(636) 634-1229 info@onpointrcm.com 201 Clarkson Executive Park, Ellisville, MOMon–Fri, 8am–6pm CT
On Point Revenue Cycle Management

Full revenue cycle management … and more.

Billing, front office, transcription, records, prior authorization and credentialing — plus the three Medicare care programs your patients qualify for. Staffed by OnPoint, documented in your EMR, billed under your practice.

Your providers direct the clinical workWe work inside your EMRHIPAA-compliant workflows

Where a physician’s day actually goes

Time-and-motion study across four specialties, ambulatory practice.

27% direct patient care · 49% EHR and desk work · 24% other49%on paperwork
27% patientsDirect clinical face time
49% EHR & deskDocumentation and admin
24% otherEverything else in the day

Source: Sinsky et al., Annals of Internal Medicine, 2016. That 49% is the half of the day OnPoint is built to take.

3

Medicare programs your patients already qualify for

7

Services covering the everyday work of the practice

24/7

Nurse line behind every enrolled patient

Your EMR

Every note and time log in your system

Who you are working with

Clinicians and accountants, on the same team

Our healthcare team works alongside your clinicians — and it has accountants sitting on it. That synergy is the whole point: revenue streams for physicians that are efficient, sustainable and scalable, and profitable while they are at it.

The clinical side

  • Nurses and care coordinators who talk to your patients every month and know what a worrying number looks like
  • Coders who read the chart before they touch the claim
  • People who work under your providers’ direction, not around them

The financial side

  • Accountants and revenue cycle analysts who model what a program is worth before you commit to it
  • Denial analysis that treats a rejection as a process failure to fix, not a letter to file
  • Reporting a practice owner can actually run the business on

It only works because the care is real. The patient gets seen, called and followed up; the practice gets paid for doing it. That is the win on both sides — better medicine and a better balance sheet are the same project here, not a trade-off.

Services

The everyday work, off your staff’s plate

Every practice already does all seven of these. The only question is who does them, how consistently, and what it costs you in staff hours.

Medical Billing

The whole cycle, charge entry to the last worked denial.

  • Charge entry and claim scrubbing
  • Electronic and paper submission
  • A/R follow-up, denials and appeals
  • Patient statements and monthly reporting
CYCLE STAGES COVERED6 / 6

Front Office & Call Center

Phones answered, schedule kept full, eligibility checked.

  • Insurance eligibility verification
  • Scheduling, rescheduling and recalls
  • Confirmation calls to cut no-shows
  • Patient satisfaction surveys and QA audits
COVERED DURINGYOUR HOURS

Document Management

Faxes, mail and records downloaded and filed daily.

  • Faxes and mail pulled and indexed to the chart
  • Labs, imaging and outside records filed
  • Refill requests routed to the MA
  • Abnormal results flagged to the physician
FAX QUEUE CLEAREDDAILY

Prior Authorization & Referrals

Opened, chased, tracked and closed with the specialist.

  • Auth secured before the service is performed
  • MRI, CT, echo, injections, drugs
  • Specialist appointment set for the patient
  • Referral loop closed back to the PCP
STAFF HOURS RETURNED~13 / WK

Medical Transcription

Dictate it; get a structured note back in your template.

  • Phone, app or dictation-machine capture
  • SOAP notes, discharge summaries, your formats
  • Delivered by secure transfer or into the EMR
  • Multi-pass quality check before delivery
TURNAROUND24 HRS

Credentialing & Enrollment

Payer enrollment tracked to approval, then kept current.

  • Document gathering and application submission
  • CAQH and PECOS profiles maintained
  • In-process applications chased weekly
  • Revalidation dates tracked before they lapse
RE-CREDENTIALING CYCLE~3 YRS

Reporting & Analytics

One monthly file, in language a board will follow.

  • First-pass acceptance and days in A/R
  • Denials grouped by root cause
  • Enrollment and billable months captured
  • Care gaps closed, by quality measure
DELIVEREDMONTHLY

Claim denials, and what happens next

19% denied · about 1% appealed19%denied
19% deniedIn-network claims denied by marketplace insurers, 2023
~1% appealedShare of denied claims anyone appealed

Denials are not the expensive part. Denials nobody works are. Every one of ours routes back to a coder with the payer’s reason attached.

Source: KFF analysis of HealthCare.gov claims, 2023

Prior authorization, per physician, per week

Prior auth requests handled40 / week
Physician + staff hours spent on them13 hrs / week
Physicians reporting it delayed patient care95%

Thirteen hours a week is most of a full-time person — and it is exactly the job we take off your staff.

Source: AMA Prior Authorization Physician Survey, 2025

Revenue programs

Three programs your Medicare patients already qualify for

These are not overhead you outsource. They are separate reimbursement, earned from patients already on your schedule — and each one is eligibility-gated: a specific, checkable group of Medicare patients qualifies and nobody else does. We find who qualifies, do the work under your direction, and you bill it.

