Why "OSI"? Each letter is one of our children. It's a daily reminder that every claim we work is someone's livelihood, starting with the clinician who did the work and is still waiting to be paid for it.
Now accepting founding clients in Broward County
Get paid for every visit you've already done.
Certified medical coding and full-cycle billing for solo therapists, psychiatrists and nurse practitioners. We find the money you're losing to denials, fix the coding behind them, and run your revenue cycle so you can run your practice.
- Every claim reviewed by a certified professional coder
- Claims submitted within 48 hours, denials worked within 5 days
- One flat percentage of what we collect, no setup fees
Free · 15 minutes
Get your free denial audit
We review your last 90 days of denials and show you exactly what's recoverable. No obligation.
HIPAA BAASigned with every client before any data moves
Certified coderA CPC reviews the coding on your claims
Local to BrowardCooper City based, statewide for telehealth
No long-term contractMonth to month after the first 90 days
The problem
Small practices are losing more to denials every year
Payers are denying more claims, coding rules keep changing, and the national billing companies are built for hospitals, not for a clinician with one office. The result is money you earned that never arrives.
41%
of providers now face denial rates of 10% or higher, up every year since 2022.
Experian Health, 2025 State of Claims
50%
of denials trace back to missing or inaccurate data, the kind a coder catches before a claim goes out.
Experian Health, 2025 State of Claims
68%
of billing teams say getting a clean claim through is harder than it was a year ago.
Experian Health, 2025 State of Claims
60-second revenue check
How much is tied up in your denials?
Move the sliders to match your practice. It's a rough estimate, but most clinicians are surprised by the number.
Not sure of your denial rate? The free audit measures yours exactly.
Billed revenue denied each year
$21,600
Freed up at our 5% denial target
$12,600
That's money paid on first submission instead of waiting on rework and appeals, or being written off. Estimate only: billed amount × denial rate × 12, compared with a 5% denial rate.
Measure my real number, freeMonthly Practice Scorecard
Sample practice · Month 6
Clean claims
96.4%
▲ from 84%
Denial rate
4.8%
▼ from 14%
Days in A/R
31
▼ from 52
Net collected
96%
▲ from 88%
Collections by month
What you get
You'll always know exactly where your money is
Every month you get a one-page scorecard with the four numbers that matter, measured against industry benchmarks. No mystery, no chasing your biller for updates.
- Benchmarked KPIsClean-claim rate, denial rate, days in A/R and net collections, against MGMA standards.
- Denials explainedEvery denial categorized by cause, with what we did about it and what's still open.
- A person who picks upA direct line to the coder working your claims, not a ticket queue.
Who we serve
Built for the practices big billing companies ignore
If you bill under $50K a month, a national billing firm puts you in a queue. We built OSI for exactly your size of practice: close enough to answer the phone, certified enough to get the coding right the first time.
Mental health
Therapists & psychiatrists
LCSWs, LMHCs, LMFTs, psychologists and psychiatrists running their own practice.
What usually breaks: timed units like
90837 vs 90834, the telehealth modifier 95, and dropped add-on codes.
Nurse practitioners
Independent primary care & psych NPs
NPs who opened their own clinic and are watching E/M claims come back denied or downcoded.
What usually breaks: E/M level documentation, prior authorizations, and enrollment gaps with new payers.
Small groups
Practices with 2–4 providers
Groups that have outgrown a part-time biller but aren't ready to staff a billing department.
What usually breaks: inconsistent coding between providers, aging A/R nobody owns, no monthly view of what's collectible.
Services
Everything between the visit and the payment
Start with full revenue cycle management, or start smaller with credentialing or a coding audit and add billing when you're ready.
Most popular
Full-cycle billing & coding
- Eligibility & benefit checks
- Certified coding review of every claim
- Scrubbing & submission within 48 hours
- Denial management & appeals
- Payment posting & patient statements
- Monthly KPI scorecard
Get in-network
Payer credentialing
- Medicare, Medicaid & commercial panels
- CAQH setup and upkeep
- Re-credentialing tracked so nothing lapses
- Flat fee per payer or per package
Keep billing in-house
Coding & compliance audit
- Sample review of recent claims
- Denial root-cause report
- Documentation & modifier guidance
- Fixed price, delivered in two weeks
Opening a practice
Practice Launch package
- Credentialing with your first payers
- Billing & clearinghouse setup
- Fee schedule & superbill design
- First 90 days of billing included
How it works
A certified coder in front. An automated billing engine behind.
