Our Services
PrimeMed Management partners with physicians, hospitals, and health systems to deliver revenue cycle, billing, and value-based care solutions that enhance financial performance, drive better business outcomes, and transform the healthcare experience.
Revenue Cycle Management (RCM) Solutions
01
Claim Management: Automated claim submission, tracking, and resolution.
02
Patient Eligibility Verification: Real-time insurance verification and eligibility checks.
03
Charge Capture: Accurate charge entry and coding.
04
Payment Posting: Automated payment processing and reconciliation.
05
Denial Management: Proactive identification and resolution of denied claims.
01
Claim Management: Automated claim submission, tracking, and resolution.
02
Patient Eligibility Verification: Real-time insurance verification and eligibility checks.
03
Charge Capture: Accurate charge entry and coding.
04
Payment Posting: Automated payment processing and reconciliation.
05
Denial Management: Proactive identification and resolution of denied claims.
04
Payment Posting: Automated payment processing and reconciliation.
05
Denial Management: Proactive identification and resolution of denied claims.
Ready to get started?
Call us at 704-230-0115
Medical Billing Solutions
01
Electronic Billing: Secure, HIPAA-compliant electronic claims submission.
02
Automated Coding: AI-driven coding assistance for accuracy.
03
Billing Analytics: Real-time reporting and performance metrics.
04
Patient Statement Management: Customizable, user-friendly patient statements.
05
Payment Gateway: Secure online payment processing.
01
Electronic Billing: Secure, HIPAA-compliant electronic claims submission.
02
Automated Coding: AI-driven coding assistance for accuracy.
03
Billing Analytics: Real-time reporting and performance metrics.
04
Patient Statement Management: Customizable, user-friendly patient statements.
05
Payment Gateway: Secure online payment processing.
01
Electronic Billing: Secure, HIPAA-compliant electronic claims submission.
02
Automated Coding: AI-driven coding assistance for accuracy.
03
Billing Analytics: Real-time reporting and performance metrics.
04
Patient Statement Management: Customizable, user-friendly patient statements.
05
Payment Gateway: Secure online payment processing.
Integrate Seamlessly. Prioritize Patient Experience. Maximize Margins.
Our Physician Revenue Cycle Management solutions balance completeness, correctness and promptness of payment with a drive to deliver an exceptional patient experience. We engineered our delivery model to support your revenue cycle from end-to-end or at any point in between, powered by proven methodologies, repeatable processes, flexible technologies and measurable performance.
Focus on front-end performance to prevent downstream challenges
PrimeMed 's Patient Access & Experience solutions provide scheduling, eligibility confirmation, pre-registration, and registration services purpose-built for patient satisfaction.
Our solution includes:
- Registration assistance for capturing accurate demographics and insurance information.
- Appointment scheduling for patient convenience.
- Verification of benefits for precise claims submission.
- Service authorization confirmation and status tracking.
- PCI-Compliant payment processing.
- Digital patient engagement technology integrated with Best in KLAS partner.
Key benefits:
- Improve data integrity for first-time, clean claim submission.
- Collect co-payments and other patient responsibility due at time of service.
- Engage patients digitally, in-person and over-the-phone with friendly, informative communications.
Specialty-specific coders and physician-support tools drive distinctive impact
PrimeMed ’s Coding & Documentation solutions deploy a comprehensive suite of capabilities for coding, coding quality, charge capture and clinical documentation—offering opportunities to improve accuracy, decrease denials and increase productivity.
Our solution includes:
- Expertise across care settings and major specialties, including those with complex coding requirements.
- Audit and analysis to support accurate medical code assignment and identify any compliance risks.
- Peer-to-peer education on medical specificity standards, including training tailored for physicians.
- Physician-centric E&M documentation query process for accurate reimbursement and quality of care reporting.
- EMR-embedded clinical documentation improvement tools.
- Staff skilled by medical specialty with certifications from organizations such as the American Academy of Professional Coders (AAPC) and American Health Information - Management Association (AHIMA).
Key benefits:
- Ensure accurate, comprehensive coding.
- Reduce initial and final denial rates.
- Improve 9-month denial resolution rates.
- Reduce coding turnaround time.
Increase cash and net collections with insightful business support
PrimeMed ’s Billing & Collections solutions for claims submission, cash posting, third-party resolution and denials management introduce process flows crafted to increase the speed of payment without compromising your ability to collect every dollar earned.
Our solution includes:
- Multi-site, global delivery model that mitigates operational risk and supports instantaneous velocity regardless of volume.
- Intelligent process automation informed by continuous improvement feedback loops to enhance efficiency.
- Predictive analytics to identify payer behavior in denials and claims adjudication.
- Scalable and specialized staff with claim-specific skill sets.
- Denials prevention program with dedicated teams, deep payer knowledge and policy expertise.
- Patient Advocates to resolve billing inquiries.
Key benefits:
- Increase average monthly collections.
- Decrease A/R days, percentage greater than 120 days and aging greater than 365 days.
- Reduce no response A/R > 90 days.
- Reduce credit balances.
