Revenue Cycle Management

Optimize Revenue.
Simplify Operations.

Trusted RCM solutions that transform your revenue cycle into a high-performance engine that drives efficiency, financial outcomes and better care.

rcm that works for you

RCM Made Easy. Results Made Certain.

Managing your practice’s revenue cycle shouldn’t be a burden. Health Prime’s end-to-end RCM services streamline every aspect of billing and collections, ensuring you get paid faster and more consistently while reducing administrative headaches. With proprietary technology, advanced analytics, expert support and a global delivery model, we not only improve your bottom line but also help your practice run more efficiently and effectively.

RESULTS-DRIVEN REVENUE CYCLE MANAGEMENT

From start to finish, we handle it all—streamlining your processes and optimizing your revenue cycle so your team can focus on delivering excellent care without the extra workload or stress. This means more time for patients, smoother operations and better financial outcomes.

Empowering your front office with streamlined, patient-centered processes.

  • Patient Scheduling: Streamline appointment scheduling to maximize your practice’s capacity, ensuring more efficient use of your time and resources.

  • Eligibility Verification: Eliminate unexpected coverage issues by verifying insurance eligibility upfront, reducing denials and improving patient satisfaction.

  • Prior Authorization: Stay ahead of potential delays by managing prior authorizations early, ensuring treatments are covered without interruption.

  • Reporting: Turn data into actionable insights with comprehensive financial reports, helping you make informed decisions for better practice management.

Optimizing the heart of your revenue cycle with precision and accuracy.

  • Charge Abstraction: Ensure all services are accurately documented and translated into billable charges, reducing missed revenue opportunities.

  • Medical Coding: Expert coding tailored to your specialty ensures compliance, minimizes risk, and maximizes reimbursement.

  • Charge Entry & Edits: Minimize human error with precise charge entry and timely edits to ensure all services are billed correctly the first time.

  • Reporting: Turn data into actionable insights with comprehensive financial reports, helping you make informed decisions for better practice management.

Efficient back-end operations that protect your cash flow and improve collections.

Image_Stock_Callcenter,TechnicalSupport,CustomerService,Telemarketing,Phone_7618x4998_1
  • Claims Submission: Speed up claims process with accurate and timely submissions, reducing payment delays and improving cash flow.

  • Denials Management/Appeals: Turn denials into opportunities with expert appeals and effective follow-up to recover revenue.

  • Payment Posting: Keep finances on track by ensuring all payments are accurately posted and reconciled.

  • Collections: Enhance recovery rates while maintaining strong patient relationships with respectful and effective collection strategies.

  • Patient Billing Support: Ensure accurate and timely patient billing with streamlined processes, reducing patient confusion and improving collections.

Supporting your practice with specialized services to drive growth and efficiency.

Image_Stock_DoctorwithTabletandSeniorPatient_5939x4564_1
  • Provider & Payer Enrollment: Accelerate provider credentialing and payer enrollment, ensuring you’re ready to see patients without delays.

  • Multi-Lingual, Omni-Channel Patient Outreach: Reach your diverse patient population through seamless communication across multiple channels, enhancing engagement and satisfaction.

  • Professional Services: Tailored consulting, process optimization, and implementation services to help your practice thrive in a complex healthcare landscape.
  • Front-End RCM

  • Empowering your front office with streamlined, patient-centered processes.

    • Patient Scheduling:
    • Streamline appointment scheduling to maximize your practice’s capacity, ensuring more efficient use of your time and resources.
    •  
    • Eligibility Verification:
    • Eliminate unexpected coverage issues by verifying insurance eligibility upfront, reducing denials and improving patient satisfaction.
    •  
    • Prior Authorization:
    • Stay ahead of potential delays by managing prior authorizations early, ensuring treatments are covered without interruption.
    •  
    • Reporting:
    • Turn data into actionable insights with comprehensive financial reports, helping you make informed decisions for better practice management.
  • Mid-Cycle RCM

  • Optimizing the heart of your revenue cycle with precision and accuracy.

    • Charge Abstraction:
    • Ensure all services are accurately documented and translated into billable charges, reducing missed revenue opportunities.

    • Medical Coding:
    • Expert coding tailored to your specialty ensures compliance, minimizes risk, and maximizes reimbursement.

    • Charge Entry & Edits:
    • Minimize human error with precise charge entry and timely edits to ensure all services are billed correctly the first time.

