Welcome to RCM Life, a note from Bethany Williams

Welcome to our RCM Life Newsletter. Its purpose is to provide you with helpful news and information to make your practice life better. We will include denials that we are seeing across numerous practices, key performance indicators that we’d like you to know about, and helpful news and information. This is meant to supplement the monthly meetings you have with your account manager and billing team.

We’ve made many changes to OP RCM to improve performance and increase the predictability of our services. You may have been impacted by these changes and we apologize for that. However, we are committed to delivering industry-leading performance and are putting the right processes, people, and technology in place to do so. Reach out if you have questions. We care and we are committed to your success.

  Best Practices, from the RCM Director

Now more than ever, it is critical for revenue cycle leaders and physician practices to determine ways to maximize cash flow. The pandemic has brought complexity to billing and new challenges to the forefront. For that reason, it is crucial to focus on denials prevention. Click here to learn the 3 best practices to prevent and reduce denials proactively.

  Common Clearinghouse Rejections

Some of the most common clearinghouse rejections we see in pediatrics are typically related to diagnosis codes. Follow our suggestions and your claims will not get stopped at the clearinghouse and you will receive payment quicker. Our RCM Performance Improvement team members will be reaching out with information specific to your practice in the near future. In the meantime, click here to read our tips.

  RCM Performance Improvement Team

Our RCM Performance Improvement Team consists of Performance Improvement Specialists who focus on streamlining workflows and developing best practices for all of our RCM clients. This team includes both long-time employees of the OP RCM department as well as new, highly-skilled RCM experts. Some of these team members come from accounting professions, some from clinical fields of medicine, and others have come directly from RCM vendors and practices. Each specialist brings a wealth of experience and expertise to our RCM family. Each specialist is here to partner with OP practices to improve the performance of our RCM services.

In 2021, this team will be reviewing templates, fee schedules, claim edits and payer contracts to optimize clean claim transmissions. Clean claims mean less Denials, lower aging AR and better cash flow.

  Upcoming RCM Webinar

Every OP RCM webinar is developed by direct feedback provided from office’s like yours. We are listening to all of you and are working to create an atmosphere for your office to learn about new features while having the opportunity to engage with a live trainer to answer your questions about RCM specific workflows.   

Join us for our upcoming webinar “RCM: Reports” on March 31st at 3 pm (EST). In this webinar, you will learn how to run reports to measure the financial productivity of your office. Maximize revenue in your practice, by sharpening your RCM reporting skills. Click here to register.

  Optum Portal User Changes

Optum Pay offers multiple options for electronic claim payments as well as access to the entire explanation of Benefits for payers in addition to UnitedHealthcare. These include: Oxford, UMR, and United Healthcare Community Plan. Optum Pay has recently made some changes. Click here to read full details and common questions and answers. Important Update: March 31, 2021 is the last day to submit a cancelation request if you enrolled in Optum Pay premium during the recent free trial period without penalty. This means you won’t be charged the $0.5% per payment fee for any claim payments.

  Featured Video

  OP RCM Spotlight

Team Member: Brenda de Bojorquez
Contact Information:
Current Role: RCM Trainer and PI
Experience: With over 21 years experience in the pediatric industry, she earned coding certification while constantly building knowledge on the ever-changing world of RCM.
Fun Fact: “I really enjoy going on adventures with my children, such as road trips and amusement parks. They are my joy and motivation.”

  Contact Us

Bethany Williams – Senior Vice President, Products/Services

Elizabeth Feliciano – Director, Client Revenue Cycle Performance and Experience

Mimi Ruggles – Senior Manager, Process Improvement

Visit OP:
Copyright © 2023 Connexin Software, Inc. | 1-800-218-9916