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Outcome based operations support

QOP Women Care provides tangible results, not just temporary staff or general assistance. Our specialized services allow women's health practices to offload routine operational tasks, enhancing efficiency without expanding their workforce. With transparent, outcome-based billing, clients pay for verifiable work, eliminating uncertainty and ensuring a fair, straightforward compensation structure.

QUALITY OPERATIONS, QUALITY TALENT, REAL IMPACT,

A model built around defined outcomes

QOP Women Care is built on an outcome-based operations model: you pay for fully completed work defined by agreed rules. We begin with a brief discovery to understand the workflows that matter most in your practice and what “done” means to you. Then we embed clear completion definitions and integrate the work into your systems so handoffs are seamless. For work that doesn’t fit a repeatable pattern yet, we offer a traditional monthly option with a dedicated specialist.

We handle inbound patient access calls and scheduling so obstetrics, gynecology, and maternity teams spend less time on phone work and more on care delivery. At QOP Women Care, we document requests, update schedules with confirmations, and route follow-ups clearly to your team. By owning call intake and appointment actions, we reduce dropped communications and improve patient experience.

We run insurance eligibility and benefits checks before visits and procedures to prevent day-of-service coverage surprises. With QOP Women Care handling payer lookups and documenting benefit details, your practice sees fewer coverage delays and cleaner front-end workflows. We capture coverage status and next steps so your internal team can focus on clinical priorities.

We complete patient intake and preregistration tasks — from demographics to required forms — so your front desk is ready when patients arrive. We document what’s complete and what is blocked, giving your team clarity and reducing last-minute gaps. QOP Women Care ensures intake prerequisites are handled efficiently, lessening day-of-visit rework and friction.

We handle provider credentialing and payer enrollment so your OB/GYN, fertility, and maternity teams can focus on patient care instead of paperwork. We manage license verification, payer applications, and ongoing recredentialing with compliance checks to reduce delays and errors, accelerating when your clinicians can begin billing. With QOP Women Care coordinating credentialing and enrollment, your practice avoids revenue interruptions and administrative bottlenecks that slow growth.

We follow up consistently with payers to resolve unpaid claims and log status updates with clear next actions. By managing payer communications and exception routing, we help reduce aging claims backlogs. We document every status check and follow-up cycle so your internal teams have visibility and fewer manual chases.

We code professional-fee encounters with audit-friendly documentation and handle exceptions according to your rules, supporting cleaner downstream billing. Our approach reduces coding bottlenecks and improves claim accuracy for OB/GYN, fertility, maternity, and specialty services. With structured coding workflows, your practice gets consistent output and fewer returned claims based on code issues.

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 Women Care.

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 where “done” is defined upfront — from eligibility checks and prior authorizations to scheduling and claims workflows. At QOP Women Care, delivery is measured on completed outcomes that are auditable and outcome-focused, not on hours, seats, or general activity that doesn’t tie back to clinic results. This lets your team track throughput and quality across the front and back office without ambiguity.

How do we decide what services to start with?

We start with a discovery call, then help you prioritize the services creating the most operational load or business risk (e.g., authorization delays, patient intake bottlenecks, backlog in claims processing), as long as they can be defined with clear completion rules. QOP Women Care only takes on services scoped tightly enough to execute consistently and reliably, so your practice gains predictable throughput from day one.

How does work enter the workflow?

Work can enter through integrations, system triggers, scheduled batches, shared queues, or an agreed handoff process with your team based on the service at hand. For example, eligibility and benefits checks may be triggered automatically by scheduled appointments, while scheduling changes come through patient requests. The intake method is defined per service so there’s a consistent flow and no ambiguity about work ownership.

Do you work in our systems or your systems?

Either approach works, depending on what makes delivery clean and trackable. Sometimes we operate directly in your clinical and administrative tools (EHR/PM systems), sometimes we use ours, and sometimes we connect both so the workflow stays aligned and auditable between teams. QOP Women Care always configures it so data flows and completion evidence is visible to your ops leaders.

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 payer response confirmation, a status change in your system, a record update, or a logged note — that requirement is defined upfront and agreed by both teams before we start. This prevents ambiguity and ensures work items are billed only when truly complete.

How does pricing work?

Pricing is outcome-based. Each outcome type has a unit price tied to its completion rules — from “completed authorization submission” to “verified eligibility result” or “scheduled appointment with confirmation.” 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 at the same unit pricing. Items that are out of scope or blocked are not counted 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 period to validate that completion rules match real day-to-day work in your practice. Once validated, delivery runs in steady state using the same definitions and pricing — giving your team predictable cadence, measurable throughput, and fewer operational surprises.