    • Reporting:
    • Turn data into actionable insights with comprehensive financial reports, helping you make informed decisions for better practice management.
  • Back-End RCM

  • Efficient back-end operations that protect your cash flow and improve collections.

    Image_Stock_Callcenter,TechnicalSupport,CustomerService,Telemarketing,Phone_7618x4998_1
    • Claims Submission:
    • Speed up the claims process with accurate and timely submissions, reducing payment delays and improving cash flow.

    • Denials Management/Appeals:
    • Turn denials into opportunities with expert appeals and effective follow-up to recover revenue.

    • Payment Posting:
    • Keep finances on track by ensuring all payments are accurately posted and reconciled.

    • Collections:
    • Enhance recovery rates while maintaining strong patient relationships with respectful and effective collection strategies.

    • Patient Billing Support: Ensure accurate and timely patient billing with streamlined processes, reducing patient confusion and improving collections.
  • Ancillary Services

  • Supporting your practice with specialized services to drive growth and efficiency.

    Image_Stock_DoctorwithTabletandSeniorPatient_5939x4564_1
    • Provider & Payer Enrollment: Accelerate provider credentialing and payer enrollment, ensuring you’re ready to see patients without delays.

    • Multi-Lingual, Omni-Channel Patient Outreach:
    • Reach your diverse patient population through seamless communication across multiple channels, enhancing engagement and satisfaction.

    • Professional Services:
    • Tailored consulting, process optimization, and implementation services to help your practice thrive in a complex healthcare landscape.

Empowering your front office with streamlined, patient-centered processes.

  • Patient Scheduling:
  • Streamline appointment scheduling to maximize your practice’s capacity, ensuring more efficient use of your time and resources.
  •  
  • Eligibility Verification:
  • Eliminate unexpected coverage issues by verifying insurance eligibility upfront, reducing denials and improving patient satisfaction.
  •  
  • Prior Authorization:
  • Stay ahead of potential delays by managing prior authorizations early, ensuring treatments are covered without interruption.
  •  
  • Reporting:
  • Turn data into actionable insights with comprehensive financial reports, helping you make informed decisions for better practice management.

Optimizing the heart of your revenue cycle with precision and accuracy.

  • Charge Abstraction:
  • Ensure all services are accurately documented and translated into billable charges, reducing missed revenue opportunities.

  • Medical Coding:
  • Expert coding tailored to your specialty ensures compliance, minimizes risk, and maximizes reimbursement.

  • Charge Entry & Edits:
  • Minimize human error with precise charge entry and timely edits to ensure all services are billed correctly the first time.

  • Reporting:
  • Turn data into actionable insights with comprehensive financial reports, helping you make informed decisions for better practice management.

Efficient back-end operations that protect your cash flow and improve collections.

Image_Stock_Callcenter,TechnicalSupport,CustomerService,Telemarketing,Phone_7618x4998_1
  • Claims Submission:
  • Speed up the claims process with accurate and timely submissions, reducing payment delays and improving cash flow.

  • Denials Management/Appeals:
  • Turn denials into opportunities with expert appeals and effective follow-up to recover revenue.

  • Payment Posting:
  • Keep finances on track by ensuring all payments are accurately posted and reconciled.

  • Collections:
  • Enhance recovery rates while maintaining strong patient relationships with respectful and effective collection strategies.

  • Patient Billing Support: Ensure accurate and timely patient billing with streamlined processes, reducing patient confusion and improving collections.

Supporting your practice with specialized services to drive growth and efficiency.

Image_Stock_DoctorwithTabletandSeniorPatient_5939x4564_1
  • Provider & Payer Enrollment: Accelerate provider credentialing and payer enrollment, ensuring you’re ready to see patients without delays.

  • Multi-Lingual, Omni-Channel Patient Outreach:
  • Reach your diverse patient population through seamless communication across multiple channels, enhancing engagement and satisfaction.

  • Professional Services:
  • Tailored consulting, process optimization, and implementation services to help your practice thrive in a complex healthcare landscape.

Proprietary Technology & Tech-Enabled Services

Our fully integrated, tech-enabled platform—designed with intuitive linear workflows and advanced proprietary analytics—delivers unparalleled flexibility to handle any claim, regardless of service location or the PM/EMR platform your practice uses. The synergy of our three proprietary technologies—Prime Datalytics, Prime Link and Prime Flow—works seamlessly to drive efficiency, deliver actionable insights, and optimize claims processing at scale.

