OmniMD clears credentialing backlog and lifts solo practice revenue 80%

OmniMD says its billing and credentialing work helped Solara Medical Care LLC resolve all outstanding payer issues in one month, push claim acceptance to 98%, and raise monthly revenue 80% without adding patient volume. The result highlights how credentialing gaps can quickly suppress collections at solo practices.

Why it matters: - Solo and small practices have less room to absorb denied claims or delayed payer enrollment. - Credentialing problems can block payment for care that has already been delivered. - Solara Medical Care’s results show how fixing upstream billing issues can improve revenue without seeing more patients.

What happened: - OmniMD announced results from its billing and credentialing engagement with Solara Medical Care LLC, a solo practice run by Dr. Maki Furguson. - The practice sees about 50 patients per month. - Within one month of the engagement, Solara Medical Care resolved all outstanding payer credentialing items. - The practice raised its claim acceptance ratio to 98%. - Monthly revenue increased 80% with no change in patient volume or clinical scope.

The details: - OmniMD provides electronic health records, AI revenue cycle management, and interoperability services to medical practices. - Before OmniMD stepped in, unresolved credentialing issues limited Solara Medical Care’s ability to bill for services already rendered. - A low claim acceptance ratio was causing a meaningful share of claims to be rejected or denied on first pass. - Billing had already been outsourced before OmniMD’s involvement, but revenue was still constrained by problems earlier in the workflow. - OmniMD’s outsourced billing and credentialing team reviewed the practice’s payer enrollment status and claims workflow. - The team identified and resolved all outstanding credentialing issues with the practice’s payers. - The team reviewed and corrected claims for accuracy and completeness before submission. - OmniMD managed the full outsourced billing cycle on a single platform to keep visibility across credentialing, claims, and collections. - One month after the engagement began, open credentialing items were at 0. - Dr. Maki Furguson said OmniMD was “reputable and reliable” and that the team worked quickly to resolve issues. - Furguson said Vishal, one of OmniMD’s billers, made a significant difference in the practice’s revenue. - Furguson also said the practice now spends less time on billing back-and-forth and more time on direct patient care.

Between the lines: - The case suggests credentialing and claim acceptance can matter as much as patient volume for a solo practice’s cash flow. - The revenue gain came from recovering payment on the same level of care, not from adding visits or expanding services. - For small practices, the biggest operational wins may come from fixing administrative bottlenecks rather than increasing throughput.

What's next: - OmniMD is positioning the Solara Medical Care result as evidence that its billing and credentialing services can improve collections for solo and small practices. - The company says it has served U.S. healthcare practices for more than 20 years with electronic health records, practice management, AI-powered revenue cycle management, medical billing, credentialing, and related services. - The company’s broader goal is to reduce administrative burden and improve practice collections.