Chronic Care Management

Medicare patients with 2+ chronic conditions

A named care coordinator works your chronic patients every calendar month — call, medication reconciliation, care plan, gap closure — with the time logged as it happens.

Recurring monthly reimbursementOnly Medicare patients with two or more chronic conditions and an initiating visit on file. Nearly 7 in 10 Medicare patients meet that test.
  • Eligibility screening, consent and enrollment
  • Personalized care plan the patient receives
  • Monthly outreach and 24/7 nurse line
  • Time log built as the work happens

Annual Wellness Visits

Medicare Part B patients who are due

We find who is due, run the health risk assessment before the appointment, and hand your provider a completed prevention plan and care-gap list to sign.

One covered visit per qualifying patient, per yearOnly Medicare Part B patients who have not had one in the last 12 months. We check the anniversary date before anyone is called.
  • Eligibility check, outreach and scheduling
  • Health risk assessment completed by phone
  • Cognitive and depression screening
  • Prevention plan and care-gap checklist

Remote Patient Monitoring

Hypertension, diabetes, heart failure

Cellular cuffs and scales go to the patient, readings land in the chart daily, and a nurse triages the out-of-range ones before they reach your provider.

Device month plus nurse timeOnly patients with a chronic condition being actively managed, an ordering provider and consent on file. Billable once they transmit on 16 of 30 days.
  • Device shipped pre-paired, patient onboarded
  • Daily readings straight into the EMR
  • Nurse triage against your thresholds
  • Same-day escalation to the provider

Chronic care management: eligible vs. enrolled

69% eligible · under 4% enrolled69%eligible
69% qualifyMedicare patients with two or more chronic conditions
Under 4% enrolledShare of eligible patients actually receiving CCM

Those patients are already in your EMR. What is missing is the staff to enroll them and call them every month.

Sources: CMS (2017) · Avalere Health (2019)

Annual wellness visits: who actually gets one

60% had an AWV · 40% did not40%missed it
60% had oneMedicare patients with an AWV in 2022
40% did notA covered visit, and a year of care gaps, left on the table

Every missed wellness visit is a missed prevention plan, a missed risk capture and a missed set of closed quality gaps.

Source: CMS Medicare Current Beneficiary Survey, 2022

Coverage

Where each service sits in the patient’s journey

One patient, one visit, one claim — and the places we are doing the work. Purple blocks are the billable care programs; grey blocks are practice services.

Patient identifiedPayment posted
01

Before the visit

  • Front officeEligibility checked, visit booked, reminder sent
  • Wellness outreachWho is due for an AWV, found and scheduled
  • Prior authApproval secured before the service happens
02

At the visit

  • Pre-visit HRAAssessment done, prevention plan drafted
  • Care gap listWhat is open, in the provider’s hands
  • CredentialingThe provider is enrolled and billable
03

After the visit

  • TranscriptionDictation back as a structured note
  • DocumentsFaxes, labs and records filed to the chart
  • ReferralsSpecialist booked, loop closed to the PCP
04

Between visits

  • Chronic care managementMonthly call, meds, goals, time logged
  • Remote monitoringDaily readings, nurse triage, escalation
  • 24/7 nurse lineSomeone to call that is not the ER
05

The claim

  • Charge captureCodes, modifiers, unbilled program time swept in
  • Scrub & submitPayer edits run before it leaves
  • Denials & A/RReworked with the payer’s reason attached
Billable care programPractice service
Data sources on this pageChronic condition prevalence: CMS, 2017 · CCM utilization: Avalere Health, 2019 · Annual wellness visit use: CMS Medicare Current Beneficiary Survey, 2022 · Claim denials and appeals: KFF, 2023 · Prior authorization burden: AMA Prior Authorization Physician Survey, 2025 · Physician time allocation: Sinsky et al., Annals of Internal Medicine, 2016. These figures describe the industry, not OnPoint RCM client results.
What it takes from you

Three things, and none of them is your evening

The most common reason a practice never starts a care program is the fear that it lands back on the physician. Here is the whole ask.

EMR access for our teamWe work in your system, so the note, the care plan and the time log live where your staff already look. No second platform to learn.
A provider who signs and directsOur clinical staff work under your providers. You set thresholds, approve care plans and take the escalations that need a physician. That is the clinical minimum, and we do not ask for more of your time than that.
Your NPI on the claimYou bill; the money goes to you. We never take custody of your revenue, and every month we bill for has documented work behind it.

See what your practice is leaving on the table

A 30-minute call. Tell us roughly how many Medicare patients you see, which EMR you use and what you already run in-house. We come back with which programs your patients qualify for, what each one would take to run, and what it is likely to be worth.

(636) 634-1229Mon–Fri, 8am–6pm CT
info@onpointrcm.comWe reply the same business day
201 Clarkson Executive ParkEllisville, MO 63011

Request a practice review

Same-day reply. Nothing is billed and no patient is enrolled from this form — it starts a conversation, nothing more.

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