Medical Coding
AAPC-certified coders using ICD-10 and CPT to maximize reimbursement on every claim submitted.
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Complete Revenue Cycle
Revenue Cycle Solutions
End-to-end revenue cycle management solutions that eliminate billing inefficiencies and unlock your practice's full earning potential.
HIPAA Compliant
97%+ Clean Claims
Dedicated Account Manager
Prime Medical Billing delivers a complete suite of revenue cycle solutions — from claims submission and denial management through credentialing, patient collections, and beyond. One partner. One streamlined process. Measurable results from day one.
Independent practices and group clinics face increasing billing complexity: payer rule changes, claim scrubbing requirements, prior auth burdens, and growing patient responsibility balances. Our integrated solutions tackle every layer of the revenue cycle — so no revenue is left on the table.
We don't just submit claims. We build the revenue infrastructure your practice needs to grow — with the transparency, reporting, and expertise to back it up.
Key Benefits
Full Revenue Cycle Management
From eligibility verification and claim submission through denial management and patient collections — we handle your entire revenue cycle under one roof.
Denial Elimination
Proactive claim scrubbing and AAPC-certified coding reduce first-pass denial rates to under 3%. Every denial that does occur is worked within 24 hours.
Provider Credentialing
Credentialing with all major payers completed in parallel with billing setup — so your providers can bill from day one, with no revenue gap.
AR Acceleration
Systematic AR follow-up reduces days in AR and converts aging balances into collected revenue — most practices see 20–40% AR reduction within 90 days.
Specialized by Specialty
Dedicated billers and coders trained in your specialty — not generalists. We serve 20+ specialties including primary care, surgery, mental health, and more.
HIPAA-Secure Infrastructure
Every solution operates on HIPAA-compliant infrastructure with signed BAAs, encrypted data transfer, and regular security audits.
Our Integrated RCM Approach
We deploy a layered, integrated approach to revenue cycle management — so each solution reinforces the others. The result is a billing system that runs smoothly, reports transparently, and grows with your practice.
- Insurance eligibility verification before every appointment
- AAPC-certified coding and claim scrubbing
- Electronic claim submission within 24 hours of encounter
- Electronic remittance advice (ERA) processing and reconciliation
- Denial review within 24 hours — correction and resubmission
- Systematic AR follow-up at 30/60/90 days
- Patient statement generation and collections support
- Credentialing with all major commercial and government payers
- Monthly performance reporting: clean claim rate, net collection rate, days in AR
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 revenue cycle solutions 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.