Medical Practice Management Solution

A practice management solution is software for running day-to-day operations at a medical practice. The features of a clinical practice management system enable the providers or the staff to carry out activities like scheduling appointments, billing, insurance claims, and in some instances, even patient engagement. Medical practice management solutions enable providers to run their practice more efficiently, reduce operating overhead, and better serve patients. The result is a win-win for all the stakeholders involved – the providers, payers, and patients.   

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Explore Practice Management

HMS is nothing but an integrated hospital management system that helps healthcare institutions in the USA to smoothly manage the workforce and achieve enhanced healthcare analytics with revenue control. It is a clinic management system that provides a series of hospital management technology tools that make it easy to manage hospital networks.  

The hospital management system software covers all services that enable the simplification of hospital workflow management. Hospital management software also streamlines hospital administration along with hospital billing management and hospital claims management. Additionally, hospital networks can have an improved patient management system and hospital staff management by implementing a clinic management system. Clinic management software also promotes lab inventory management and drastically enhances the hospital administration system.  

Every healthcare delivery system has three major aims. They improve the care experience, enhance population health, and reduce per capita costs of care delivery. Healthcare management is the best-suited practice-based strategy for managing the care delivery for individuals and populations.  

We understand the development and implementation of robust healthcare management systems help the rapid transformation of US care delivery and diverse payment systems. We help you with customized healthcare management solutions based on your individual needs. We program care management solutions that help in geriatric care management, senior care management, nursing care management, home care management, chronic care management, and more.  

Managed care systems are engineered for value-based care, community resources, care coordination, better data management, smart healthcare analytics, patient engagement, and CDSS. 

The 340B Inventory Management Program is a federal government program initiated in 1992, which obligates drug manufacturers to provide outpatient drugs to authorized healthcare organizations and bodies at considerably reduced prices. Healthcare providers participating in this program must safeguard program integrity and preserve accurate records complying with all 340B program compliance. The pharmacy inventory management tracks and dispenses prescriptions streamlined and with high-security protocols through automation and analysis tools. This is executed through features, such as automated filling of prescriptions, segmented workflows, IVR, etc. OSP offers customized, powerful, and efficient custom 340B software variant healthcare organizations. It handles the most complex situations, such as 340B virtual inventory management, with ease. It ensures that your pharmacy can withstand the audits exposed to from payers, 340B suppliers, and others. 

$318 billion, that’s the estimated market size of pharmacies and drug stores in the United States in 2020. And as the pharmaceutical industry keeps growing, pharmacists are looking for empowering and user-friendly pharmacy management solutions to increase efficiency and manage workflow. Customized pharmacy management systems simplify the process of medication dispensing, management of inventory, and sales-related processes. 

OSP’s team of developers is skilled in pharmacy management software development and builds solutions to address the organization’s specific requirements and eradicate complexities. Our software systems aim to address operational system complexities and help in the holistic development of the pharmacy for increased revenue generation and streamlined processes. 

Claims management software solutions help organizations create and deploy automated and agile claims management processes for full-proof claims processing. Healthcare claims management solutions play a vital role in solving the challenge of increasing claims denial rates and stringent federal regulations in the USA.  

OSP offers a customized medical claims management solution that seamlessly integrates multiple complex systems, platforms, and manual processes to automate medical claim processing workflow throughout the claims life cycle. Our medical claims processing software solutions are equipped with intelligent integration abilities that perfectly synergy with existing administration systems and future cloud-based innovations. Our tailored medical claims management solutions help check for coding and billing errors, send an EOB, pre-adjudicate the claim for accuracy, and more. 

Denial management in healthcare is a critical process that evaluates the cause of claim denials and takes necessary steps to prevent them. The denial management includes the creation of specific procedures for refiling or appealing the denied medical claims. 

Denial management companies need to identify the possibilities to identify and correct the issues those cause claims denials. The healthcare denial management systems classify the claim denials by cause, source, and other distinctive factors to develop and assess smart denial management strategies. OSP’s custom denial management services help healthcare organizations to implement the best denial management strategies that identify and turn the denied claims into accepted ones. 

Medical coding is a simplified transformation of medical diagnosis, clinical procedures, treatments, and equipment into ICD-10 coding. The medical coding system is a translation engine that translates the clinical procedures data into pre-defined codes. Medical coding solutions help ensure the medical codes are applied accurately during the medical billing process. Putting the proper medical codes include: 

  • Extracting the data from the documentation. 
  • Assigning the relevant codes. 
  • Creating a claim to be compensated by insurance carriers. 

OSP’s custom medical coding solutions help you get paid faster by sending accurate insurance claims the first time. 

Benefits 

The medical practice would have to handle multiple workflows daily. These include appointments, patient registration, medical billing and coding, and payment processing. The healthcare practice management systems that OSP can build will enable providers to manage all of these activities with a small staff efficiently without compromising the quality of care. In other words, our clinical practice management solution will allow providers to do more work with fewer resources without hassle.

One of the biggest advantages of using healthcare practice management systems is having streamlined workflows. Our solutions make scheduling and re-scheduling appointments, billing, and payment processing easier. As a result, the patients experience greater convenience, and the providers are left with more time and energy to focus on patient care. Thus, the impact of a solution we can build indirectly leads to higher patient satisfaction.

OSP can build a medical practice management solution with healthcare billing and claims features. This enables providers to improve the accuracy and efficiency of the revenue cycle management activities. The result is a significant reduction in the number of denied and rejected claims from the payers in light of efficient claims handling. Subsequently, providers can enjoy higher revenues without compromising the quality of care for patients or increasing working overhead.

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