Revenue Cycle Management
Welcome to Optimise Pro LLC, your dedicated partner in Revenue Cycle Management (RCM). Our comprehensive services are designed to streamline your billing processes, improve cash flow, and maximize your revenue.
- Setting up online appointments
- Utilisation Review (soon)
- Referral & authorisation (soon)
- Describing charges
- Coding & billing
- Charge Posting
- Submitting claims
- Clearing house denials (soon)
- Payment posting
- Denial Management
- Secondary filing
- Accounts receivable
- Appeal procedures
- Patient billing & collection management
Revenue Cycle Management
How We Work
By leveraging our advanced technology platform and expert team, we ensure that every step of your revenue cycle, from patient registration to billing, claims and collections, is managed efficiently and effectively. Partner with us to transform your RCM operations and see how our tailored solutions can lead to greater financial health and sustainability for your business.
We utilise our deep expertise in coding standards such as ICD-10 and CPT codes, to ensure accurate medical billing and compliance.
We are fully conversant with the Cayman Islands Fee Schedule, ensuring that all claims are meticulously coded to reflect procedures and services correctly. Our familiarity with these linked coding systems and standards means fewer denied claims and streamlined processes, ultimately leading to faster reimbursement and improved revenue cycles for healthcare providers.
Revenue Cycle Management
Our Experience
We gained our extensive experience within the Cayman Islands Health System, where we successfully established Revenue Cycle Management services for one of the region’s most prominent multi-specialty clinics. This hands-on experience has not only honed our expertise but also deepened our understanding of local regulations and healthcare practices. Our approach led to some of the fastest insurance settlement times and an enviable bad debt rate of just 0.2% (unrivalled, we believe)
We are adept at navigating the unique challenges presented by the Cayman Islands healthcare landscape, ensuring that our clients receive RCM solutions that are not only effective but also fully compliant with regional standards. Partner with us to benefit from our proven track record and regional insight that can help drive the success of your healthcare facility.
Contact Us
If you would like support to optimise your business performance, we'd love to hear from you!