Patient access & eligibility
Eligibility and benefits verification before the visit.
Full-cycle RCM — patient access through final payment posting — with one accountable team, AI-assisted pattern detection, and weekly RCM dashboards you can act on.
Revenue cycle management is the full operational loop between a patient scheduling a visit and the practice receiving final payment. It's not one process — it's a chain, and each link affects the others. Weak eligibility checks create denials. Slow coding creates charge lag. Unworked denials create write-offs. Fragmented ownership is usually the root cause.
Opervics runs the full RCM loop as a single engaged team: patient access and eligibility, coding, charge entry, claim submission, denial management, AR follow-up and payment posting — with AI surfacing patterns and humans making judgment calls.
Eligibility and benefits verification before the visit.
Certified coding and accurate charge entry.
Payer-specific submission with AI-assisted scrubbing.
Root-cause analysis, appeals and prevention feedback.
Systematic aging-bucket follow-up by payer.
ERA/EOB posting and weekly RCM dashboards.
These are the same operational issues we see across clients — and the same ones our process is designed to remove.
Front desk, coders and billers working in silos.
Nobody owns clean claim rate or days in AR.
Denial patterns never fed back into prevention.
60/90/120+ buckets quietly growing.
Leadership can't see where the cycle is leaking.
Losing a key biller or coder stalls cash flow.
Every service inherits the same baseline security posture, then adds service-specific controls on top.
Signed BAAs, PHI handling protocols, restricted access, and audit trails.
NDA-bound, HIPAA-trained staff, role-based access, and auditable logs.
AI output is reviewed by trained specialists before it reaches your systems.
Weekly RCM dashboards with clean claim rate, denial rate and days in AR.
No. Most practices start with one process — denial management or AR follow-up — then expand as quality and reporting prove out.
Your existing EHR, practice management, RCM and clearinghouse platforms — with role-based access set by you.
Clean claim rate, denial rate, days in AR, aged AR, charge lag and collection rate — reported weekly.
No. AI screens and flags; certified coders and trained billers make the final decisions.
Yes. BAAs signed, PHI access restricted, full audit trails maintained.
Per FTE, per claim, or as a percentage of collections — agreed upfront.
A short conversation is usually enough to scope the process and propose a starting point.