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Outcome based operations support

At QOP Primary Care, we provide measurable operational outcomes for community-based organizations where patient access and clinical flow are paramount. We handle the recurring, high-stakes tasks that typically bottleneck high-volume primary care groups—from FQHCs to independent family medicine practices—without requiring you to expand your internal headcount. By tracking work to clear completion rules rather than billable hours, we ensure your clinic stays lean, compliant, and focused on patient care.

QUALITY OPERATIONS, QUALITY TALENT, REAL IMPACT,

A model built around defined outcomes

QOP Primary Care’s core model is outcome-based operations support, where billing is tied to completed administrative tasks verifiable under agreed rules. Everything starts with a discovery call to confirm which clinical workflows matter most and what “done” looks like for your practice. We then align on completion definitions and integrate with your EMR or existing systems so work moves cleanly between teams. For work that cannot be standardized reliably, we also offer a traditional monthly option with a dedicated specialist.

QOP Primary Care handles front-door scheduling: booking, rescheduling, cancelling, and confirming appointments while logging every action. We start from patient requests or clinic task lists and finish when the appointment is saved and outcomes are documented. This keeps routine access work from overwhelming the front desk while providing full visibility into what we completed.

We manage the revenue-cycle workflow end-to-end: verifying coverage, submitting prior authorizations, preparing coding, filing claims, and clearing denials or payer exceptions. Each task is tracked and documented so status is clear and auditable. We never handle payments directly, but we make sure all steps are completed and evidence is logged.

We draft and structure visit notes and perform quality checks to ensure clinicians can review and sign efficiently. This includes creating drafts, verifying required sections, and flagging any gaps. QOP Primary Care focuses on producing fully documented, ready-to-review notes without making clinical decisions or performing final sign-off.

We manage referrals from start to finish: sending packets, scheduling specialists when required, tracking progress, and chasing results to closure. We finish when the referral reaches a documented terminal status—scheduled, sent/pending, returned, or patient declined. Specialist scheduling is only handled when it’s part of a referral to prevent overlapping work.

We handle non-clinical outreach: patient education, reminders, and follow-up tracking. Every contact and attempted touch is logged, and necessary escalations are routed to clinicians. When outreach results in a scheduling change, we route it to Patient Scheduling to avoid overlap, keeping outreach outcomes auditable and actionable.

We collect required documents, update provider profiles (including CAQH), submit payer enrollment packets, and track progress through completion. Every submission, revalidation, or correction is logged with evidence. We do not replace provider signatures or handle licensure decisions, but we make sure all enrollment steps are finished and auditable.

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 Primary 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?

At QOP Primary Care, we run clearly scoped operational streams where “done” is defined upfront. Delivery is measured on completed outcomes, not hours, seats, or general activity.

How do we decide what services to start with?

We start with a discovery call to identify the highest-impact services—the tasks creating the most operational load or business risk for your clinic—as long as they can be defined with clear completion rules. QOP Primary Care only takes on work that can be scoped tightly enough to execute consistently.

How does work enter the workflow?

Work enters through integrations, system triggers, scheduled batches, shared queues, or an agreed handoff process with your team. The intake method is defined per workflow so there is a consistent flow and predictable tracking.

Do you work in our systems or your systems?

We operate either directly in your tools, within our platform, or by connecting both so the workflow stays aligned. The choice depends on what makes delivery clean, auditable, and measurable.

How do you define what counts as “complete”?

Each operational stream is broken into outcome types with written completion rules. If evidence is required—like a confirmation, status change, record update, or logged note—that requirement is defined upfront.

How does pricing work?

Pricing is outcome-based. Each outcome type has a unit price tied to the completion rules. Most clinics use a recurring service credit or minimum commitment, with usage applied only for completed outcomes. Out-of-scope or blocked items are not counted as completed.

What does onboarding look like?

We align on scope and outcomes, confirm intake methods, set up any required tooling or integrations, then run a short ramp to validate that completion rules match day-to-day work. After that, QOP Primary Care delivers in steady state using the same definitions and pricing.