Skip to content Healthcare Revenue Cycle Management (RCM) is the day-to-day work that professionally turns clinical encounters into paying clients. In practice, it is a chain of steps from check-in to billing that must be executed flawlessly. If not, reimbursements (revenue) are delayed.
Prime Health United is a HIPAA-compliant service provider working inside your existing RCM workflow with clear weekly/monthly reports, so you always know what (claims) went out, what got paid, and what needs attention.
We meet your team on their terms, fit the workflow, and quietly handle the busywork behind the scenes with a HIPAA-compliant, well-trained team that will assist your specialty
Discovery & Matching
We assess your needs and match you with Virtual Medical Assistants who understand your specialty and workflow.
Secure Integration
We connect to your EHR, scheduling, and communication systems with full HIPAA compliance.
Task Execution
Our VMA works in real-time alongside your teams, managing calls, records, scheduling, and more.
Ongoing Optimization
We monitor performance and adapt to your changing needs, requirements, and ongoing work.
HIPAA-compliant teams of PHU handle every stage of the revenue cycle to maximize reimbursements and minimize delays. It’s the same work you’d do in-house; PHS offers the same services, less costly and reliable.
Schedule, reschedule, and confirm visits; verify eligibility in real time; send reminders and reduce missed appointments.
Fast-track payer enrollment, including Medicare and Medicaid, so providers can continue billing promptly.
Confirm coverage and benefits before appointments; verify insurance eligibility in real time to prevent denials.
Submit complete claims within 24 to 48 hours with optimized ICD-10/CPT coding; refine edits using ERAS/EOB patterns; target 98% acceptance.
Apply ERA/EOB, EFT payments, and adjustments accurately; reconcile remits and maintain clean ledgers across payers.
Automate secondary claims and claim-status checks (EDI) to cut manual effort and speed acknowledgments.
Addressing aging claims, oversee each outstanding account within 15 days until it is resolved.
Clear EDI rejections, correct underpayments, and initiate appeal actions within 28 hours where payable.
Polite, policy-aligned outreach that explains balances clearly, supports timely, and agile compliant resolution.
Concise financial snapshots with practice health analysis, trends, and next actions, delivered on your cadence.
Prime Health United’s Healthcare RCM services are designed for practices seeking predictable cash flow and fewer roadblocks.
If your claims bounce, front-desk gaps, authorizations are missing, and balances linger? Prime Health United’s end-to-end RCM outsourcing services confirm eligibility before visits and submit clean ICD-10/CPT claims. You will get a 98% denial acceptance rate.
Yes. Our HIPAA-trained team adapts to your processes so your staff keeps working the way they like.
Yes. We handle complete prior authorization for Medications, Clinical procedures, DME, plus Appeals & denials.
Yes, we handle fax management, records requests (referrals/legal), and form completion with HIPAA-compliant processing.
RCM services are available 24/7, so you can extend coverage after hours or during peaks without extra headcount.
Yes. We fast-track payer enrollment (including Medicare and Medicaid) so providers can bill promptly.
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