Complex claim requirements
L-codes, modifiers, same-and-similar rules, medical necessity, and payer policies create many opportunities for preventable delay.
Compass Complete · Software + Full-Service RCM
Your entire revenue cycle, managed under one roof.
Compass Complete combines OP Compass software with OP Solutions' specialized billing and collections services. Your clinical workflow and revenue cycle are supported by one organization, with shared information, coordinated teams, and clear accountability.
✓ O&P-focused expertise✓ Integrated with OP Compass✓ End-to-end accountability
Compass Complete · Revenue Cycle
Connected workflow
Documentation & Claim Readiness
Payer rules, required records, HCPCS and modifiers reviewed
Claim Scrubbing & Submission
Accuracy and completeness checked before transmission
Payer Follow-Up & Denials
Status, corrections, supporting records and appeals managed
Payment Posting & Reconciliation
Payments, adjustments and remaining balances resolved
1Connected platform
1Accountable team
FullRevenue visibility
Better DocumentationCleaner ClaimsFaster ResolutionGreater Accountability
The O&P revenue challenge
Every practice wants to collect everything it has earned. Compass Complete brings OP Compass software and OP Solutions' revenue cycle expertise together to help make that happen.
O&P revenue depends on far more than transmitting a claim. Documentation, medical necessity, payer-specific requirements, authorizations, coding, timely follow-up, and appeals all have to work together.
Documentation gaps
A claim can be coded correctly and still fail when clinical records, referring-provider notes, or required supporting documents are incomplete.
A/R that quietly ages
Without disciplined follow-up, small payer issues become old balances, missed appeal windows, and avoidable write-offs.
Staff stretched too thin
Hiring and retaining experienced O&P billing staff is difficult, while clinicians and front-office teams cannot absorb endless billing rework.
Full-spectrum RCM services
Every financial handoff, connected and accountable.
Our team supports the financial lifecycle from front-end readiness through final payment, with workflows adapted to your practice, payer mix, and staffing needs.
Patient Access & Verification
Reduce downstream surprises by addressing coverage and patient responsibility before services are delivered.
- Eligibility and benefit verification
- Authorization tracking and completion
- Patient demographic and insurance review
- Required-document follow-up
Documentation & Claim Readiness
Review the information needed to support medical necessity and clean claim generation.
- Referring-provider note review
- Claim and documentation completeness
- HCPCS and modifier review
- Payer-specific requirement checks
Claims Submission
Submit complete claims through structured quality controls and clearinghouse workflows.
- Claim scrubbing and validation
- Electronic claim submission
- Clearinghouse and EDI management
- Rejection correction and resubmission
A/R Follow-Up
Keep claims active through systematic status review, payer contact, and next-step ownership.
- A/R aging review
- Payer-specific follow-up
- Secondary and patient balance workflow
- Underpayment and adjustment research
Denials & Appeals
Address the cause—not just the individual denial—and pursue reimbursement through the appropriate appeal path.
- Denial categorization and research
- Corrected claims and reconsiderations
- Supporting-document submission
- Appeal preparation and tracking
Payment Posting & Analytics
Turn transactions into actionable financial intelligence and a clear view of practice performance.
- ERA and EOB posting
- Contractual adjustment review
- Payment reconciliation
- Performance and trend reporting
How engagement works
A structured transition. An accountable operating rhythm.
The goal is not merely to take over tasks. It is to establish a disciplined revenue cycle with clear ownership, measurable performance, and continuous improvement.
01
Assess
Review your current workflow, payer mix, A/R, denials, staffing, and unresolved revenue-cycle issues.
02
Configure
Align OP Compass, payer workflows, team responsibilities, reporting, and communication to your practice.
03
Transition
Move work into the managed process while protecting active claims, patient service, and cash flow.
04
Execute
Manage daily claim readiness, submission, follow-up, denial work, posting, and reconciliation.
05
Improve
Use reporting and root-cause review to correct recurring issues and strengthen performance over time.
Financial & Operational Insights
Know what is happening with your revenue—and why.
Compass Complete combines OP Compass software with OP Solutions' specialized billing and collections services. Because your clinical documentation and revenue cycle are supported by one organization, your team gains greater visibility into financial performance, work in progress, operational efficiency, and claim status.
Financial performance
Monitor collections, A/R aging, payment activity, payer trends, and revenue-cycle movement.
Claim-level accountability
See status, follow-up activity, outstanding requirements, and the next responsible action.
Root-cause insight
Identify whether issues begin with documentation, authorization, coding, payer behavior, or internal workflow.
Allowed vs. Collected %
Financial performance with Orthotic / Prosthetic segmentation and trend analysis.
Work In Progress (WIP)
Active pipeline value by device type with period-over-period comparison.
Operational Metrics
Cycle-time KPIs from evaluation through delivery, with variance indicators.
Intelligence That Prevents Problems Before They Become Denials
OP Compass uses real-time rules and payer intelligence to validate every encounter before it’s submitted—helping our team get it right the first time.
1
Documentation Validation
Missing Required ICD-10 Code(s)
HCPCS:L5671ICD-10:Z89611
Prevent missing diagnoses, documentation gaps, and payer-specific requirements before the encounter is finalized.
2
Payer Intelligence
✓
HCPCS: L5782
● Excluded by Insurance
Identify payer exclusions, authorization requirements, modifier rules, and coverage limitations while work is still in progress.
3
Submission Readiness
Encounter StatusCount
INCOMPLETE3
READY FOR SUBMISSION✓ 12
READY FOR RESUBMISSION✓ 5
Every encounter moves through a defined workflow so our team knows exactly what is ready to bill and what requires attention.
4
Revenue Cycle Execution
✓Claims Submitted
✓Payments Posted
✓Denials Worked
✓A/R Follow-up
Cash Collected
Once documentation is complete, OP Solutions’ revenue cycle specialists manage billing, collections, and follow-up through payment.
Flexible by practice need
Full-service support—or focused help where your team needs it most.
The operating model can be shaped around your practice size, existing staff, current system, and the specific gaps limiting cash flow.
RCM on Your Existing Platform
Keep your current EMR or practice management system while gaining OP Solutions’ O&P billing expertise. Our team provides full-service revenue cycle management using the platform you already have.
Compass Complete
OP Compass software and OP Solutions RCM services brought together as one coordinated offering, with shared workflows, connected teams, and clear accountability.
Targeted Revenue Support
Focused assistance with A/R recovery, denials, authorizations, payer follow-up, or other specific operational bottlenecks.
Stop managing billing as a separate department.
Connect it to the entire practice.
Let’s review your current revenue cycle, identify where work and revenue are getting stuck, and determine whether Compass Complete is the right operating model for your practice.
