Outsource medical billing with expert specialists and AI automation to maximize collections by 20%.
Revenue Cycle Management
A named RCM team owns your billing outcome. They resolve the complex payer issues agents can't close, verify every appeal before it goes out, review high-risk corrections, escalate unresolved claims, and stay in direct contact with your staff.
Agents run the volume around the clock, validating claims before submission, classifying denials, preparing corrections, assembling appeal evidence, reconciling remittances, detecting underpayments and prioritising A/R by value and urgency.
Our AI catches missing modifiers, NCCI conflicts, and eligibility gaps before submission — not after a denial wastes 30 days.
→ Industry average: 75–85%
We fix the root cause upstream. The industry average denial rate runs 10–15%. Ours doesn’t.
→ Industry average: 10–15%
Our human team doesn’t let claims age. We follow up, appeal, and escalate until you’re paid.
→ Industry average: 40–65 days
New clients consistently collect more than they were with their previous biller — without seeing more patients.
→ Because you were already leaving it on the table.
OmniMedPay works inside the EHR your practice already uses, so you don’t need a system change just to fix billing. We support SimplePractice, TherapyNotes, Sessions Health and more — and we’ll walk through your current setup on the call.
We know handing over your billing is a big decision. Most practices stay with us for years — but you are never locked in. If you ever want to bring billing back in house, we make the transition back effortless.
Transparency is a core value, so there are no hidden costs or setup fees. Our fee is a straight percentage of what we actually collect for you — which means we only earn when you get paid.
Medicare, Medicaid and private commercial plans, plus lines of business including HMOs, PPOs and carve-outs.
10–20% common due to manual errors
Reduced by 30–60% with AI claim scrubbing
30–60+ days
Reduced to <20–30 days
75–85%
95–99%+
5–15% lost to missed codes & underbilling
Minimised with audit workflows
Reactive, delayed follow-ups
Proactive + automated resubmissions
Depends on staff skill, prone to errors
Expert-led coding + validation
Limited or delayed reports
Real-time dashboards & insights
Higher risk of errors
Built-in compliance checks (HIPAA, coding rules)
Lower due to inefficiencies
Higher with optimised workflows
Slow reimbursements
Faster reimbursements
In Charges
In Payments
Claims Processed Annually
Years of Experience
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Seamless Onboarding
We Operate, You Get Paid
We migrate patient data, A/R ledgers, and claim history from your legacy system securely.
Your billers and front-desk staff get trained on scrubbing, posting, and denials immediately.
We configure claim edits, fee schedules, and dashboards to match your reimbursement strategy.
EDI enrollments, ERA setups, and clearinghouse connections — ready to submit claims day one.
Straight answers on how OmniMedPay fits your systems, your team, and your revenue cycle.
No. OmniMedPay is designed to work with your existing EHR, practice-management system, and clearinghouse. We establish the most practical connection based on your current technology and available data access.
It is an AI-managed RCM service powered by proprietary software. Our agents complete supported revenue-cycle work, while behavioral-health RCM experts supervise quality and handle exceptions. Your team receives an accountable operating partner rather than another tool to manage.
No. Deterministic controls, customer policies, confidence thresholds, and human-review requirements govern sensitive actions. Providers retain responsibility for clinical documentation, medical judgment, and required attestations.
Not necessarily. We can operate in two ways:
We recommend the model that creates value with the least operational disruption.
Many organizations begin with one high-value area: denials, aging A/R, claim-status follow-up, or pre-submission quality assurance. Once performance is demonstrated, the scope can expand.
Timing depends on data access, workflow complexity, and the scope selected. After discovery, we provide a launch plan with defined data requirements, responsibilities, and milestones.
Pricing depends on collections, claim volume, payer mix, service complexity, and the workflows we manage. Full-service engagements typically use a monthly minimum or a defined percentage of covered collections. Co-managed engagements may use platform, volume, and workflow-based pricing.
Yes, following an assessment of claim age, filing limits, prior activity, documentation availability, and expected recoverability. Legacy A/R is normally scoped separately from ongoing RCM.
