Solutions - Omega Healthcare
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It is our relationship with you that makes our partnership successful.

We Help Providers, Payers, and Pharma Companies Succeed.

Omega Healthcare has spent nearly two decades working exclusively with providers, payers, pharmacies, and other healthcare stakeholders to provide the financial, administrative, and clinical solutions they need to remain successful.

Let us work with you to design the best partnership that creates outcomes that mean the most for your business.

Providers

We help providers - acute care, ambulatory, urgent care, primary care, multi-location and home health organizations - enhance the patient experience while improving reimbursement, reducing costs, and increasing efficiencies.

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Patient Access Services
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Mid-Cycle Services
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Business Office Services
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Clinical Communication Services

Payers

We help optimize your financial results by enhancing member satisfaction, supporting appropriate care, and improving regulatory compliance.

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Risk Adjustment Coding Review (Prospective and Retrospective)
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HEDIS Chart Abstraction
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Provider / Member Communication Services

Pharma Companies

We help provide a seamless continuity of care for patients through streamlined enrollment, expedited benefit authorizations, and simplified patient access processes.

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Member Enrollment
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Benefit Verification
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Prior Authorization Support
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Patient Co-Pay Assistance

Provider Case Study

Omega Healthcare had the opportunity to help a leading emergency medical billing partner overcome their challenges with medical coding, resulting in faster and more accurate coding, denial reduction and improved efficiency.

Key Challenges

• Lack of access to skilled resources to translate clinical documentation into procedures and diagnosis codes
• Increased denials which cause delayed revenue collection
• Coding interpretation issues
• Daily reconciliation issues

How Omega Healthcare Helped

• Leveraged our expertise with RAD, ED professional fee specialties
• Kicked off a medical coding services engagement
• Digitized scanned charts using OCR engine
• Predicted accurate codes using ML/AI and NLP techniques
• Allocated workflow based on rule-based auto allocation
• Automatically classified clean charts and RAI charts
• Provided access to comprehensive reports & dashboards featuring reconciliation, trend analysis, productivity, and quality reports
• Generated data outputs back to client systems (via JSON / HL7)

Key Outcomes

• Automated code prediction
• ~25% turnaround time improvement with faster and more accurate medical coding
• Reduced denials to less than 1%
• 100% HIPAA compliant
• Improved client staff utilization and efficiency

Specialty-Specific Physician Practice Revenue Cycle Expertise

In addition to helping hospitals and health systems, Omega Healthcare has nearly 20 years of physician revenue cycle experience helping primary and specialty physician group practices accelerate cash and improve net patient revenue. Our technology-enabled revenue cycle management services help practices optimize medical coding efficiency and compliance, billing, reimbursement, and collections. We help independent practices remain independent and thrive in today’s value-based care environment.

Our physician practice revenue cycle management expertise spans many specialties, including:
    • Anesthesiology
    • Dermatology
    • Durable Medical Equipment (DME)
    • Emergency Medicine
    • Fire and Emergency Medical Services (EMS)
    • Hospitalists
    • Independent and Hospital-Owned Laboratories
    • Independent Medical Groups
    • Long Term Post-Acute Care (Nursing Homes, Home Health, Hospice)
    • Pathology
    • Pain Management
    • Pharmacy
    • Radiology and Interventional Radiology
    • Urgent Care

Get In Touch Today

Contact Omega Healthcare to discuss how we can help your company increase efficiencies, reduce costs, accelerate cash flow, and optimize revenue—all while enhancing the patient and member experience.

We’re ready, from day one, to work not simply for you–but with you.

Recognitions
Certificates of Compliance