Medical Billing Companies & Consultants in Bedford, IN

Outsource Management Group, LLC (also called OMG) is a practice management and revenue cycle company in Bedford, Indiana. It works with physicians and other healthcare providers across the United States. Its main business is running the billing side of a medical practice so clinicians can spend more time on patient care. It also offers coding, credentialing, auditing, consulting and training for practices that want to keep some work internal.

Billing services and how engagements work

OMG sets up each billing arrangement to suit the individual practice. Its staff can log in remotely to a client's existing practice management or EHR system and work alongside office staff in real time. If a practice doesn't have a system, OMG can supply its own platform. An engagement may include some or all of these tasks:

• Entering charges and demographics from provider documentation
• Sending claims electronically, or on paper when a payer requires it, without charging the client clearinghouse or postage fees
• Mailing patient statements under the practice's name, using collection rules the practice sets
• Posting insurance and patient payments, and setting up EFT and electronic remittance if needed
• Checking every EOB or ERA to confirm the payment is correct
• Appealing denied or underpaid claims
• Following up on aged accounts receivable every 30 days
• Monthly management reports that can be customized for the practice or its accountant

Payments still go straight to the practice rather than to OMG. Clients can view or print their accounts receivable reports at any time, whether the work runs on their own system or on OMG's. The company says its extra checks and balances let providers keep, and even improve, oversight of their revenue. It also says it does not subcontract any work, including daily billing, claim submission, coding and audits, and that it meets HIPAA privacy and security requirements.

Coding, credentialing and consulting

Besides billing, OMG offers services that can be bought on their own or bundled together. Its coding team provides claim analysis, coding audits and coding consultation. Practices that do their own billing can buy coding by itself. Claims audits check submitted codes against chart notes or dictation to confirm they are accurate.

The credentialing service enrolls new or relocating providers in any specialty with the payers and networks they choose. To improve revenue cycles, the company offers on-site consulting and an online consulting service for questions that don't need a site visit. It also trains providers and staff who handle coding and billing themselves.

The website also lists HIPAA consulting and help preparing for ICD-10.

Background and leadership

OMG works from one office in Bedford and serves clients nationwide. Its core management team is led by CEO Melissa Clark, who holds the CCS-P coding credential. Requests for quotes and information go to the Director of Operations. OMG may suit buyers who want a vendor that keeps all its work in-house, can work inside their current software, and also handles credentialing, audits and training.