Enterprise Practice Management
We are committed to a singular focus on revenue cycle processes including exceptions management tools to maximize collections, empowering your practice to maintain independence.
Put your revenue cycle on autopilot
OpenPM Is A Revenue Cycle Machine.
Large independent medical and multi-specialty practices face unique challenges in managing their operations efficiently. Small inefficiencies that may not be noticeable with dozens of visits, become big problems when trying to manage thousands of visits.
RCM software optimized for enterprise operations is essential to maximize collections and maintain independence.
Minimizing Effort And Maximizing Reimbursement
OpenPM is a true cloud-based platform designed for enterprise practices managing complex payer rules,
high claim volume, and multi-location operations.
All EDI and Patient A/R processes are built-in, allowing the revenue cycle to be managed in one continuous workflow
Use the Job Scheduler to schedule and automate key A/R functions
Use Charge and ERA Rules to automate clean claims and allow your staff to strictly focus on exceptions
Business Intelligence Dashboards allow you to spot issues early before they impact cash flow
Our implementation, training, and support staff work with your team to ensure you are set up for success
Back Office Optimization
Front Office Organization
Fully browser-based, allowing easy user rollout and management across many locations, regionally or nationally
Rules-based scheduling to optimize your patient flow
Automated insurance eligibility to resolve issues before the appointment
IDs and insurance card scanning to eliminate data entry and associated errors
Patient Engagement
Deliver clear & concise billing statements via mail, email, or text message
Automate appointment reminders to prevent no-shows
Automatically send electronic messages to remind patients of any outstanding balances
POPS™ is a web portal for patients to schedule services and pay their bills delivered via email, text message, or QR code
Integrate the POPS™ web portal directly into your own website
Once you see OpenPM, you’ll LOVE OpenPM!
Maui Medical Group
Case Study
Maui Medical Group (MMG) is Hawaii’s largest multi-specialty medical group, with 80+ providers, nearly 340 employees, and upwards of 40,000 patients as of 2021. When MMG updated their largest insurance contract, revenue shifted to a new billing program called “Payment Transformation,” which is a capitated billing method. They needed an all new audit process and to manage the new adjudication process.
FAQs
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Yes. OpenPM maintains a highly flexible integration architecture. We use industry-standard HL7 messaging, secure APIs, and SFTP connections to bridge the gap between your clinical and financial workflows. This ensures real-time data synchronization with most EMR/EHR and third-party systems.
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Absolutely. OpenPM is built to respect the unique needs of each facility. You can configure independent schedule builds, appointment rules, and slot types for every facility and provider. This flexibility allows your practice to scale or diversify without compromising the core workflows that already work for your staff.
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OpenPM is designed for expansion. Our multi-database support allows you to manage multiple entities through centralized "Parent Databases and Libraries," ensuring that updates to your codes or policies reflect across the entire organization instantly. As you grow, you can add providers, NPIs, and locations, or activate premium features like Business Intelligence and POPS™ Patient Portal without outgrowing your infrastructure.
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Our pricing model is designed to be transparent and based on your practice’s specific needs. A typical implementation includes a structured onboarding roadmap and role-based training for your staff. We can provide a personalized assessment based on your practice volume and goals.
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OpenPM provides a dual-layered approach to reporting: robust core tools for daily operations and an advanced Business Intelligence (BI) suite for high-level strategy.
Denial Analysis: Categorize and track denials by reason code (CARC) to identify trends.
A/R Management: Interactive aging reports that allow you to drill down by insurance or provider.
Executive Summary: A 12-month view of your KPIs and payer performance to guide strategic decisions.
Business Intelligence (BI) Dashboards: For advanced visual analytics. Dedicated dashboards include RCM, Payer Performance, A/R trends, and Productivity.
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The system is engineered to maximize throughput and minimize manual effort through a combination of intuitive design and advanced AI.
Minerva AI Assistant: Currently, our embedded AI,assistant Minerva, acts as an instant knowledge partner. By indexing hundreds of pages of documentation, Minerva provides staff with immediate workflow guidance and answers, eliminating the need to search through help resources manually.
Intelligent Automation (Coming Soon): OpenPM already automates the "clean claim" lifecycle from sign-off to payment posting, without human intervention. We are actively expanding these capabilities to include AI-driven exception handling, which will allow the system to resolve complex billing hurdles that currently require manual review.
Strategic Evolution: We are developing task-driven AI agents designed to automate high-friction billing workflows. This evolution ensures that as your volume increases, your administrative burden does not, moving your practice closer to a fully automated revenue cycle.
Rapid Navigation Tools: For high-speed data entry, staff can utilize Quick Registration workflows and "Go-Cut" keyboard shortcuts, allowing them to navigate the entire platform without a mouse and keep patient lines moving.
Automated Job Scheduling: Repetitive tasks like eligibility verification and claim batching run in the background on a preset schedule, ensuring your team stays focused on patient care and high-priority A/R.