Our Services

Clinical Services

  • Acute Care Services Support
  • ADR / Medicare A Probes Support
  • Case Management Support
  • Chronic Disease Management
  • Clinical QA and Medical Coding (ICD-10CM/ICD-10PCS)
  • Continuous Quality Improvement (CQI)
  • Coordination of Care Support
  • Drug Regimen Review Follow up
  • Elderly Care Services Support
  • Health Information Exchange (HIE)
  • Homehealth Care Services Support
  • Hospice Care Services Support
  • Interdisciplinary Team Collaboration
  • Medical Records Auditing
  • Medical Transcription Services Monitoring
  • Patient Advocacy Services
  • Patient Education Programs
  • Patient Referral Turnaround Response Time
  • Patient-Centered Medical Home (PCMH)
  • Population Health Management
  • Post Discharge Follow-up
  • PPC Conversion/Transition from other EHR softwares
  • Quality Assurance and Compliance
  • Real Time PDPM Management and Data Mining for NTA’s and Combination Codes
  • Reduce Readmissions
  • Regulatory Compliance
  • Remote Patient Monitoring
  • Revenue Cycle Management
  • Telehealth Services
  • Utilization Review Services

Non-Clinical Services

  • Accounts Payable
  • AR/Billing
  • Avatar Call Center Services
  • Billing and Collections
  • Compliance Auditing
  • Credentialing Services
  • Cybersecurity Services
  • DME Ordering
  • Employee and Customer Satisfaction Services
  • Employee Assistance Programs (EAP)
  • Financial Counseling
  • Healthcare Analytics
  • Healthcare Marketing and Branding
  • HR Support Services – Onboarding
  • Inbound & Outbound Call Support
  • Intake and Referral Services
  • IT Support Services
  • Online Bereavement Coordination Services
  • Online Marketing
  • Online Researchers
  • Online Training and Development Programs
  • Patient Engagement Solutions
  • Patient Financial Services
  • Prevent Denial of Payments
  • Recruitment Services
  • Revenue Recovery Services
  • Supply Chain Management
  • Technology Integration Services
  • Telemedicine Support Services
  • Translation and Interpretation Services
  • Triage Call Service
  • Virtual consultation
  • Virtual dietary and spiritual counseling

Toni's Academy

  • Cultural Competency Training
  • DON/ADON Training Program
  • IDT Training
  • New Hire Training & Orientation Program
  • Post-Graduate Nursing Training Program
  • Skills competency training and mentoring program for new employees to increase employee retention and transition new employees into an organization
  • Train and mentor struggling DON’S and aspiring Clinical Leaders

Other Services

  • Back Office Services
  • We assist our U.S. Clients in finding skilled remote workers. Our mission is to connect ambitious Foreign Nationals seeking U.S. permament residency with high-quality eligible employers

Medical BILLING and collection specialist at your service

"Unleash Financial Triumph with Optimum Quality Business Solutions"

Embark on a journey of financial prosperity for your practice with Optimum Quality Business Solutions, your dedicated partner in medical billing and collections. Elevate the business dimension of your clinical operations, transcending the mundane, and opening doors to unparalleled efficiency.

Our Comprehensive Services

At Optimum Quality Business Solutions, we redefine the narrative of medical billing, collections, and management. Our expansive range of services caters to clients across the nation, transforming routine transactions into strategic financial maneuvers.

Our Pinnacle

Imagine a practice where income reaches new heights, expenses are meticulously managed, and operations seamlessly flow. This is the realm we aspire to create for you. Our goal is nothing short of providing holistic reimbursement solutions, tailoring our expertise to empower your practice uniquely.

Crafting Financial Success

Optimum Quality Business Solutions is not just a processing center; we are architects of financial success. Our seasoned team, well-versed in the intricate dance of billing and other services, goes beyond mere transactions. We bridge gaps, connecting aspirations to achievements, and transforming results into tangible efficiency and increased revenues for your practice.

In a world where precision and proficiency matter, choose Optimum Quality Business Solutions as your catalyst for a transformative leap towards financial triumph. Your practice’s success story awaits – let’s craft it together.

 

We charge less for quality work

 

How we can help with your ACCOUNTS PAYABLE

Receiving Invoices from Medical Facility AP Administrators (for reimbursements and PCF)

Printing of Invoices

Verifying the correct Vendor and GL account for each invoice

Posting invoices

Scanning Printed Invoices

Generating a batch report for reference to posted invoices. (to be sent to Medical Facilities AP Administration)

Communicating with Facility AP Staff for batch report references of processed invoices

Generating Monthly GL Transactions

Creating Purchase Journals

Updating Purchase Journals (if new invoices are posted)

Checking for paid, unpaid, and unposted invoices for specific vendors

Collecting approved invoices from Facility AP Staff

Updating Purchase Journals (if new invoices are posted)

Checking for paid, unpaid, and unposted invoices for specific vendors

Collecting approved invoices from Facility AP Staff

Verifying if vendors received check payments

Eligibility Verification

Charge Entry

Prior Authorization

 

Claim Scrubbing

Accounts Receivable Management

Denial Management

Payment Posting (with Check Posting)

outsource to us now!

Ask our experts . No registeration needed.

CONTACT US!

FAQ

Most frequent questions and answers
  • Medicare
  • Medicaid
  • Commercial
  • MCO MEDICARE
  • MCO MEDICAID
  • MCO MLTC/MLTSS/MEDI-CAL (Managed Long Term-Care)
  • PRIVATE PAY
  • HOSPICE
  • Securely through Remote Desktop server using Virtual Private Network
  • Ensure HIPAA compliance by our workforce
  • Regularly assess and update our Technical and Physical Safeguards
  • Periodically review and update our Policies, Procedures, and Documentation Requirements

  • Premium Google account

  • Tiger Text

  • Group Me

  • Viber

  • WhatsApp

Note – all communications are encrypted and  Virtual Private Network is utilized

  • No Overhead costs – Full Time Personnel can cost employers up to 50% more than their actual salary.

  • No training costs – Our RN’s are RAC certified, ICD coding certified and OASIS Certified. The average cost of coding  training is $4000-$5000 for a beginning coder. Additionally you will incur costs of annual CEU’s and certification renewals. With outsourcing this cost is covered by the outsourcing company.

  • Streamlined Process – We work closely with you to provide a simplified process that works for you and your clinicians.

  • Accessibility – Often outsourcing companies can provide a host of additional services that an in-house staff is unable to fulfill. We have a plethora of services available to you at any time.

  • We capture all PDPM/PDGM triggers and most appropriate Primary and other ICD codes.

  • After we’ve designed a solution tailored to your specific needs, Optimum can help establish new programs, staff them, implement the corresponding procedures, train staff on reporting and other requirements, measure results, and identify performance benchmarks — so you will always know how well your organization is progressing.

  • Stress Relief – Outsourcing takes the HR stress out of the employment process. No more classified ads, interviews or paperwork. Let administrators focus on patient care instead of office management.

  • Networking – Our network will cast a wide net for your agency. From billing & cost reports to software & compliance specialist, you have a huge Home Health Solutions community at your fingertips.Completely avoid ADRs and payment denials.

  • We charge less for quality work.