Most billing problems are coding problems. So a certified professional coder checks your claims before they go out, and a HIPAA-covered billing platform handles submission, tracking and follow-up.
1Day 1 · 15 minutes
Free denial audit
Send your last 90 days of denial and remittance reports. We show you what was denied, why, and how much is still recoverable.
2Under 2 weeks
Onboarding
We sign a Business Associate Agreement, connect to your practice software, confirm payer enrollments, and agree on a written workflow.
3Every month
We run it, you see it
Claims out in 48 hours, denials worked in five business days, and a scorecard every month so you can hold us to the numbers.
| What we commit to | Our target | Industry benchmark | What it means for you |
|---|---|---|---|
| Clean-claim rate | ≥ 95% | 95% (MGMA) | Fewer reworks, faster cash |
| Initial denial rate | < 8% → < 5% | ≤ 8%, best-in-class ≤ 3% | Recover what's being lost today |
| Days in A/R | < 40 → < 30 | < 40 (MGMA) | Predictable monthly cash flow |
| Net collection rate | ≥ 95% | 96% (MGMA) | Every collectible dollar collected |
| Claim submission | 48 hours | — | The visit-to-claim gap sets the whole cycle |
Our denial-rate guarantee
If your initial denial rate stays above the level we committed to for two months in a row, your next month's fee drops by 25%. We put our number on the scorecard too.
Pricing
A flat percentage of what we collect. That's it.
We only get paid when you get paid, which keeps us focused on the claims that matter.
5–7%of collections
Your exact rate depends on specialty and claim volume. We'll quote it in writing after your free audit.
- No setup fee, software fee or per-claim fee
- If we don't collect it, you don't pay for it
- Month to month after the first 90 days
- Your data and payer logins always stay yours
Compared with doing it yourself
What one flat percentage replaces
A part-time in-house billerSalary + training
Billing software & clearinghouseIncluded
Your evenings spent on claimsBack to you
Denials nobody had time to appealWorked in 5 days
Credentialing, coding audits and the Practice Launch package are flat-fee and quoted in writing before any work begins.
About OSI
Small on purpose. Certified by profession. Accountable to a number.
OSI Medical Coding & RCM Solutions LLC is a Florida company based in Cooper City, serving practices across Broward County and, for telehealth practices, all of Florida. The firm is owned and led by a certified professional coder who reviews the coding on your claims personally.
We keep the firm small deliberately. A solo therapist or an NP with one clinic shouldn't be account number four thousand at a national billing company. You should know who is working your denials, and they should know your practice.
Certified Professional Coder
HIPAA BAA on every engagement
Florida LLC
Questions
What practices ask us first
Something else on your mind? Ask it on your free audit call, or email hello@osircmsolutions.com.
Do I have to switch my practice software?
No. We work inside the system you already use, including SimplePractice, TherapyNotes, Tebra and most other EHR and billing platforms. If you're on paper or spreadsheets, we'll set up a billing platform for you.
What does the free denial audit involve?
You send us your last 90 days of denial and remittance reports. No clinical notes are needed. We sort the denials by cause, estimate what's recoverable, and walk you through it in a 15-minute call. No obligation.
Is my patient data safe?
We sign a HIPAA Business Associate Agreement with every client before any data is shared, work on a HIPAA-covered email and document platform with multi-factor authentication on every login, and never store patient information on personal devices.
How soon will I see results?
Clean claims start going out within 48 hours of onboarding. Recovered denials typically begin posting within 30 to 45 days, depending on payer timelines, and you'll see the trend on your first monthly scorecard.
Am I locked into a contract?
No. We ask for a 90-day initial period so the cycle has time to show results. After that it's month to month with 30 days' notice, and your data and payer logins are always yours.
What if I only need credentialing?
That's a common starting point. Credentialing is a flat fee per payer or a package for a new practice, with no requirement to move your billing to us.
Free 15-minute denial audit
Find out what you're leaving on the table
Tell us a little about your practice. We'll reply within one business day to schedule your call.
- What you get: denials broken down by cause, an estimate of recoverable revenue, and a written summary to keep.
- What we need: 90 days of denial and remittance reports. Never patient notes.
- What it costs: nothing, and there's no obligation to sign up.
Reply within 1 business day