When internal teams are overloaded and hiring lags, performance breaks down fast. Hospitals QOP fixes both sides of that problem: recruitment support that finds the right talent for your toughest roles, and outcome‑based operations support that owns workstreams with defined outputs, not meaningless seat charges. We’re one partner that scales with your hospital’s operational needs.
At Hospitals QOP, we deliver defined, measurable operational outcomes — not headcount, shifts, or generic “support.” Hospitals and health systems use us to offload recurring operational work so internal staff can focus on patient care and strategic priorities. We align on clear completion rules so you pay only for finished work, not time, seats, or ambiguous effort.
QUALITY OPERATIONS, QUALITY TALENT, REAL IMPACT,
In our outcome‑based operations model at Hospitals QOP, billing follows verifiable completed work that matches the definitions you set. We start with a discovery call to understand what matters, define completion criteria, and integrate with your workflows so work moves smoothly between teams. When tasks don’t yet lend themselves to clear outcome definitions, we offer a traditional monthly option with a dedicated specialist to support you.
Our most requested services
Manage appointment scheduling from request through confirmed completion
Hospitals QOP manages scheduling requests from intake to completion. It covers booking, rescheduling, cancellations, confirmations, callbacks, and reminders, with clear documentation. Requests requiring clinical review or policy guidance are routed appropriately, ensuring auditable workflows and reducing missed or mishandled scheduling tasks.
Complete preregistration/registration to prevent missing check-in data
We finalize preregistration and registration, capturing forms, demographics, and documents. Missing or unresponsive items are documented with a disposition, ensuring audit-ready patient records. This service prepares teams for check-in efficiently without making eligibility determinations or collecting payments.
Verify coverage/benefits and document verification outcomes clearly
Hospitals QOP confirms coverage and benefits, documenting each verification outcome. If information is incomplete or inactive, a clear disposition is logged. No payment or financial counseling occurs—only clean, auditable verification and routing guidance for clinical or administrative follow-up.
Submit claims, correct rejections, and document resubmission steps
We handle claims submission and corrections with clear documentation at every step. Accepted claims move into follow‑up, and blocked submissions receive a documented disposition so teams know why they stalled. This structured process supports smoother downstream processing, helps reduce errors that cause rejections, and maintains complete, auditable claim records tied to actual work completed rather than vague activity or effort estimates.
Conduct payer follow-ups, documenting progress and next actions
Hospitals QOP conducts follow-up on accepted claims, updating status and documenting evidence. Denials route to appeals, and next actions are clear, preventing stalled items or duplicate billing. This maintains operational efficiency and audit-ready records.
Handle billing inquiries and statement sends from client systems
Hospitals QOP manages patient-facing billing inquiries and the distribution of statements generated within the client’s system. Our team handles reminder outreach and dispute documentation, ensuring consistent recordkeeping and precise routing for items requiring client intervention. This excludes payment collection or the handling of funds, maintaining a strictly operational and fully auditable workflow.
Custom work items built around your workflow
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 Hospitals QOP.
Flexible tasks that do not fit our fixed outcome model
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.
Frequently Asked Questions
Hospitals QOP delivers operational scope with transparent completion criteria. We don’t bill for time, seats, or general effort — we bill only for verifiable outcomes that meet the definitions you approve.
We begin with a short discovery call to identify the highest‑impact operational work and areas of business risk in your health system. Only services that can be tightly scoped with clear completion criteria are accepted — ensuring reliable, repeatable execution.
How work enters depends on the specific service — it can come via integrations, system events, scheduled batches, shared queues, or a defined handoff process with your team. Each service has its own intake design so work flows reliably and consistently.
Depending on what keeps things clean and auditable, we can work directly in your hospital systems, operate in our own tools, or connect both. The goal is a seamless workflow with transparent tracking between teams.
Each service is broken down into outcome categories with documented completion criteria. When proof is needed — a confirmation, status update, record change, or log entry — we define that upfront so there’s no ambiguity about what “done” looks like.
Our pricing is tied directly to outcomes, with each outcome type priced by its completion definition. Clients typically maintain a recurring service credit or minimum, and work reduces that balance as outcomes are completed. If you exceed the included volume, additional outcomes are billed at the same unit rates. Out‑of‑scope or blocked items do not count toward completed outcomes.
We start by agreeing on the work scope, outcomes, and intake method, then establish any needed tooling or integrations. A short ramp period follows to ensure completion rules reflect real hospital workflows. Once validated, steady‑state delivery begins with consistent definitions and pricing.
Chief Medical Officer
Real stories of growth
