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Utilization Management for Treatment Centers & Medical Facilities

We offer extensive utilization management services for treatment centers and medical facilities across the country. Our team understands the battles you constantly fight with insurance companies as you try to collect on the money you’re owed. And we have decades of combined experience helping our clients win those battles and get the money they deserve.

We focus on the following aspects of utilization management:

Getting You the Money You’re Owed:

We make sure you submit the necessary requests to the insurance companies, and that the insurance companies deliver on what they owe you.

Ensuring You Can Deliver Your Care:

We’ll do everything we can to make sure you’re able to treat your patients with the highest level of care for the amount of time you need. Insurance companies will try to cut your care short, but we’ll work to ensure that doesn’t happen.

Helping You Comply with All Utilization Criteria:

We will make sure you comply with all utilization criteria of each payer. We’ll help you obtain clinical information in compliance with all HIPAA regulations for protecting confidential health information.

Utilization Reviews:

We provide weekly utilization review reports showing every day authorized on every insurance client.

Collection Services for Treatment Centers & Medical Facilities

At Oracle Billing, we offer extensive utilization management services for treatment centers and medical facilities across the country. Our highly trained team has decades of combined experience dealing with the games insurance companies play with treatment centers and medical facilities. And we have an excellent track record of winning those games for our clients.

Specifically, our collection services team helps clients with the following:

Getting You the Money You’re Owed:

We’ll help you get paid for the services you provide and make sure the insurance companies give you what you’re owed. Whether the insurance companies are not paying you enough or not at all, we’ll fight for you every step of the way.

Negotiate Efficiently with Insurance Companies:

When insurance companies try to negotiate your claims, we’ll get you the best deal possible. And we’ll do so without you having to endure long hold times or painful back-and-forths with the insurance companies. Our staff have personal relationships with insurance workers to help expedite your claims, ease the collection process, and get you paid.

Verification of Benefits for Treatment Centers & Medical Facilities

Our team has decades of combined experience providing verification of benefits for treatment centers and medical facilities. By hiring Oracle Billing for your verification of benefits, you’ll do the following:

Save Time and Resources:

Verifying benefits involves hours of tedious work that is mentally exhausting and eats up your staff’s time. This tedious work includes waiting on hold for hours with insurance companies, going back and forth with these companies for weeks on end, and trying to figure out the right strategy for getting what you need. We’ll save you the time and hassle of performing these tasks, so you can focus your energy and resources on providing the best care for your clients.

Save Money:

The inaccurate verification of benefits can cost you tens of thousands of dollars (or more). And completing the verification of benefits can eat up hundreds of working hours. By hiring Oracle, you’ll save money by ensuring accurate verification and by freeing up labor hours.

Work with the Best in the Business:

Our staff are fully trained to find the most up-to-date eligibility and benefits data, which can increase clean claim rates, eliminate costly rework, and accelerate reimbursement. We also know the questions to ask to get the clearest and most complete answers on what benefits are available to you. In short, we are insurance experts who know the ins and outs of the verification of benefits and know how to get you what you need.

Get What You Need in Clear and Concise Manner:

By working with Oracle, you will get a clear, concise, and correct scope of benefits for all available levels of care. This includes gaining a clear understanding of any maximums on a policy, as well as the exact amount of money that had previously been accumulated toward reaching those maximums. We will also inquire about the need for any pre-certification regarding a specific treatment, and if applicable, what is needed for each level of treatment, assuring the correct claims address is on file. In sum, we’ll take care of every detail and report to you with clear and concise information.

Why Choose Oracle Billing?

We exist to make your life easier and to ensure you get everything you’re owed. The following are just a few of the reasons why working with us will help your business:

Why Choose Oracle Billing?

We exist to make your life easier and to ensure you get everything you’re owed. The following are just a few of the reasons why working with us will help your business:

+ Save Money

Arguably the biggest benefit of working with us is that we help you collect everything you are owed by insurance companies, saving you thousands of dollars that would otherwise be held back.

If you’re owed money, we’ll help you get it.
+ Experienced Experts in the Field

Our team of trained medical professionals has decades of combined experience helping clients optimize their medical billing, become licensed or accredited, and make sure they’re paid everything they’re owed by insurance companies. We have helped dozens of treatment centers and other medical facilities around the United States increase their revenue and streamline the back-end of their organization.

+ Well-Connected in the Industry

Because we have decades of combined experience in the field, we have built a strong network within the industry that allows us to stay up-to-date on the latest trends and best practices. We use our network to help ensure our clients receive the best service available on the market.

+ Personalized Customer Service
Never Wait On Hold

If you need assistance, we are always there to answer your questions and provide you with top-notch customer service. Because we are a small business, you will never wait on hold or go through the annoying customer service experience of a large enterprise. If you need something, we are there around the clock to help.

+ Obsessed with Detail
No detail is too small for us.

We believe in thorough oversight for all our clients to ensure we deliver the best and most intensive service on the market.

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Other Medical Billing Services

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Contact Us

Fill out the form or use a method below to reach us.

  nara@oraclebillingandservices.com

  1-626-872-7344

  Monday-Friday 9am – 5pm