End-to-End Medical Billing & Revenue Cycle Management Services
PrimeRev Health supports every stage of the revenue cycle, from patient intake and eligibility to claims, payments, denials, A/R, and reporting. Choose comprehensive RCM services or the specific support your practice needs.
Medical billing services built around your practice.
Some practices need a complete outsourced medical billing team. Others need targeted help with denials, A/R, or eligibility. PrimeRev Health can manage the entire revenue cycle or work alongside your in-house staff on the areas that need the most attention.
Every engagement starts with an assessment of your current workflows, so the scope is based on what your practice actually needs.
Common reasons practices contact us
- Rising denials or recurring rejections
- Growing or aging accounts receivable
- Staff turnover or limited billing capacity
- Limited visibility into collections and performance
- Adding providers, locations, or services
Patient Registration & Intake
Accurate revenue starts at the front desk. Errors in demographics or insurance details are among the most common causes of rejected and denied claims. We help your team capture and validate the information every clean claim depends on.
Discuss patient registration supportWhat's included
- Patient registration support
- Demographic verification
- Insurance information capture and updates
- Eligibility verification
- Benefits verification
- Intake workflow support
Medical Coding Support
Coding should reflect the care delivered and the documentation behind it. Our coding support helps align diagnoses and procedures with provider documentation and payer requirements, so coding questions are resolved before they become claim problems.
Discuss medical coding supportWhat's included
- ICD-10-CM diagnosis coding support
- CPT procedure coding support
- HCPCS Level II coding support
- Coding review and query support
- Documentation-focused workflows
- Charge capture support
Charge Entry
Every billable service should be captured accurately and on time. We enter and validate charges against encounter details so missing, duplicate, or inconsistent charges are caught early.
Discuss charge entry supportWhat's included
- Accurate charge capture
- Charge validation against encounter details
- Timely charge entry
- Error identification and correction
- Missing charge follow-up
Claims Management
Clean, timely claims are the foundation of predictable cash flow. We prepare, scrub, and submit claims electronically, then monitor them through adjudication so nothing stalls unnoticed.
Discuss claims management supportWhat's included
- Electronic claims submission
- Claim scrubbing and pre-submission edits
- Clearinghouse submission and acknowledgment review
- Rejected claim correction and resubmission
- Claim status monitoring
- Timely filing oversight
Payment Posting
Accurate payment posting keeps patient balances correct and reveals underpayments and denials that need attention. We post and reconcile payments so your ledger reflects what was actually received.
Discuss payment posting supportWhat's included
- ERA and EOB processing
- Insurance payment posting
- Patient payment posting
- Contractual adjustments and write-offs
- Payment reconciliation
- Deposit balancing
Denial Management
Every denial has a cause. We work denials quickly, correct and resubmit or appeal what deserves another look, and track patterns so the underlying issues can be fixed.
Discuss denial management supportWhat's included
- Denial identification and categorization
- Root-cause analysis
- Corrective action and resubmission
- Appeals preparation and tracking
- Rebilling
- Denial prevention recommendations
Accounts Receivable Management
Unworked A/R becomes lost revenue. Our medical accounts receivable follow-up gives every open claim a clear next action and prioritizes the accounts with the greatest impact.
Discuss a/r management supportWhat's included
- Insurance A/R follow-up
- Aging analysis by payer and bucket
- Outstanding claim follow-up
- Underpayment identification
- Payer communication
- High-priority account management
Patient Billing & Collections
Patient balances are a growing share of practice revenue. We help make patient billing clear, respectful, and consistent so balances are resolved with less friction for your staff.
Discuss patient billing supportWhat's included
- Patient statements
- Patient account support
- Balance follow-up
- Payment processing workflows
- Clear, courteous patient communication
Insurance Verification
Verifying coverage before the visit prevents many of the denials that are hardest to recover. We confirm eligibility and benefits and support authorization workflows ahead of service.
Discuss insurance verification supportWhat's included
- Eligibility verification
- Benefits verification
- Coverage validation
- Prior authorization support
- Pre-service verification
Credentialing & Enrollment
Credentialing delays can hold up reimbursement for new providers and locations. We help organize applications, track progress, and keep payer enrollment information current.
Discuss credentialing supportWhat's included
- Provider enrollment
- Payer enrollment
- Credentialing support
- Recredentialing
- CAQH profile support
Reporting & Analytics
You should be able to see how your revenue cycle is performing at a glance. Our reporting turns billing activity into clear insights and next steps.
Discuss reporting supportWhat's included
- A/R aging reports
- Denial reports and trends
- Collection reporting
- Payment trends
- Revenue cycle KPIs
- Productivity reporting
We work within your existing technology.
PrimeRev Health works alongside the healthcare technology ecosystem your practice already relies on. Before recommending a working model, we review your systems, access requirements, and current workflows.
There is no need to replace software that works for your team. Our focus is on improving how the work gets done.
- EHR/EMR systems
- Practice management systems
- Clearinghouses
- Payer portals
- Eligibility verification platforms
- Electronic remittance (ERA) systems
- Reporting & analytics platforms
Find out where your revenue cycle needs attention.
Request a free billing analysis. We will review your current challenges and recommend practical next steps.