Frequently Asked Questions
Straight answers about what OriNova does, what a project includes, pricing, timing, and secure onboarding.
Can we choose only one service?
Yes. A practice may choose one focused service or combine multiple services when the problem crosses reconciliation, denial analysis, backlog, QA, workflow, or reporting.
Do you replace our billing company or internal billing team?
No. OriNova provides a second layer of review, quality assurance, documentation, and operational support. The client’s billing team remains responsible for routine billing operations and final action decisions unless a separate written scope says otherwise.
Do you need access to our bank account?
No. OriNova does not require clinic bank-account access. Review scope may use approved EOB, ERA, denial, claim, posting, aging, or workflow records.
Do you guarantee recovered money?
No. OriNova identifies supported findings, potential reimbursement discrepancies, denial patterns, operational risks, and recommended follow-up. Payer outcomes and recoverability cannot be guaranteed.
When can we send EOBs or claim files?
Only after scope, service agreement, BAA when applicable, and the approved secure transfer method are in place. Do not send patient-related records through website forms or ordinary contact email.
Do you change CPT, ICD, HCPCS, or modifier information?
No coding change should be recommended without qualified coding review. OriNova may flag an item for certified coding review when the available evidence suggests that escalation is needed.
Can OriNova work with billing companies?
Yes. Support may include overflow review, backlog projects, independent QA, reconciliation, workflow documentation, operational reporting, and white-label arrangements under a defined agreement.
How long does a review take?
Timing depends on claim volume, data quality, payer complexity, date range, number of services, and whether supporting records are complete. The written quote identifies the expected turnaround before work begins.
Can we submit PHI through the website?
No. Website forms are for general business information only. Patient names, dates of birth, member IDs, EOBs, screenshots, medical records, credentials, and other PHI should not be submitted through the site.
How do you handle HIPAA-related requirements?
OriNova uses HIPAA-aware, BAA-based workflows for applicable services, minimum-necessary data handling, secure transfer procedures, access controls, and clear scope limitations. Final obligations depend on the approved tools, agreements, client requirements, and project scope.
What will we receive at the end of a project?
Deliverables depend on scope and may include an executive findings summary, claim- or issue-level log, denial or payer pattern summary, priority list, and recommended next steps for the client’s billing or leadership team.
Do we need to know our exact claim count before contacting you?
No. A reasonable estimate is enough for the first conversation. OriNova can help define the review period, payer scope, and approximate volume before preparing a quote.
Can we start with a small project?
Yes. Many clients start with a Revenue Recovery Snapshot or a limited review before deciding whether a larger audit or ongoing support makes sense.
How is pricing determined?
Pricing is based on claim volume, review period, payer complexity, data quality, number of services, turnaround, and deliverables. You receive a written quote before work begins.