Medical Coding
AAPC-certified coders using ICD-10 and CPT to maximize reimbursement on every claim submitted.
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Core Service
Medical Billing Services
End-to-end claim management that maximizes collections, reduces denials, and accelerates cash flow for your practice.
HIPAA Compliant
97%+ Clean Claims
Dedicated Account Manager
Outsource the complexity of medical billing to a dedicated team of AAPC-certified specialists. We manage the entire revenue cycle — from eligibility verification to payment posting — so your staff can focus on patient care, not paperwork.
At Prime Medical Billing, we bring together smart claim handling, real-time EHR integration, and proactive AR management to deliver billing outcomes independent practices and groups can rely on.
Most practices leave 15–25% of revenue uncollected due to billing errors, unworked denials, and slow follow-up. Our streamlined process eliminates those losses and converts them into consistent, predictable revenue growth.
Key Benefits
Expert Assistance
AAPC-certified billing specialists identify the right coding and documentation approach for your specialty — reducing denials before they happen.
Better Compensation
Accurate, timely submissions mean faster reimbursements. We proactively manage all payer communications to keep your cash flow consistent.
Competitive Pricing
A simple percentage-of-collections model — you pay nothing until we collect. No setup fees, no hidden charges, no long-term contracts.
A/R Follow-Up
Dedicated AR specialists track every outstanding claim and transform aging receivables into recovered revenue — no balance left behind.
Denial Management
Every denial is reviewed within 24 hours, root cause identified, corrected, and re-submitted before payer appeal deadlines. No claim abandoned.
Increased Profitability
More revenue, faster payments, and greater financial stability. Most practices see measurable collection improvements within the first 30 days.
Our Full-Spectrum Billing Process
We provide a complete range of medical billing and AR management services, backed by efficient EHR integrations within a secure, HIPAA-compliant framework. Our solutions scale with your practice — whether you see 50 patients a month or 5,000.
- Clean claim submission — all claims scrubbed before submission
- Real-time eligibility verification before the appointment
- Electronic remittance advice (ERA) — same-day payment posting
- Patient statement management with a focus on collections
- Comprehensive monthly reporting: clean claim rate, net collection rate, days in AR
- Dedicated account manager assigned to your practice
Related Services
Denial Management
Proactive denial prevention and rapid appeals that recover revenue most practices don't know they're missing.
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Full payer enrollment and re-credentialing to get your providers billing faster without revenue gaps.
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Our free billing audit takes less than 48 hours and shows you exactly where money is slipping through the cracks.
No contracts • No setup fees • HIPAA-compliant at every step
Frequently Asked Questions
Everything you need to know about working with Prime Medical Billing for your medical billing services needs.
Most practices see measurable improvements within the first 30–60 days. Clean claim rates typically rise within the first billing cycle as we correct root-cause coding and documentation issues. Full revenue optimization — including recovered denials and reduced AR days — is usually evident within 90 days.
No. We integrate with all major EHR and practice management systems including Epic, eClinicalWorks, Athenahealth, Kareo, DrChrono, Practice Fusion, Greenway Health, and more. Our onboarding team handles the technical setup.
Before any data is shared, we execute a formal Business Associate Agreement (BAA) with your practice. All data transfers use encrypted channels, our staff are trained on HIPAA annually, and we conduct regular security risk assessments.
Our average first-pass clean claim rate is 97–98%. We measure this as the percentage of claims accepted by payers on first submission. Each client receives a monthly performance report tracking this and other key metrics.
No denied claim goes unaddressed. Our denial management team reviews every denial within 24 hours, determines the root cause, corrects the claim, and re-submits with supporting documentation before payer appeal deadlines.