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About Medical Revenue Cycle Management Service

Medical Revenue Service by Prime Billing, generates and collects payments for the services a provider provides to their patients. It’s a complete RCM solution managing end-to-end RCM operations like patient registration, insurance verification, coding, billing, and collections. Our RCM billing company optimizes revenue cycle for better financial outcomes of the physician’s medical center.

351 +
Happy Customers
402 +
Completed Cases

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    WHY CHOOSE US

    Importance of Choosing Revenue Cycle Management Service in Medical Billing

    Managing a medical practice’s finances is complex. Between evolving regulations, strict insurance policies, and patients with expectations higher than Mt. Everest – it’s a recipe for revenue leakage, cash flow disaster, and operational chaos.

    Luckily, the medical revenue cycle management (RCM) experts at Prime Billing can restore your practice to full financial health. Our certified coders ensure accurate billing and coding to stop revenue leakage. Our enrollment specialists secure contracts with top commercial payers to expand your patient pool. And our billing experts work diligently to collect every dollar your practice earns.

    So don’t let medical finances frustrate you. Prime Billing Medical Revenue Service has the cure for what ails your practice’s finances. Call today to experience how we align a provider’s whole revenue cycle process to maximize collections while delighting patients.

    RCM ROI CASE STUDY

    Up To 30% Revenue Increase In Next 12 Months With
    Prime Billing Medical Revenue Service (Case Study)

    In-House Billing Prime Billing RCM Results
    Charges (on average)
    $142,000.00
    $142,000.00
    Gross Collection Rate (GCR)
    $60,000 (42%)
    $77,000 (54%)
    12% Increase in Gross Collection Rate
    Billing Costs
    $6,000
    $4,000
    $2,000 Decrease in monthly cost of RCM service
    $197,000 ≈ 30%
    Yearly Net Benefit
    (monthly gross collection * 12 months)
    Overall collection increase
    Get Free ROI Analysis

    End-to-End RCM Service Features by Prime Billing

    You have nothing to lose and everything to gain with Prime Billing Medical Revenue Cycle Management features. This means our healthcare RCM service is the partner you can trust for your revenue cycle success.

    Charge Entry Feature

    • Claim creation, validation, and transmission
    • Entering valid super-bill information
    • Claim approval confirmation
    • Claim status tracking

    Remittance Processing Feature

    • Processing of payments from the payers
    • Processing of adjustments and denials
    • Reconciling payments to the provider’s claims

    Insurance Follow-Up Feature

    • Following up with payers for unpaid claims
    • Following up with payers for underpaid claims
    • Contact payers on a provider’s behalf
    • Negotiating and resolving claim disputes

    KPI Reporting & Analytics

    • Monitors your key performance indicators
    • Analyzes days in accounts receivable
    • Analyzes claim denial rate and collection rate
    • Comprehensive and customizable reports
    • Advanced data visualization tools

    Patient Collections Feature

    • Collecting patient payments
    • Managing initial statement + final notice
    • Sending clean bills and reminders to patients
    • Convenient payment options for patients

    A/R Management Feature

    • Reduces the aging of outstanding A/R
    • A/R workflow optimization
    • Claim approval confirmation
    • Collecting A/R collections from the payers and patients

    Coding and Documentation

    • Coding provider’s services compliantly
    • Using the latest coding standards and guidelines
    • Capturing relevant details that support a provider’s claims
    • Justifying a provider’s reimbursement for their services
    • Performing medical bill audits

    Charge Capture Feature

    • Capturing and validating the service charges
    • Leveraging charge sheets and EHRs
    • Ensuring charges are consistent with coding and documentation
    • Reconciling your charges with your claims
    • Reconciling charges with your contractual agreements with the payers

    Contract Management

    • Managing contractual agreements with the payers
    • Determining how much you get paid for your services
    • Reviewing and negotiating your contracts
    • Monitoring the contracts’ compliance
    • Analyzing the contract performance
    • Using metrics like contract yield and case mix index (CMI)
    500 +
    Project Completed
    115 +
    HR Consultants
    100 +
    Awards WON
    920 K
    Happy Clients
    Our unique approach to medical billing is how Prime Billing RCM Service delivers measurable improvements to the revenue cycle process. The SmartClaim system we developed in-house analyzes billing codes and clinical documentation to catch issues before claim submission. This technology achieves first-time acceptance rates upwards of 98%, putting money back in our providers’ pockets faster.
    Prime Billing medical revenue service boosts revenue cycles through expert medical coding. Our acclaimed BellCoding technology reviews medical charts and identifies high-value codes. Our coders, armed with CPC certifications, then examine each chart to find revenue escalation opportunities algorithms miss. Through this man-machine symbiosis, Prime Billing delivers an RCM solution that promises more revenue for your healthcare facility.
    Our audit specialists utilize the Prime Billing Revenue Integrity process to analyze your current revenue cycle, uncovering exactly where coding and billing improvements will have the biggest impact. Our billing consultants then design targeted solutions to resolve those defects. We treat your revenue cycle as a whole and prescribe the best healthcare revenue cycle management remedies to make it stronger.
    REPORTING & ANALYTICS FEATURES

    Choose Prime Billing RCM Billing Company
    For Complete RCM Reporting

    Data Insights

    See the key metrics and trends of the revenue billing process in a comprehensive and interactive analytics dashboard. You can compare your performance with industry benchmarks and identify areas for improvement.

    Quick Feedback

    Communicate with our RCM experts, your patients, and the insurance payers instantly through the integrated chat system. You can ask questions, share feedback, and resolve issues in real time.

    Detailed Reports

    Drill down into the details of your revenue cycle with our customizable and granular reports. You can filter, sort, and export your medical billing data according to your needs and preferences.

    Get Complete RCM Reporting

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    Multi-Specialty Support

    Manage multiple facilities and locations with our RCM reporting dashboard. You can view and compare the data of different sites and groups in one place. Dedicated dashboard for each specialty.

    Data Security

    You can rest assured that your data is safe and secure. We use the latest encryption and authentication technologies to protect your data from unauthorized access and breaches.

    Data Integration

    You can integrate your data with other systems and platforms with Prime Builling RCM reporting dashboard. We support various formats and standards to ensure seamless data exchange and interoperability.

    Get a Free Audit!

    Claim your free audit now and boost your revenue cycle.

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    Quick Contact

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      Contact Info

      Office Address

      30 N Gould St #39988 Sheridan, WY 82801

      Telephone

      (+1) 732 4662541

      Mail Us

      sales@theprimebilling.com