OlleyaHealth provides defined professional billing and back-end revenue cycle services supported by supervision, quality oversight, reporting, and client governance. Engagements may begin with one focused workflow or expand across connected functions after scope and operational fit are confirmed.
Schedule an RCM AssessmentSelect a focused starting point or combine connected functions within an agreed professional RCM scope.
Reduce coding backlogs before they become charge lag.
OlleyaHealth supports professional coding and charge-capture workflows within approved specialties and client-defined requirements. Services may include CPT, ICD-10-CM, HCPCS, modifier review, documentation validation, provider-query support, charge entry, missing-charge follow-up, and coding quality review.
Keep complete claims from getting stuck before submission.
Support may include claim creation, edits, holds, rejections, corrected or voided claims, rebilling, missing-information follow-up, and payer-specific professional billing requirements.
Stop working the same denials over and over.
OlleyaHealth helps manage denial queues, corrected claims, appeals support, payer follow-up, medical-record requests, timely-filing risk, aging balances, and recurring root-cause trends. Findings are shared upstream with the appropriate coding, documentation, operational, or client stakeholders.
Close the loop after the payer responds.
Depending on the agreed scope and client control environment, OlleyaHealth may support payment posting, remittance review, reconciliation research, adjustment workflows, credit-balance review, and related account resolution. Client authorization requirements, refund decisions, adjustment authority, reconciliation processes, and segregation-of-duty controls are confirmed before work begins.
Clear the backlog and fix what created it.
When queues grow or claims age, additional activity alone may not solve the problem. The underlying workflow must also be understood.
OlleyaHealth helps practices assess backlogs, organize work queues, define responsibilities, create issue trackers, establish escalation pathways, and document repeatable processes.
We separate immediate recovery work from ongoing production so historical issues can be addressed without allowing new work to accumulate. At the same time, we look upstream to determine what is continuing to create delays or add new items to the queue.
Backlog recovery is separated from ongoing production, while root causes, blockers, and prevention actions are tracked through the Managed RCM Operating Model.
Add capacity without losing visibility or control.
Start with a focused assessment, backlog project, coding function, denial/A/R workflow, or another defined need. Broader responsibility may include multiple connected professional RCM functions after scope, access, controls, performance expectations, and governance are agreed.
Start with the problem creating the most pressure.
We will work with your team to understand your current priorities and identify the support that best fits your organization.
