OPHICA CONSULTING

Billing You Can Trust.

Revenue-cycle support built around the needs of healthcare practices. Ophica Consulting helps bring greater organization, visibility and consistency to the work behind billing.

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Medical Practices · Dental Practices · Revenue Cycle Management
Sophisticated modern healthcare administrative workspace with glass partitions and natural daylight
Connected Support The work behind healthcare operations.
THE WORK BEHIND THE WORK Healthcare administrative workflow and revenue cycle documentation review
THE CHALLENGE

Your Practice Has Patients to Care For. Not Claims to Chase.

Billing can become complex, time-consuming and difficult to manage. Ophica helps bring the work behind billing into a more organized and manageable workflow.

THE OPHICA APPROACH

One Partner for Your Revenue Cycle.

Ophica brings essential billing and revenue-cycle functions together through one coordinated approach designed around the needs of the practice.

01

Understand

Learn the practice, workflow and priorities.

02

Organize

Establish the information and workflow needed to move forward.

03

Manage

Handle the agreed revenue-cycle functions.

04

Improve

Identify opportunities for continued organization and improvement.

OUR SERVICES

Everything Your Revenue Cycle Needs.

Complete support across the essential stages of healthcare billing and revenue-cycle management.

Healthcare provider credentialing folder with organized onboarding documents, medical license, and NPI card on a clean desk.
01

Credentialing

Provider enrollment and payer-related processes that help establish the billing foundation.

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Healthcare administrator reviewing insurance eligibility data at a modern dual-monitor workstation.
02

Benefit Verification

Confirm coverage and benefit information before services are performed.

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Close-up of hands reviewing clinical authorization documents and tablet showing approval workflow.
03

Authorization

Support required approvals and authorization workflows before services are performed.

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Billing specialist entering healthcare service charge data at a modern standing desk workstation.
04

Charge Entry

Accurate entry and preparation of healthcare services for billing.

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Healthcare operations team reviewing completed claim folders at a conference table.
05

Claims Submission

Prepare and submit claims to help keep billing moving forward.

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Healthcare analyst monitoring claim status on a large monitor while taking notes during a phone call.
06

Claim Follow-Up

Monitor submitted claims and follow up on outstanding billing activity.

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Monitor displaying accounts receivable aging dashboard with bar charts on a professional desk.
07

A/R Management

Address outstanding balances, aging accounts and unresolved billing activity.

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Healthcare billing desk with payment ledger, EOB documents, calculator, and highlighter pen.
08

Payment Posting

Accurate recording of insurance and patient payments.

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Senior billing specialist comparing two stacks of documents and highlighting items for denial resolution.
09

Denial Management

Analyze, manage and follow up on denied claims.

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Organized appeal binder with tabbed dividers and supporting documentation on a professional desk.
10

Appeals

Support appeal workflows for claims that require additional attention.

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Clean patient billing statements and branded envelopes at a modern medical office reception area.
11

Patient Statements

Clear statements outlining services, payments and patient financial activity.

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Sophisticated dual-monitor healthcare operations workstation displaying EMR and financial reconciliation interfaces.
12

EMR & Bank Reconciliation

Support for EMR-related billing workflows and reconciliation processes.

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Healthcare operations leadership reviewing monthly performance dashboard and reporting.
13

Monthly Reports

Organized reports covering revenue, claims performance and billing activity.

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WHY OPHICA

More Than Billing. A Better Experience Behind It.

01

Personalized

Support shaped around the practice and its priorities.

02

Comprehensive

Essential revenue-cycle functions brought together.

03

Proactive

Outstanding billing work receives active attention.

04

Transparent

Clear communication and organized visibility.

FAQ

Questions? We've Got Answers.

Quick answers to the questions practices are most likely to have before starting a conversation with Ophica.

Ophica supports U.S. medical and dental practices with billing and revenue-cycle services.

Ophica provides support across credentialing, benefit verification, authorization, charge entry, claims, follow-up, A/R management, payment posting, denial management, patient statements, reconciliation and reporting.

Yes. Ophica's services are designed to support multiple connected stages of the revenue cycle through one coordinated approach.

Start with a consultation. Tell us about your practice and we can discuss your current workflow and where Ophica may support you.

LET'S TALK

Let's Build a Better Revenue Cycle.

Tell us about your practice and discover how Ophica Consulting can support your billing operations.

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Contact@ophica.com