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What is OptiPayRCM?

OptiPayRCM provides an advanced platform that automates revenue cycle management by addressing the crucial "last-mile" through seamless integration with EHRs, clearinghouses, payer portals, and other systems using flexible interfaces, guaranteeing that billing processes are expertly handled from beginning to end. The consolidated engine performs essential tasks such as verifying eligibility, submitting claims, posting payments, managing denials, and overseeing detailed accounts receivable functions, all while utilizing artificial intelligence and robotic process automation to reduce manual involvement and improve cash flow. Users benefit from real-time dashboards and analytical reports that offer valuable insights into key performance indicators, along with customizable automation that can handle exceptions and specific workflows. Notably, this platform significantly decreases first-pass denials by up to 63%, accelerates claim status inquiries by as much as 50 times faster than conventional methods, and reduces payment cycles by up to 35%. Furthermore, it is compatible with over 200 healthcare systems and enables direct integrations via EHRs, FHIR, EDI, and HL7, making it a flexible solution for the contemporary challenges of healthcare billing. Ultimately, this extensive ecosystem empowers healthcare providers to enhance their revenue cycle management in a highly efficient and effective manner.

What is HCC Coding Engine?

Aptarro's HCC Coding Engine represents a state-of-the-art AI tool that seamlessly integrates with electronic medical records and practice management systems, enabling real-time evaluations of all patient interactions to automatically detect and correct coding errors, thus guaranteeing that Hierarchical Condition Category (HCC) diagnoses are accurately documented for optimal risk adjustment and revenue enhancement. By employing established industry guidelines and sophisticated machine learning techniques, the engine prioritizes encounters that need coder attention, boosting coder efficiency by as much as 300% while keeping the workload for providers stable, all the while reducing denials through immediate validation and compliance improvements. This system boasts exception-based workflows, intuitive dashboards that monitor RAF score trends, integrated audit trails, and robust logging features, facilitating quick implementation within existing processes to enable organizations to see immediate returns on investment in their first billing cycle and recover millions in missed revenue, all without compromising the focus on clinical care or the accuracy of documentation. Furthermore, this pioneering strategy not only simplifies the coding workflow but also equips healthcare organizations with the tools necessary to enhance their financial outcomes while maintaining high standards of patient care, thus fostering a more efficient and effective healthcare environment.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

OptiPayRCM

Date Founded

2025

Company Location

United States

Company Website

optipayrcm.com

Company Facts

Organization Name

Aptarro

Company Location

United States

Company Website

www.aptarro.com/hcc-coding

Categories and Features

Revenue Cycle Management

Accounts Receivable
Claims Management
Collections Management
EHR/EMR Integration
For Healthcare
ICD-10 Compliance
Insurance Verification
Medical Billing
Patient Portal
Patient Registration
Patient Scheduling
Payment Processing

Categories and Features

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