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About Us

Established in 2002, Managed Outsource Solutions (MOS) is an end-to-end outsourcing services provider, helping various medical clients with quality and affordable services. In keeping with our motto "Do what you do best, we’ll do the rest," we provide you with a comprehensive solution that will help you achieve the quality you desire at a cost that will benefit your practice.

At the Forefront of

Healthcare Outsourcing

MOS has remained at the forefront of the outsourcing industry providing value-added healthcare outsourcing services customized to meet unique client requirements. We are globally recognized for our innovative solutions that help healthcare practices run more efficiently. Specialized in medical billing, medical transcription, ICD-10 implementation support, A/R reporting, coding audits and credentialing services, our goal is to work with you and find a solution that fits your requirement. Let your concern be back office support such as payroll and accounting or even improving your revenue cycle through more clean claims, we will work closely with you and your staff to enhance your ability to realize the full potential of your medical practice. We also provide medical website design with ecommerce and patient portal, search engine optimization, healthcare document conversion/digitization and healthcare staffing solutions.

MTS Transcription Services

(MTS) - Our Dedicated Transcription Division

MTS Transcription Services is a division of MOS specialized in providing secure medical transcription services, serving clients across North America. Our medical transcription company is built around providing fast and accurate HIPAA-compliant services, at competitive pricings. Over a period of time, we have offered superior transcription services in various branches of medicine and successfully achieved complete customer satisfaction. Whether you need a dependable overflow transcription solution or a comprehensive total medical transcription solution, we are here to help you achieve your goals with the quality you desire.

What Makes Us Unique

  • Industry-wide experience
  • Knowledge-based foresight and use of advanced technologies
  • BBB-accredited business standards
  • Continuous improvement practices
  • Dedicated workforce comprising highly talented team of medical transcription specialists and quality control staffs
  • Highest quality standards
  • 99% accuracy and quick turnaround
  • No setup or hidden fees, No long term yearly contracts

Meet the MOS Team

Bob Kruse: Co-Founder

Bob Kruse

With previous experience as engineer and hospital CEO, Bob and his wife began entrepreneuring in 1993, founding Kruse & Associates to recruit and place healthcare professionals. In 2002, as management and ownership of Kruse & Associates was being transferred to long-term employees, Rajeev called; and Managed Outsource Solutions was "born".

With B.S. degrees in Engineering and Business, and an M.S. degree in Health/Business Administration, Bob’s experience in healthcare management and as an entrepreneur provide valuable vision and long-term planning as well as management to the MOS team.

Bob resides in Broken Arrow, Oklahoma with his wife; and is often either preparing for or experiencing visits from several children and grandchildren. When not giving tractor rides, he can be found cutting wood or building (another) deck.

Rajeev Rajagopal: President

Rajeev Rajagopal

Rajeev immigrated to the United States from India in the mid 90s; with an education in physical therapy and computer science, and began working as a physical therapist. He later started a business as a healthcare business consultant. Having worked in several rehabilitation clinics, Rajeev has learned the importance of good medical records for billing and liability issues and the importance of the good back and front office support to a successful practice. After experiencing a clinic saving money by outsourcing, he called Bob and "the rest is history".

He manages the day-to-day operations of MOS from NY. With an interest in information technology, Rajeev has guided MOS to extensive use of digital technology and the internet that benefits MOS as well as MOS' clients.

Rajeev resides in Long Island, NY. When not working on MOS projects, Rajeev is doing things with his active son, or spending a little time on the badminton court.


Julie Clements: Chief Solutions Manager: Transcription, Data Conversion and Medical Record Review

Julie Clements

With some background in the healthcare staffing arena; as well as 6 years as Director of Sales and Marketing at a 4 star resort; Julie joined MOS in March of 2008.

Hired for sales and support, Julie has proven capable across multiple product lines and in early 2011 was promoted to supervise all solutions managers. Bringing her exceptional customer relations and technical skills, not only to clients, but also to all solution managers is proving to be a key element in the continued growth of MOS. Julie was instrumental in the creation of the medical record review division (and new web site); and has especially grown this division along with data conversion of all kinds.

Julie lives with her husband and three children in Eagle, Idaho; where after a busy day with MOS, she changes hats to "soccer mom." Incidentally she occasionally dons a uniform herself in a recreational league, after playing varsity soccer in high school.

Jan Merrifield: Senior Solutions Manager: Transcription, Medical Record Review, Data Conversion

Jan Merrifield

Jan joined the MOS team in early 2011, strengthening both our Marketing and Support. With a BS in Education; and then adding RN to her credentials; her experience ranges from surgical and home health RN to ownership of a medical equipment company. Her expertise in customer service, marketing, and clinical knowledge along with her positive and bubbly personality, make her a welcome addition to the MOS team.

Jan is a third generation OU grad and resides in Tulsa, OK. She is actively involved in non-profit agencies. Her sons, dancing, singing, and entertaining fill her with joy.

Dhananjay .S. Nair: Support and Solutions Specialist

Dhananjay .S. Nair

Dhananjay (DJ) started his career when he joined the MOS team in early 2012 and has been an integral part of the company as a support and solutions specialist. He holds a Degree in Mechanical Engineering as well as certifications in Designing & Networking.

New to this field but quick to adapt and learn, DJ has played a role in organizing MOS' internal documentation, and managing MOS' internal and customer support. He resides in India and works as a bridge to MOS' operations in India.

Like every youngster, DJ likes gaming, music and the gym. He is an avid traveler and loves exploring new places.

Philosophy and Values

Every business has challenges; and in order for any business to thrive, solutions must be found for these challenges. And, even though we like to think positive; "Murphy's Law" seems to be continually lurking; in other words, there will always be challenges.

We, at MOS, fully understand this, and our business model is centered on SOLUTIONS; for us yes, but more importantly for our clients. You have Challenges? We have Solutions.

Philosophy and Values

Key Features

  • 3 Levels of Quality Assurance
  • Accuracy Level of 99%
  • All Specialties Covered
  • Competitive Pricing
  • Digital Recorder Dictation
  • Electronic Signatures
  • Feeds for EHR or EPM
  • HIPAA Compliant Service
  • Quick Turnaround Time
  • Toll Free Phone Dictation
  • Transcription Management Software
  • Volume Rates Available
Case Studies

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