Maximize Your US Healthcare Cash Flow & Boost Revenue with Prime RCM’s AR Management Solutions

Prior authorization delays and coding errors for complex cardiac procedures were costing us thousands monthly. Prime RCM audited our HCPCS coding workflows and implemented a dual approach: they trained our staff on accurate documentation for stent placements and angioplasties, while their team directly liaised with payers to expedite approvals. Within 90 days, denials dropped by 50%, and we recovered $200K in previously stalled claims. Their transparent reporting even helped us negotiate better contracts with insurers. Now, we’re allocating more resources to cutting-edge cardiac care instead of drowning in paperwork.

Aging claims for cosmetic procedures and underpaid CPT codes (like 17110 for lesion removals) were silently eroding profits. Prime RCM deployed their denial recovery system to audit 18 months of claims, uncovering patterns of underpayments from commercial payers. They rebundled incorrectly split codes and challenged underpaid claims with detailed clinical documentation. The result? A 30% surge in collections within four months, plus a streamlined process to prevent future errors. We’ve reinvested those recovered funds into advanced laser technology—finally, our revenue matches our innovation.

With 10+ locations, high-volume claims and coding inaccuracies for urgent visits (CPT 99213-99215) were overwhelming our team. Prime RCM’s AI-powered platform flagged recurring errors, like missing modifiers for same-day E/M services, and trained our coders in real-time. They also automated follow-ups for top payers, slashing our AR days from 45 to 28. Denials dropped 45%, and we stabilized cash flow despite seasonal patient spikes. Now, our staff tackles flu outbreaks, not billing chaos—a critical win for community care."