We provide end-to-end operations management solutions.

We provide end-to-end operations management solutions.

Healthcare providers face various problems, which can impede their financial performance –rising care costs, alternative payment models, growth through consolidation, consumerism, and the desire for a better patient experience.

HOM helps navigate through these challenges, by providing end-to-end operations management solutions fueled by intelligent automation and proven practices spanning all settings of care.

With HOM, healthcare organizations will have an ideal revenue cycle – one that fosters higher patient satisfaction, reduces costs, and improves revenue.

Revenue Cycle Management Services

Comprehensive RCM

HOM provides one-stop solution for all revenue cycle management services, we help in reducing operational costs, improving turnaround time, and increasing revenue.
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HOM provides one-stop solution for all revenue cycle management services, we help in reducing operational costs, improving turnaround time, and increasing revenue.
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Pre Visit

Scheduling and Demographic Entry

Collection of patient information and consent required for the medical record in order to meet established clinical, financial and regulatory demands. Learn More

Eligibility & Benefits Verification

Validating patient’s eligibility and benefits to ensure provider receives payment for services rendered.
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Prior Authorization

Procedure of obtaining prior approval from the payer(insurance company) before the healthcare provider offers services to the patient. Learn More

Collection of patient information and consent required for the medical record in order to meet established clinical, financial and regulatory demands. Learn More

Procedure of obtaining prior approval from the payer(insurance company) before the healthcare provider offers services to the patient. Learn More

Procedure of obtaining prior approval from the payer(insurance company) before the healthcare provider offers services to the patient. Learn More

Claim Prep

Medical Coding

Identification of medical diagnoses and procedures and documenting them in a patient’s medical record as universally accepted codes. Learn More

Medical Billing

Recording information about the services provided into a medical claim for billing. Learn More

Claims and Adjudication

Determines the amount of reimbursement that the healthcare provider will receive after the insurance company clears the dues. Learn More

Identification of medical diagnoses and procedures and documenting them in a patient’s medical record as universally accepted codes. Learn More

Recording information about the services provided into a medical claim for billing. Learn More

Determines the amount of reimbursement that the healthcare provider will receive after the insurance company clears the dues. Learn More

Utilization Management

UM is a process that evaluates the efficiency, appropriateness, and medical necessity of the treatments, services, procedures, and facilities provided to patients on a case-by-case basis. Learn More

UM is a process that evaluates the efficiency, appropriateness, and medical necessity of the treatments, services, procedures, and facilities provided to patients on a case-by-case basis. Learn More

Essential Value Adds

Clinical Documentation Improvement

Ensuring that the events of the patient encounter are captured accurately, and the electronic health records properly reflects the services that were provided.
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Credentialing and Contracting

Credentialing process validates that a physician meets standards for delivering clinical care wherein the insurance verifies physician’s education, affiliations, licenses, certifications, training, malpractice and any adverse clinical occurrences. Learn More

Referrals and Authorization

Referral is the process of sending a patient to another practitioner (ex. specialist) for consultation or a health care service that the referring source believes is necessary but is not prepared or qualified to provide. Learn More

Ensuring that the events of the patient encounter are captured accurately, and the electronic health records properly reflects the services that were provided.
Learn More

Credentialing process validates that a physician meets standards for delivering clinical care wherein the insurance verifies physician’s education, affiliations, licenses, certifications, training, malpractice and any adverse clinical occurrences. Learn More

Referral is the process of sending a patient to another practitioner (ex. specialist) for consultation or a health care service that the referring source believes is necessary but is not prepared or qualified to provide. Learn More

HEDIS

HEDIS® is a set of standardized performance measures developed by the NCQA to objectively measure, report, and compare quality across health plans. Learn More

EDPS and RAPS

Our EDPS/RAPS solution for health plans ensures compliance with CMS and improves insight and decision making, strengthening their financial performance.
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HEDIS® is a set of standardized performance measures developed by the NCQA to objectively measure, report, and compare quality across health plans. Learn More

Our EDPS/RAPS solution for health plans ensures compliance with CMS and improves insight and decision making, strengthening their financial performance.
Learn More

Receive Payment

Accounts Receivable & Denial Management

Tracking and managing unpaid claims ensuring that no time is lost on pursuing every reimbursement possibility. Learn More

Payment Posting

Reconciling the payments received from the insurance payer to each individual claim. Once payments are posted, any secondary claims can be created and submitted. Learn More

Tracking and managing unpaid claims ensuring that no time is lost on pursuing every reimbursement possibility. Learn More

Reconciling the payments received from the insurance payer to each individual claim. Once payments are posted, any secondary claims can be created and submitted. Learn More