Prime Datalytics

Prime Datalytics transforms complex data into actionable intelligence, empowering healthcare providers to make informed decisions that enhance operational performance, reduce inefficiencies, and drive growth.
Learn More

Prime Link

Prime Link integrates with hospital EMR systems ensuring smooth, real-time data flow between your host system and our claims processing environment to streamline operations and simplify the management of patient data and claims.
Learn More

Prime Flow

Prime Flow serves as the central “hub” for the Health Prime team, leveraging industry best practices and cutting-edge automation to organize workflows, reduce manual intervention, and accelerate claims management.
Learn More

Why Health Prime?

Our tailored RCM solutions deliver far more than improved cash flow. By eliminating administrative burdens, we enable your team to focus on high-value tasks, ultimately enhancing patient care and satisfaction.

  • Accurate Medical Coding and Timely Claims Submissions:

Increase collections while reducing errors and delays.

  • Denial Management and Appeals: 

Recover lost revenue and boost cash flow predictability.

  • Patient Billing Support:

Provide transparent statements and flexible payment options, improving patient trust and retention.

A Partner You Can Trust

With valuable hands-on experience and trusted expertise, we seamlessly integrate with leading practice management systems to streamline your revenue cycle operations and maximize efficiency, ensuring your practice achieves peak financial performance.

Results You Can Expect

Our end-to-end RCM solutions are designed to deliver measurable outcomes that enhance your practice’s financial health, operational efficiency, and patient experience.

Accelerated Cash Flow & Collections

Faster claims submissions and reduced denials mean you get paid promptly and consistently.

Reduced Administrative Burden

Seamless integration of automation tools reduces manual errors, improves workflows and enhances team productivity.

Actionable
Insights

Leverage detailed reporting and analytics to monitor performance, identify opportunities, and drive growth.

Better Compliance and Risk Mitigation

Stay ahead of changing healthcare regulations with detailed reporting and adherence to payer requirements.

Enhanced Patient Satisfaction

Transparent billing practices and flexible payment options build trust and improve the overall patient experience.

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It's all in the numbers

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Success rate of claims accepted on the first pass

Increase in reimbursement year-over-year

Increase in overall practice productivity

stats

It's all in the numbers

0 %

Success rate of claims accepted on the first pass

0 %

Increase in reimbursement year-over-year

0 %

Increase in overall practice productivity

TESTIMONIALS

Hear From Our Clients

Health Prime has been a fantastic partner in helping my practice navigate the complexities of medical billing. They handle everything from patient benefits to insurance verification, leaving me and my staff free to focus on providing quality care to my patients. Their team is always responsive and willing to go above and beyond to ensure my practice runs smoothly.

The Vein Treatment Center

It was apparent that Health Prime’s attention to detail, willingness to delight its customer, and collaborative culture fit HPA’s vision and values.

Hospital Pathology Associates

It is extremely helpful that my patients can call and be connected with a Spanish-speaking agent to help them resolve their billing questions. The Latino population is increasing in Nevada and other states, so it is valuable to have a bilingual partner that can assist my patients in their preferred language.

Vishal Gandotra, MD, Inc.

Health Prime acts like our business is as important to them as it is to us, and that’s vitally important if you’re going to make it in today’s environment.

MedStar Health

Health Prime has been a fantastic partner in helping my practice navigate the complexities of medical billing. They handle everything from patient benefits to insurance verification, leaving me and my staff free to focus on providing quality care to my patients. Their team is always responsive and willing to go above and beyond to ensure my practice runs smoothly.

The Vein Treatment Center

It was apparent that Health Prime’s attention to detail, willingness to delight its customer, and collaborative culture fit HPA’s vision and values.

Hospital Pathology Associates

It is extremely helpful that my patients can call and be connected with a Spanish-speaking agent to help them resolve their billing questions. The Latino population is increasing in Nevada and other states, so it is valuable to have a bilingual partner that can assist my patients in their preferred language.

Vishal Gandotra, MD, Inc.

Health Prime acts like our business is as important to them as it is to us, and that’s vitally important if you’re going to make it in today’s environment.

MedStar Health

Take The Next Step

Ready to simplify your revenue cycle and boost your practice’s financial performance? 

Contact us today to learn more or schedule a consultation.

Take The Next Step

Doctor Physician Team Meeting

Ready to simplify your revenue cycle and boost your practice’s financial performance? 

Contact us today to learn more or schedule a consultation.