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OptimIQ Health
End-to-End Revenue Cycle Services
Managed Service

One team, one record, the whole revenue cycle.

Most revenue cycles are a relay. Eligibility lives in one portal, documentation in the chart, coding in a spreadsheet, denials in a worklist nobody owns, and the patient balance in a statement no one can explain. End-to-End Revenue Cycle Services runs the entire cycle for you on the platform: EligixIQ verifies coverage before the visit, VisitIQ and RiskIQ make sure the note carries what was actually done, CodeIQ codes from that documentation and validates every set, RevenueIQ scrubs and submits the claim and works denials and AR to payment, and EngageIQ carries the balance conversation with the patient. One record follows the encounter the whole way, so no stage retypes what the last one already knew — and when something fails, the fix goes back to registration, documentation, or coding instead of being reworked forever.

What it does

Inside End-to-End Revenue Cycle Services

Every capability below exists because a practice asked for it. Nothing here is a roadmap item.

Coverage settled before the visit

EligixIQ verifies active coverage, plan details, deductible and out-of-pocket accumulators, copay, and coordination of benefits for every scheduled patient. Our team works the exceptions — terminated plans, wrong payer, missing secondary — before the patient arrives.

Documentation that will hold up

VisitIQ puts the open diagnoses, services, and care opportunities in front of the physician with the chart line behind each one, and RiskIQ ranks conditions by the evidence supporting them. What is billed later is what the record already carries.

Coding assigned on evidence

CodeIQ assigns CPT, ICD-10, and modifiers from the signed documentation and validates each set against MUE limits, NCCI edits, payer-specific rules, and medical necessity. A credentialed coder on our team reviews and approves it before the claim is built.

Charge capture and clean submission

Charges are reconciled against the schedule so no encounter is left uncoded or unbilled, claims are scrubbed before they leave, and clearinghouse rejections are corrected the same day rather than aging quietly.

Denials, appeals, and AR worked to payment

RevenueIQ groups denials by reason and payer, our team appeals with the documentation already attached, and AR is followed up by aging bucket with an owner on every account. Nothing sits because it belongs to no one.

Patient balances handled like a conversation

EngageIQ keeps statements, balance questions, and payment plan requests in the same thread as the rest of the patient’s messages, so the person who asks what they owe gets an answer instead of another letter. Payments post back to the ledger.

One lead, one review cadence

A named revenue cycle lead runs a weekly working session on the aging and a monthly review of the whole cycle — coverage exceptions, coding patterns, denial reasons, AR, and patient collections — with the upstream fixes prioritized by what they are costing you.

In context

One encounter, followed from the schedule to the paid claim

Every stage of the cycle on one record: the module that ran it, the person who signed it, and where the encounter stands right now. The example shown is illustrative, not real patient data.

Encounter trail · M. Torres · office visit
Open record
Stages complete
6 / 6
Touches by our team
3
Reworked once
1
StageRan onResultClosed by
Coverage verifiedEligixIQActive · $30 copayOvernight batch
DocumentationVisitIQ · RiskIQ2 conditions supportedDr. A. Reyes
CodingCodeIQ99214 · E11.65 · I10K. Ortiz, CPC
Claim submittedRevenueIQAcceptedScrubbed, no rejection
Denial workedRevenueIQCorrected and reworkedT. Rivera
Balance and postingEngageIQ · RevenueIQPaid in fullPosted from remit
Monthly review · what goes back upstream
  • Registration
    Two payers repeatedly entered wrong at intake
    Fix assigned
  • Documentation
    Time or medical decision making missing on one provider’s visits
    In review
  • Coding
    Modifier pattern corrected across the specialty
    Closed
  • Follow-up
    Aged accounts over 90 days assigned by owner
    Worked daily

Illustrative example · not real patient data

How it works

From the schedule to the signed record

First

Assess

We review your payer mix, specialties, volumes, AR aging, and the denial reasons behind it, then name the stages that are leaking and what it takes to close them.

Then

Transition

Payer enrollments, system connections, existing AR triaged, and a cutover plan agreed with whoever is billing today. Claims keep moving while the handover happens.

Then

Run the cycle

Coverage, documentation support, coding, submission, denials, AR, and patient balances worked daily by our team on the platform, with every worklist visible to you.

Finally

Fix upstream

The monthly review turns repeat denials into registration, documentation, and coding changes, so the same claim does not fail the same way twice.

By design

Facts, not promises.

These are properties of how End-to-End Revenue Cycle Services is built — not projected savings. Results in your practice depend on your payers, your panel, and your documentation.

0 stages
Run end to end

Coverage, documentation, coding, submission, denials and AR, and patient balances

0 record
One evidence trail

Every stage writes to the same record, so nothing is re-entered between them

0
Named revenue cycle lead

One person accountable for your payers, your worklists, and the monthly review

Who it is for

A good fit when…

  • Practices and groups where billing is split across staff who each own one piece of it
  • Organizations carrying aged AR and repeat denials they cannot get ahead of
  • Management services organizations standardizing the revenue cycle across practices
  • Groups that lost a biller or a coder and do not want to rebuild the function

See End-to-End Revenue Cycle Services on your own workflow.

Tell us what your organization is fighting — open care gaps, documentation, denials, coverage — and we will walk you through the part of the platform that closes it.