Your billing shouldn't be
your bottleneck.
Prometheus RCM is a new kind of billing company. We pair dedicated RCM experts with proprietary AI that codes, scrubs, submits, and follows up on claims — so you collect more, faster, with fewer write-offs.
Revenue Cycle Problems That Keep You Up at Night
Denials Eating Your Revenue
You're losing 5–10% of revenue to preventable denials. By the time you catch them, timely filing deadlines are closing in.
Slow, Manual Coding
Your coders are backed up. Notes sit for days before they're coded, and the coding backlog grows faster than your team can clear it.
Staffing Nightmares
Experienced billers and coders are hard to find, expensive to keep, and when they leave, institutional knowledge walks out the door.
No Visibility
You don't know your denial rate by payer, your average days in A/R, or which claims are about to miss filing deadlines. You're flying blind.
We're Not Just Another Billing Company
Most RCM agencies run on spreadsheets, clearinghouse portals, and tribal knowledge. We run on SmartCoding.ai — a purpose-built AI platform we developed specifically for revenue cycle management.
AI-Assisted Coding
Our AI reads clinical notes and suggests ICD-10 and CPT codes with confidence scores. Your assigned coder reviews and confirms — dramatically faster than manual coding.
Pre-Submission Scrubbing
Claims are scrubbed against CCI edits, payer-specific rules, timely filing deadlines, and prior auth requirements before submission. Problems caught before they become denials.
AI-Generated Appeals
When denials happen, our platform generates appeal letters using denial reason codes, patient history, and payer-specific templates. Appeals go out in hours, not weeks.
Real-Time Analytics
See your denial rates, days in A/R, payer performance, coder productivity, and reimbursement variances — updated in real time, not end-of-month.
Everything Between the Encounter and the Deposit
We handle the entire revenue cycle so you can focus on patient care.
Medical Coding
AI-assisted ICD-10 and CPT coding from clinical notes. Professional and institutional formats.
Learn moreClaims Submission
Electronic claim submission with pre-submission scrubbing, CCI edit checks, and payer validation.
Learn moreDenial Management
AI-generated appeal letters, root cause analysis, and proactive denial prevention strategies.
Learn moreA/R Follow-Up
Systematic follow-up on outstanding claims with payer-specific escalation and filing deadline tracking.
Learn moreASC & Facility Billing
Institutional (837I) and professional (837P) dual-format billing for ambulatory surgical centers.
Learn moreCompliance & Audit
HIPAA-compliant processes, audit trail logging, OIG screening, and scheduled compliance reporting.
Learn moreUp and Running in Days, Not Months
Connect Your PMS
We integrate with AdvancedMD, DrChrono, Kareo, and any FHIR-compatible system. CSV import available as a universal fallback.
We Configure Your Rules
Payer contracts, fee schedules, timely filing rules, and authorization requirements — all loaded into the platform.
Claims Start Flowing
Encounters come in, our AI + coders process them, clean claims go out. You watch your revenue grow from the dashboard.
Ready to See What AI Can Do for Your Revenue Cycle?
Get a free, no-obligation assessment of your current billing performance. We'll show you exactly where you're leaving money on the table.