OzaniX Partners
Insurance and Revenue

Healthcare Insurance and Revenue Cycle Advisory.

Every clinic loses some revenue to denied claims, slow insurer payments and gaps in the billing process. Most of that loss is preventable. We manage direct billing, claims optimisation and the revenue cycle, so the money you have earned actually reaches your account.

Direct BillingClaims OptimisationRevenue Cycle AdvisoryDenial Management
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What This Covers

  • Direct billing management
  • Claims optimisation and denial management
  • Revenue cycle process design
  • Payer contracting support
  • Accounts receivable performance
  • Insurance and claims risk review
How We Help

What Insurance and Revenue Actually Involves.

01

Direct Billing Management

Managing the direct billing relationship with insurers, so claims go out clean the first time.

02

Claims Optimisation

Reducing denial rates by fixing the coding, documentation and submission issues that cause them.

03

Denial Management

A structured process for tracking, appealing and learning from denied claims, instead of writing them off.

04

Revenue Cycle Design

Redesigning the process from patient registration to final payment, so revenue does not leak at any step.

05

Payer Contracting Support

Reviewing and negotiating payer contracts with a clear view of what they actually mean for your cash flow.

06

Accounts Receivable Performance

Reducing days to collect and improving how consistently receivables actually turn into cash.

How We Work

A Clear Process, Not a Retainer That Never Ends.

1

Understand

We review your current numbers, systems and reporting, and talk to your team about where the pressure actually is.

2

Define

You get a practical scope: what we will do, over what period, and what it costs. No open ended retainer.

3

Deliver

We do the work, on the agreed cadence, with clear points of contact.

4

Hand Over or Continue

Some clients need this ongoing. Others just need the function stabilised, and their own team taking it from there.

Built for Healthcare

Who This Is For.

Every engagement is built around healthcare specifically, not adapted from a generic advisory template.

Clinics With High Claim Denial RatesGroups With Slow Insurer CollectionsClinics Renegotiating Payer Contracts
Good to Know

Frequently Asked Questions.

Should a clinic outsource medical billing?

It often makes sense when denials are rising, claims go out late, or one person holds all the billing knowledge. Outsourcing gives you a trained team and clear reporting, while you keep full control of patient care and pricing. Some clinics hand over the whole process, others only denials and resubmissions.

Can you review our current denial rate without a full engagement?

Yes, an initial review of your claims and denial data is usually the first step, before agreeing a wider scope.

Do you deal directly with insurers on our behalf?

Yes, where it helps resolve a specific claim or contracting issue, we can act on your behalf.

Is this only for clinics with a big billing problem?

No. Even clinics with reasonable collections usually find measurable improvement once the revenue cycle is properly reviewed.

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