How it Works

Full Cycle RCM Solution

Orion HealthCorp, Inc., partners with its physician clients to free them from concerns over billing and allow them to focus on patient care.

We are driven to be the best in medical billing and are experts at converting receivables to cash quickly and effectively.

By providing a host of complementary services, we are able to positively impact practice performance and give our clients greater control over the business side of their practices.

Our Mission

All Orion employees are dedicated to a common mission:
  • To provide superior business and financial management services resulting in optimal profitability for our clients and maximized enterprise value for our stakeholders.

Our Experience

Our clients benefit from the track record and experience of Orion HealthCorp. The Orion management team members each have an average of more than 20 years experience in the healthcare industry. In addition, the company has gained the confidence of its physician clients, building strong relationships and generating growth through referrals.

Orion focuses all its expertise to provide you with a full-service solution that:

  • Increases revenue collection by ensuring patients are eligible for medical services and verifying pre-authorization prior to the exam
  • Gives you access to our proprietary software where you can see and track each stage of a claim or batch from first logged to posted payment
  • Actively follows up with unresolved claims issues and diligently appeals denied claims
  • Analyzes denial rationales and coding errors in order to establish follow-up procedures that maximize recovery rate
  • Uses predictive modeling to help you forecast future revenue streams and support cash flow
  • Is compliant with Medicare and HIPAA, and offers an optional certified EMR platform that satisfies HITECH requirements, qualifying you for performance incentives
  • Provides unparalleled transparency through comprehensive reporting and web-based tools that let you manage performance

In addition, one of the Orion subsidiaries, Integrated Physician Solutions, offers a Vaccine Group Purchasing Alliance that helps medical practices nationwide lower vaccine costs with an affordable and well managed program. Learn more by visiting the Orion IPS site.

Our RCM Workflow

Orion’s innovative RCM System encompasses a comprehensive approach to medical billing and collection, which is supported our proprietary, state-of-the-art software specifically built for revenue generation.

Orion Services Flow Chart

This system is designed to ensure every step of the RCM is completed. Our systematic process leaves no medical claim behind. Our unique approach to RCM identifies each claim as its own entity and treats it as such throughout the claim’s life cycle. Orion HealthCorp, Inc., delivers billing and collections services to help physicians receive optimal earnings for the care they provide. Orion assists clients with maximizing their reimbursement through:

  • Tenacious pursuit of every collectible dollar;
  • To-the-letter compliance with ever-changing regulations and coding complexities;
  • Thorough tracking and methodical working of correspondence;
  • Superior management of short-term cash flow and long-term income.

We have the proven expertise and experience to effectively manage your billing and collections—so you receive more of the revenue you’ve earned faster.

Our robust workflow considers the full cycle life of a claim, encompassing:

  • Validation of patient pre-authorization through MDInsuranceAuth
  • Verification of member eligibility and benefits through MDEligibility
  • Proper claims processing and submission
  • Timely payment postings
  • Management of denials including an intelligent appeals strategy
  • Proactive AR follow up
  • Comprehensive or customized reporting that enable you to manage performance
  • Access to software which allows you to see each stage of a claim or batch from initial logged to posted payment
  • Internal and integrated litigation that go after specific revenue losses

Comprehensive and Customized Reporting

Orion is committed in providing unparalleled transparency in our client relationships. We provide you with access to proprietary software where you can see and track each stage of a claim’s life cycle. We work with you to develop customized reporting templates to enable you to see your practice’s financial performance and help you to identify opportunities for improvement. As a result, the status of a claim is never a mystery.

Regulatory Compliance

Orion’s RCM system is compliant with Medicare, HIPAA and HITECH requirements. Our stringent adherence to PHI and confidentiality affords you the ability to meet regulatory requirements

Financial and Practice Management

By providing complementary business management services to our clients, we make it easier for the physician to address their top priority - caring for patients. We use our expertise to understand your business processes and gain insight into what drives your bottom line.

Orion offers practice management and billing services to effectively streamline the providers’ revenue cycle and increase collections. Our proven methodologies and leading-edge technology assure improved cash flow, increased efficiency and maximized revenue for the provider. We apply our industry knowledge and experience to impact practice performance and contribute to the overall financial success of our client.