About OACIS

We help independent clinics get credentialed, get paid, and stay paid.

A revenue operations partner for urgent care and primary care practices, with one accountable lead, published prices and no long-term contracts.

Book a free Revenue Operations Review See our services

Where a clinic's revenue leaks, and where we step in

Credentialing
No payer contract, no payment

Eligibility checked
Within 48 hours before each visit

Claims coded and sent
Current CPT, ICD-10 and NCCI rules

Denials and aging claims chased
Where most clinics lose money

Paid, posted and reported
A clear report every Friday

Team leads average 15 years in RCM Webster, Texas office BAA before any data is shared No long-term contracts A report every Friday Saturday calls by appointment

Why we started

Nobody owned the whole revenue path. So we built a firm that does.

Independent clinics lose revenue in the gaps between the front desk, the billing vendor and the payers. Each party does its own part, and the money that falls between them is nobody's job.

OACIS was founded to own that path end to end. We bring 30+ years of operations leadership together with revenue cycle specialists who have done this work for 15 years.

Get in touch with a Revenue Operations Manager →

Who we serve

Focused on purpose

We don't serve hospitals or every specialty. Staying focused means we know your payers, your codes and how your front desk works.

Independent urgent care Primary and family care Multi-location clinics

Our experience

Experience you can count on

15 yrsaverage revenue cycle experience of our team leads

50+practices supported by our team leads in previous roles

$100M+annual collections managed by our team leads in previous roles

30+ yrsoperations and management leadership

Systems our team works in

Experity athenahealth eClinicalWorks Kareo (Tebra) AdvancedMD CureMD NextGen Epic

How we work

Start small. Expand only when it pays.

STEP 1 · 5 BUSINESS DAYSFree reviewWe look at your claims, denials and A/R, and send a written summary.

STEP 2Start with one serviceCredentialing, aged A/R or billing backup. Your systems and team stay as they are.

STEP 3 · EVERY FRIDAYA clear reportWhat we did, what's pending and what it's worth, in plain numbers.

STEP 4Expand when it paysAdd services only when the first one has paid for itself. Cancel with 30 days' notice.

Services

Published prices. No surprises.

Credentialing and enrollmentFrom $200 per payerCAQH, Medicare, Medicaid and commercial plans, with a status report every Friday.Get a credentialing plan

Aged A/R recovery15% on claims 60–90 days, 25% over 90 daysNothing if we recover nothing. A root-cause report on why claims were denied.Check my aged claims

Billing backupFrom $1,200 a monthAn experienced biller inside your system for vacancies, leave or backlogs. Month to month.Talk about backup cover

What we will and won't do

We will Sign a Business Associate Agreement before any data is shared Give you one named Revenue Operations Manager Reply the same business day Hire before we take on more clients, not after Show you what we billed, and why

We won't Lock you into a long-term contract Upcode, or bill anything without documentation Add hidden fees Ask you to change your EHR or your team Store your data on personal devices

From one urgent care audit

$145,588 in A/R over 60 days, plus a $40K rebill gap

A two-location urgent care asked us to look at their billing. In five business days we found claims nobody was chasing, and a rebill gap their billing vendor had missed.

HIPAA safeguardsBAA signed before any patient data is shared.

US-hosted dataFiles kept on a secure server in the continental US.

Controlled accessAccounts you create and control. Remove access any time.

Current coding rulesCPT, ICD-10-CM and HCPCS, NCCI edits checked.

Case study · Revenue Operations Review

A two-location urgent care with $145,588 in aging claims

The clinic's billing was run by an outside RCM vendor. Patient volume was steady, but cash flow wasn't. They asked us to find out why. Clinic name withheld.

16,000+claims a year

$145,588in A/R over 60 days

719aged claims, some from the prior year

91.9%clean claim rate, below the 95% benchmark

What we found in five business days

Slow submission. Only 43.8% of claims went out within 3 days of the visit, which slows payment and invites denials.
A $40K rebill gap. 1,254 claims were rebilled this year (7.8%). On the rebills we analysed, $90,956 was expected and $49,791 collected. The vendor had not caught it. Root cause: wrong insurance workflows and slow denial follow-up.
Aging claims at risk. Claims over 120 days old were close to timely-filing limits. Without action they become write-offs.
No visibility. Monthly snapshots, no denial tracking and no regular rework cycle, so problems surfaced late.

Targets we proposed

Measure	At audit	Target
Clean claim rate	91.9%	96–98%
Rebill rate	7.8%	under 4%
Gross collection rate	45%	55–65%
A/R over 60 days	$145K	30–50% lower in 90 days

These are targets set from the audit, not results achieved.

The takeaway: this clinic didn't have a volume problem. It had slow submission, weak rebill discipline and no one prioritising aged claims, all fixable without seeing one more patient.

Get the same free review for your clinic

Talk to us

Talk to your Revenue Operations Manager

Tell us what's slowing your revenue. We'll reply the same business day, and the first review is free.

Phone · 832-772-7385 Email · info@oacishealth.com Office · 857 Tristar Dr, Suite A5, Webster, TX 77598 Hours · Mon–Fri 9am–5pm CT · Saturday calls by appointment