Revenue Cycle Management
We help healthcare providers collect more revenue. Our end-to-end RCM services focus on the entire revenue cycle. This includes validating demographics, benefits, prior authorizations, billing, collections, making patient calls, and reporting.
Oncospark’s state-of-the-art technology and experienced revenue specialists ensure greater accuracy on the front end of the billing cycle. These reduce resources needed on the backend, translating into fewer payment delays and significantly more collected revenue.
We have a proven track record of over $1 billion in annual collections & management.
Oncospark has over 450 highly trained and experienced billing associates, including over 50 coding experts.
We adapt and integrate with your systems & processes, ensuring continuity.
You can have us handle your entire RCM needs or focus just on the more challenging areas.
For payers who do not have Electronic Remittance (ERA), our team manually posts the insurance payments into the patient’s account matching the respective allowed amount for each charge.
To ensure that all payments received are posted, we compare bank deposits with the total payment posted in the PMS.
If the patient has co-insurance, the remaining unpaid charges will be filed to the secondary insurance as per the coordination of benefits.
Any deductibles, copays, Out-of-Pocket, and other patient responsibility stated by the insurance will be billed to the patient when the statements are generated. Before generating statements, we ensure that the patient account balance is correct and they are not billed for balances for which they are not liable. Patients’ statements are generated on a monthly basis.
We have staff specializing in healthcare insurance enrollment & credentialing.
Our singular focus is to eliminate errors, foresee potential obstacles, and avoid delays getting you on the insurance panel of a participating provider while ensuring that you stay current. Oncospark guarantees the confidentiality and security of provider information.
We help physicians obtain NPIs. Any delay in obtaining a NPI risks practice cash flow, and Oncospark is committed to preventing NPI related delays from negatively impacting your practice.
Assess medical records for completeness and accuracy
Assess documentation accuracy
Assess compliance with respect to coding and billing
Discover lost revenue
Look for coding irregularities
Medical Billing Analysis
Review of entire billing process, including software
Coding practices and billing methodology
Unbilled charges and services
AR characteristics and type of denials
Revenue flow and A/R recovery
Dead AR recovery
ICD-10, CPT-4 and HCPCS coding
Under-coding E/M visits or vice versa
CCI and NCCI Edits
Accurate, ethical and compliant coding
Contracted amount vs. payment collected
Drugs P&L Analysis
Underpaid and undervalued charges
Out of Network payment analysis and negotiation
With the growing need for an electronic medical record (EMR) system, Oncospark can support your practice transition rollover with support in transitioning patient data from physical charts into the EMR system quickly and efficiently.
Transition from old to new Practice Management Software (PMS)
If you are planning to change your PMS, we can assist you in moving the data from the old PMS to the new PMS. Important data such as active patient demographics, recoverable patient balances, and collectible AR will be transferred, allowing you to be back in business in minimal transition time.
Provide full-featured licensed PMS free of cost
Oncospark can provide an in-house Practice Management Software (Medisoft Version 12 SP2) which also includes an appointment scheduler via VPN at no additional cost to the practice.
Setting up a gateway is both one of the most important and most daunting tasks for a practice. We can guide clients in selecting and configuring the right gateway for their needs.