Revenue Cycle Management
Today's reimbursement environment emphasizes the importance of “Collecting every penny from every payor for every claim”. Revenue Cycle Management includes everything from claim submission to posting of payments. From the moment OmniSYS receives your claim to the latest claim posting activity, we maintain and manage the full history of each claim.

We track Secondary Payor Reimbursement including Posting of Paper EOBs for Supplemental Insurance Payors or Medicare Part B Primary/Secondary Claims with EDI/ERN pharmacy enrollment/reenrollment issues.

We even process submission of Secondary Non-Crossover Medicaid and Commercial COB Claims to recieve payment from those payers as well.

Suite-of-Services Include:

• Submission of Clean Claims
• Eligibility Verification
• Deductible & Coinsurance Tracking
• Denial Tracking
• Web-based reporting
• Online EOBs
• Documentation Management including Patient/Physician Outreach
• Retrospective Remittance Feedback
• Correction & Resubmission of Denied Claims
• Patient Cost-Share Adjustments