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Outcome based operations support

At QOP Dermatology, billing is tied to work that matters — completed and verifiable outcomes — not people on a roster or hours logged. Practices bring us in to run recurring workflows that drain capacity, without the burden of recruiting, training, or supervising. The result is predictable execution with measurable outputs, and you pay for results, not vague coverage.

QUALITY OPERATIONS, QUALITY TALENT, REAL IMPACT,

A model built around defined outcomes

QOP Dermatology operates on an outcome‑based model where billing is tied to agreed, auditable work completions. Everything begins with a discovery call to confirm which operational workflows you want off your plate and what “completed” means for each. We then translate those definitions into your systems so work flows efficiently between teams. When specific tasks cannot be reliably defined as repeatable outcomes, we also offer a traditional monthly option with a dedicated specialist.

We handle routine appointment calls and inbound patient requests so your front desk isn’t buried. We book, reschedule, cancel, confirm, and document callbacks with clear dispositions so nothing stalls. We also coordinate cosmetic consult bookings as part of the scheduling flow, with any clinical judgment or payment issues routed back to your team. QOP Dermatology ensures reliable access handling that frees your staff.

We verify insurance coverage and capture benefit details with source evidence and next‑step guidance to prevent surprises at check‑in and billing. We document eligibility status, benefit notes, and exception dispositions after outreach so you see a clear picture before care. Financial discussions, payment counseling, and policy decisions stay with the clinic, guided by what we uncover.

We manage the full authorization workflow: prepare, submit, track, follow up, and document payer responses so your team doesn’t chase status. We deliver clear submission references or final dispositions (approved, denied, needs clinic action), and route any clinical decisions back to you. QOP Dermatology coordinates each step without reallocating your internal capacity.

We ensure your claims are prepared and submitted with a clear documentation trail, including corrections and handling pre‑adjudication rejections. We log submission evidence so you know what was sent and when, and we handle rejection fixes and resubmissions within this scope. Denials and appeals are managed separately to avoid confusion or double counting.

We run structured payer claim status follow‑ups to keep unpaid or pending claims from languishing. We document payer responses, capture references, and record next steps so you always know where a claim stands. When a claim becomes a denial, we route it to Denial Management, maintaining clear boundaries and accountability.

We work your denied claims as an organized queue: categorize the denial reason, take the appropriate correction or appeal action, track deadlines, and log follow‑up evidence. We close each denial with clear documentation or escalate to you for clinic decisions. Payment posting, write‑off decisions, and clinical sign‑offs stay with your practice, while we handle process and documentation.

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 QOP Dermatology.

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?

QOP Dermatology runs clearly scoped operational services where “done” is defined upfront and we measure delivery by completed outcomes, not hours, seats, or general activity. When our team sees clear end results and measurable progress, we can focus on patient care without internal ambiguity.

How do we decide what services to start with?

We start with a discovery call and then prioritize the operational work that’s creating the most load or business risk for your dermatology practice. We take on only the services we can define with clear completion rules so execution is consistent and predictable. QOP Dermatology won’t own work unless we can execute and measure it reliably.

How does work enter the workflow?

Work enters through whichever method makes sense for your operations — integrations, system triggers, scheduled batches, shared queues, or an agreed handoff with your team. We define intake per service so there’s a consistent, predictable flow and nothing drops off the radar.

Do you work in our systems or your systems?

We operate in whatever environment makes delivery clean and trackable. Sometimes that means working directly in your tools, other times in ours, or connecting both so the workflow stays aligned and transparent between teams.

How do you define what counts as “complete”?

For every service we run, we break it into outcome types with written completion rules. If evidence is needed — like a confirmation, status change, record update, or log note — we define it upfront so everyone knows what “done” looks like. QOP Dermatology builds these definitions with your team so there’s no ambiguity in execution.

How does pricing work?

Our pricing is outcome‑based. Each outcome type has a unit price tied to its completion rules. Most clients use a recurring service credit or minimum commitment, and usage is applied based on completed outcomes. If your volume exceeds the included amount, overage is billed at the same unit rates, and anything out of scope or blocked isn’t treated as a completed outcome.

What does onboarding look like?

We align on scope and outcomes first, confirm the intake method, set up any tooling or integrations needed, then run a short ramp to validate that the completion rules match how work actually happens day‑to‑day. After that, delivery runs in steady state using the same definitions, tracking, and pricing so you get consistent results every week.