We specialize in end-to-end medical billing for US healthcare providers, ensuring accurate claim submissions and complete revenue cycle management—from charge entry and payment posting to AR follow-up. Our team handles patient eligibility, prior authorizations, and complex claim denials with high first-pass resolution, maintaining full compliance with HIPAA, ICD-10, CPT, and HCPCS standards. We work with all major commercial payers, Medicare, Medicaid, TriCare, VA, and Workers’ Comp. Through real-time eligibility verification, medical necessity checks, and denial pattern analysis, we reduce AR days below 30 and boost net collections to over 98%. Our automated payment posting, underpayment reconciliation, and proactive appeals streamline reimbursement, while compliant patient billing and collections protect your practice. If you’re experiencing claim denials, delayed payments, or revenue leakage, our structured, compliance-driven billing solutions can help turn every claim into consistent revenue.

ProRCM LLC

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