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Outcome based operations support

Medical QOP is built around delivering measurable results, not selling you hours, seats, or vague “support." Clinics and multi-site groups use us to offload recurrent operational tasks without the overhead of hiring or managing more staff. Every assignment has defined completion criteria so you pay for finished work you can verify — not speculative hours.

QUALITY OPERATIONS, QUALITY TALENT, REAL IMPACT,

A model built around defined outcomes

Our model ties billing to completed work items that meet agreed completion rules — not to seats, hours, or vague output. At Medical QOP, we begin with a discovery session to identify the services you need and exactly how you define “done”. Once aligned, we integrate the agreed workflows into your existing systems so work flows smoothly between your team and ours. For tasks that can’t be standardized reliably, we also offer a traditional monthly option with a dedicated full-time specialist.

We handle routine patient appointment requests from first contact through documented completion. We manage bookings, reschedules, cancellations, confirmations, and callbacks, and log what happened in your system with clarity. When clinic judgment is needed for exceptions or policy decisions, we escalate instead of guessing.

Medical QOP processes preregistration tasks — from collecting demographics to capturing ID and forms — and tell you exactly what’s complete and what needs follow‑up. We reduce front‑desk scrambling by documenting missing inputs and final dispositions so your staff arrives ready for the visit without last‑minute gaps.

We track inbound and outbound referrals through every step — logging, scheduling, records exchange, and loop closure — with documented follow‑ups. We make sure every referral request has a final recorded outcome rather than lingering in an inbox. When organizational or payer prerequisites block progress, we flag it for your team.

Medical QOP verifies eligibility and benefits for scheduled patients, capturing deductible, copay, coinsurance, and coverage status in your system. We deliver clear verification outcomes with documented evidence and next‑step guidance, helping reduce last‑minute surprises and avoidable denials without taking on payment handling.

Medical QOP supports your teams by handling the administrative work for prior authorizations — compiling documentation, submitting to payers, checking status, and working through additional requests — with every action recorded. If a case needs a provider decision, we escalate with complete notes rather than leaving it open.

We convert completed encounters into consistent, claim‑ready work items by checking administrative completeness, attaching required documents, and routing exceptions with clear reason codes. We keep coding work separate and only send it forward when it meets packaging requirements, reducing rework and delays.

You tell us the workflow you want off your plate. We map it into clear work items, define inputs and “done,” set exception rules, then connect it to the right systems so delivery is consistent and auditable with Medical QOP.

If a traditional model fits better, you can work with a dedicated full-time specialist through us. They focus on your workflows day-to-day, integrate into your tools where needed, and handle a wider mix of tasks that are hard to standardize into work items.

What exactly do you deliver?

We run clearly scoped operational services for medical providers where “done” is defined up front. At Medical QOP, delivery is measured on completed outcomes, not hours, seats, or general activity.

How do we decide what services to start with?

We start with a discovery call and help prioritize the services creating the most operational load or business risk for your clinical and administrative teams, as long as they can be defined with clear completion rules. Medical QOP only takes on services that can be scoped tightly enough to execute consistently.

How does work enter the workflow?

It depends on the service. Work can enter through EHR integrations, system triggers, scheduled batches, shared queues, or an agreed handoff process with your team. Intake methods are defined per service so there is a reliable and consistent flow.

Do you work in our systems or your systems?

Either, depending on what makes delivery clean and trackable for your practice. Sometimes we operate directly in your clinical and admin tools, sometimes we use ours, and sometimes we connect both so the workflow stays aligned across systems.

How do you define what counts as “complete”?

Each service is broken into outcome types with written completion rules. If evidence is required — like a confirmation, status change, insurance verification result, record update, or log note — that requirement is defined up front.

How does pricing work?

Pricing is outcome‑based. Each outcome type has a unit price tied to the completion rules. Most clients use a recurring service credit or minimum commitment, with usage applied based on completed outcomes. If volume exceeds the included amount, overage is billed using the same unit pricing. Items that are out of scope or blocked are not treated as completed outcomes.

What does onboarding look like?

We align on scope and outcomes, confirm the intake method, set up the tooling or integrations required, then run a short ramp to validate that completion rules match real day‑to‑day work. After that, delivery runs in steady state using the same definitions and pricing with Medical QOP managing execution.