Ann Fierro, RN, CPA, MBA – Founder and President | Omega Technology Solutions
Ann has been a prominent voice in healthcare since 1975 and specializes in the areas of operations, revenue enhancement, regulatory compliance, nursing practice enhancement, and hospital charge auditing.
We have helped hospitals analyze their claims data for over 25 years. Understanding where risks and opportunities lie within your revenue cycle requires breadth and knowledge of the entire RCM spectrum, and data analytics combined with investigative expertise.
Omega’s Lost Charge Recovery service retroactively identifies and verifies reimbursement dollars owed to hospitals from government and commercial payers. In our experience, we find the last 20% of missed revenue our competitors can’t. Root cause and compliance analysis provide our clients with the information needed to implement corrective actions to avoid future missed charges and potential compliance issues.
Omega was built from the ground up over a period of 25 years by listening to our clients and building capabilities to provide the services they need. Superior results combined with a contingency fee model makes Omega your clear choice in Lost Charge Recovery.
On average Omega discovers over $500 in unbilled charges per outpatient surgery. We can recover up to two years of historical unbilled revenue for our clients and then continue to find lost revenue month after month after month.
Our Lost Charge Calculator will provide a quick reference point based on historical data and a few simple metrics about your hospital. Every hospital is unique. To get greater visibility on the benefits of a Charge Capture project along with a detailed review by one of our senior analysts, click below to learn more and set up a no-cost assessment.
For a quick estimate of potential gross charges that could be recovered, use the top slider to select the annual volume of outpatient surgeries and the bottom slider to select how many months retrospectively you can reasonably expect your payers to pay. Typically this is between 12 and 24 months.
Request a no-cost assessment for greater visibility into your revenue cycle.
Estimates are based on 25+ years of historical findings and are not a guarantee of performance.
Average Identified Lost Charges
Per 150 Bed Hospital
With Zero Upfront Fees
Omega has the DNA of a full-service RCM service provider with a laser focus on Lost Charge Recovery.
As an early adopter of technology, we developed our Revenue Integrity AnalyticsTM platform of apps and processes including Analytics and Workflow; CDM Integrity; Eligibility; EDI; Claims Management; Claim Status; and Claim Analysis.
If I were to go to another facility, I would bring them in there to assist me in a heartbeat
Large systems typically do a system look at charges on bills related to procedures codes. What none of these systems do is look at all the documentation which is on the chart as well as intervention.
I think Omega fits a niche that is currently not being performed. They have been looking at charts and the medical record that supports documented charges that are not on the bill and are billable. Missing charges identified and extrapolated to (the health system) could lift net revenue several million dollars annually.
They are bringing in millions of dollars in net revenue that we were due but...missed in billing.
Adds Revenue to Your Bottom Line
Supporting Documentation of Proposed Billing Practice Changes
Charges Verified by Manual Comparison to Medical Record
Claim Accuracy and Compliance
Root Cause Analysis and Management Action Plan to Avoid Future Missed Charges
Zero Increase in Cost, Collaborative Process