Revenue Cycle Management – Prime Medicos

Maximize Your Practice Revenue with Our Premium RCM Services

RPA process ensuring 99% accurate claim submissions.
Swift insurance payments in just 26 days.
Free credentialing for all providers with preferred payors.
Experience a 20% revenue boost with lightning-fast collections.
Maintain consistent cash flow with proactive AR follow-ups.

Trusted by 500+ physicians

Catering to
32+ specialties

1100+ certified medical billers and coders

End-to-End Automated Billing Solution

Up to 98% First Pass Clean Claim Rate

How Our Revenue Cycle Services Work

Prime Medicos employs a comprehensive strategy in Revenue Cycle Management (RCM) to optimize every stage of the patient process and maximize revenue opportunities. We begin with thorough patient registration and eligibility verification, ensuring accurate and up-to-date information to minimize claim denials and streamline the billing process.

Our experienced coders ensure accurate medical coding and charge capture, optimizing reimbursements while minimizing compliance risks. By leveraging advanced technology and industry best practices in Revenue Cycle Management (RCM), we enable efficient real-time claims monitoring to proactively address issues, reduce denials, and ensure timely reimbursements for your practice.

Our RCM experts work diligently to overturn denied claims and recover lost revenue, ensuring maximum reimbursements. We emphasize timely and accurate payment posting to maintain a healthy revenue cycle. With Prime Medicos’ RCM services, you can achieve improved cash flow and a streamlined financial reconciliation process, enhancing your practice’s financial stability.

Securing Your Data: A HIPAA-Compliant Approach

At Prime Medicos, we prioritize the security of your data, adhering to HIPAA regulations and beyond. Our commitment goes beyond mere compliance—we implement proactive security measures to protect your sensitive healthcare information at every stage. We offer the following RCM security measures:

Uptime Assurance

Achieve an impressive 99.9% uptime to ensure continuous RCM services availability.

HIPAA Compliance

Rigorous measures are in place to meet and exceed HIPAA regulations.

SOC-1 & SOC-2

Adhered to both SOC-1 and SOC-2 protocols for the highest industry standards in security.

Disaster Recovery

We ensure data accessibility through robust disaster recovery measures.

Medical Billing Specialities

At Prime Medicos, our mission is to transform healthcare by providing high-quality solutions that benefit medical practices, their patients, and the communities they serve.

From Registration to Collections: Our Comprehensive RCM Solutions

Prime Medicos is recognized as a leading medical billing company in the USA, offering a comprehensive suite of solutions to optimize the revenue cycle. With cutting-edge technology and a team of experienced professionals, we enable healthcare providers to focus on quality patient care while we efficiently handle their billing and cash flow management.

Appointment Scheduling

Our RCM services begin with efficient appointment scheduling. By leveraging advanced scheduling systems, we optimize appointment slots, reducing wait times and enhancing patient satisfaction.

Patient Registration

Accurate and detailed patient information is the foundation of effective medical billing. Our patient registration process is meticulous, ensuring that all necessary details are captured.

Eligibility and Benefits Verification

Our front desk management team ensures that patients’ eligibility and benefits are verified accurately before services are rendered.

Utilization Review

Our utilization review ensures that the medical services provided align with HIPAA guidelines, optimizing reimbursement while maintaining insurance compliance.

Referral Authorization

Our RCM services navigate the complex landscape of referral authorization. We ensure that necessary approvals are obtained and prevent claim denials and delays.

Describing Changes

We ensure that any changes in coding, billing, or regulatory requirements are promptly implemented, reducing the risk of compliance issues.

Coding and Billing

Our team of experienced medical billing specialists employs accurate coding practices, eliminating cash flow inconsistencies.

Charge Posting

Our systems ensure that payments are posted promptly directly to the provider’s account.

Submitting Claims

By adhering to practice standards and using advanced technology, we expedite the claims submission process.

Empower Your Practice with the Results-Focused Transcure RCM Advantage

Partnering with us means unlocking the full potential of your practice’s revenue cycle. Our proven RCM services model has consistently delivered real results for healthcare providers across the industry. Here’s how you’ll benefit:

Achieve an Average Collection Rate of 96%:

Prime Medicos’ focus on accuracy, efficiency, and proactive management results in an impressive average collection rate of approximately 96%. This means more revenue in your pocket.

Improve Your Clean Claim Submission Rate, Reduce Denials

Our meticulous approach to coding, claim submission, and denial management ensures a higher clean claim submission rate. This results in fewer denials and a more seamless revenue cycle for your practice.

Identifying Unpaid Balances

Prime Medicos goes beyond the basics. We specialize in recovering revenue from denials, appeals, and open patient balances. Our comprehensive approach ensures that you capture every dollar owed to your practice.

Rapid Turnaround Time

Experience a rapid turnaround with denial resubmissions within 48 hours, coupled with proactive denial alerts that serve as a preventive measure to minimize revenue loss.

Patient Communication

We place emphasis not only on efficient billing processes but also on patient communication. Enjoy the convenience of immediate statements to patients and seamless online payment options, ensuring a patient-centric financial experience.