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Smarter billing workflows for Ontario physician groups

Modernized billing, without disrupting clinical work.

OM Billing combines structured automation and billing intelligence with direct EMR integration, improving completeness, consistency, and traceability while reducing administrative burden. Active at a major Toronto academic health network, with full Epic integration.

Contact us What we do
Billing automation
EMR integration
Logic-based optimization
Point-of-care capture
Rejection reduction
Revenue alignment

What we do

OM Billing combines EMR integration, logic-based code optimization, and billing automation into a single platform. Unlike traditional billing services or standalone software, it works upstream within clinical workflows, reducing manual effort while improving accuracy and capture rates.

Billing automation

Structured intake and automated billing workflows replace manual data entry, reducing administrative burden across clinic, OR, and ward settings.

Logic-based optimization

Built-in billing logic and validation rules handle code selection, fee schedule alignment, and rejection prevention automatically, including complex multi-code submissions.

EMR integration

Operates directly within existing EMR environments, pulling clinical data at the point of activity to generate submission-ready billing outputs with minimal physician input.

Reporting & oversight

Aggregate billing insights and audit trails supporting transparency, governance, and ongoing optimization across the group.

How it works

A practical, automated flow from clinical activity to submission-ready output. Built to reduce manual steps at every stage.

Capture Structured intake pulls directly from EMR data at the point of clinical activity, clinic, OR, or ward.
Automated logic Built-in billing intelligence applies code selection, fee schedule rules, and optimization logic automatically, including multi-code and complex procedure scenarios.
Validation Automated checks identify errors and flag rejection risks before submission, reducing re-work and appeals.
Submission output A complete, traceable billing record aligned to clinical activity, ready for OHIP submission with minimal input from physicians or billing staff.

Common pain points we address

  • Manual, redundant data entry across clinical and billing teams
  • High risk of human errors and rejected claims
  • Limited traceability and difficult reconciliation
  • Billing activity not keeping pace with service volume
  • Delayed submissions and missed billings

What groups typically gain

  • Better alignment between services delivered and services captured
  • Lower administrative burden on clinical and billing staff
  • Audit trail and clearer governance
  • Ongoing optimization through structured feedback
  • Reduced dependence on manual processes

Zero-risk pilot

A short, low-friction pilot to validate impact before broader adoption.

Pilot structure

  • Deploy in 1–2 areas for 2–4 months
  • Side-by-side comparison with current workflow
  • Pre-agreed roadmap for any expansion

Commercial model

  • No uplift, no cost
  • Performance-based fee (with agreed cap)
  • No obligation after pilot

Contact

For discussions, demos, or a brief capability overview:

admin@om-billing.com
OM Billing provides physician-group billing support and workflow automation within Ontario.