select individual services such as provider credentialing, accounts receivable follow-up, medical coding reviews, or prior authorization management depending on your clinic's needs.

How do you handle specialty-specific billing and coding?

We align your practice with a dedicated billing manager and billing team holding extensive experience in your medical field. This ensures your claims are reviewed with deep specialty-specific coding knowledge, minimizing modifier errors and maximizing reimbursements.

How do you handle patient collections and inquiries?

Our patient billing service operates with professional compliance. We handle patient statement runs, establish secure payment portals, and handle billing inquiries through our patient support desk, resolving questions politely and quickly.

What reporting tools do you provide to check performance?

We establish a secure, 24/7 reporting dashboard for your practice. This portal provides real-time access to key performance indicators (KPIs) such as clean claim rates, days in A/R, net collections, and denial summaries, keeping your team fully informed.

Ready to recover lost revenue and increase your clean claim rate?

Request a free billing audit. Our team will review your recent claims to find missed revenue, check for coding errors, and identify opportunities to improve.

Comprehensive Operational Lifecycle & Regulatory Governance

Detailed Service Methodology & Compliance Architecture: Enterprise Revenue Cycle & Medical Billing Service

Delivering high-performance medical billing and revenue cycle management solutions requires an end-to-end operational framework that begins during patient pre-registration and extends through electronic remittance posting, denial management, and accounts receivable (A/R) recovery. Healthcare clinics facing high claim rejection rates, long days in A/R, and administrative burnout require dedicated billing specialists who understand specialty-specific CPT coding, modifier application, and clearinghouse EDI rules.

VOPSS provides a complete, performance-based billing solution that operates natively within your practice's existing Electronic Health Record (EHR) and Practice Management (PM) environment. By scrubbing every claim prior to electronic transmission, verifying patient insurance coverage in real time, and maintaining a strict 48-hour denial appeal SLA, we ensure your medical practice collects every dollar earned while maintaining 100% HIPAA and CMS compliance.

Automated Pre-Submission Scrubbing

Every claim is scrubbed against over 100,000 payer-specific rules prior to clearinghouse transmission, checking NPI numbers, subscriber IDs, diagnostic linkages, and modifier combinations to maintain a 99%+ clean claim rate.

Targeted A/R Recovery & 48H Denial Appeals

Our specialized denial management team audits unpaid claims, extracts clinical records from your EHR, files formal appeals within 48 hours, and pursues aging balances past 30, 60, and 90+ days.

Key Financial & Operational Benchmarks Delivered:

  • Clean claim submission rate: 99.2%+
  • Average days in accounts receivable: < 30 days
  • Initial claim denial rate: < 2.0%
  • Net collection improvements: 15% to 25%