Better Revenue.
Smarter Operations.
Happier Patients.
Driving long-term success with customized revenue cycle management and unwavering support, so you can focus on what matters most – your patients.
experienced. reliable. Transparent.
A Leader in Physician RCM
At Health Prime, we go beyond revenue cycle management — we empower physician groups to succeed by driving cash flow improvements, maximizing reimbursements, and creating opportunities for long-term profitability.
Utilizing proprietary technology, a client-first approach and a global delivery model, our team of experts eliminates the complexities of revenue cycle management, enabling you to focus on what matters most – delivering exceptional patient care.
Focused Support FOR Every Specialty and Practice Model
Hospital and Independent Physician Groups
From single-facility operations to large-scale networks.
Physician Owned
and Equity Backed Practices
Tailored solutions for practices driven by innovation and growth.
Rapidly-Growing Practices with Complex Needs
Scalable support to keep pace with your expanding goals.
With more than 800 clients and 6,000 physicians, we provide RCM solutions for small, mid and large-sized physician groups across all specialties, including Multi-Specialty, Anesthesia, Behavioral Health, Cardiology, Emergency Medicine, Hospitalists, Orthopedic, Pain Management, Pathology and Radiology.
Our expertise extends to:
Wherever you are in your journey, we have the expertise to meet your unique challenges and help your practice thrive.
Comprehensive Solutions
Revenue Cycle Management
Comprehensive end-to-end billing and coding solutions combined with expert consulting services to optimize your revenue cycle, minimize denials, and maximize collections.
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Actionable
Analytics
Advanced data tools and custom dashboards empowering you to make informed financial and operational decisions that drive growth, improve efficiency and enhance patient satisfaction.
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IT
Solutions
A robust suite of services designed to protect, monitor and support your business operations, ensuring your practice runs at peak performance with seamless technology integration and secure data management.
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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.
- 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.
- 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.
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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.
- 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.
- 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.
- Provider & Payer Enrollment: Accelerate provider credentialing and payer enrollment, ensuring you’re ready to see patients without delays.
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.
- 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.
- 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.
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
Ready to simplify your revenue cycle and boost your practice’s financial performance?
Contact us today to learn more or schedule a consultation.