Numbers That Speak for Themselves

Our AI-powered approach targets industry-leading performance metrics across every aspect of the revenue cycle.

95%+
First-Pass Rate Target
Industry average: 80–85%
<28
Days in A/R Target
Industry average: 40–50 days
30%+
Denial Recovery Improvement
Through AI-generated appeals

AI + Expertise = Superior Results

Higher First-Pass Rates

Our AI catches coding errors, missing modifiers, CCI conflicts, and payer-specific requirements before claims are submitted. Combined with pre-submission scrubbing against payer rules, most denials are eliminated before they happen.

Faster Coding Turnaround

AI-suggested codes with confidence scores mean coders spend less time researching and more time reviewing. Average coding time per encounter drops significantly when the AI provides a starting point.

Better Denial Recovery

AI-generated appeal letters with patient history integration go out in hours, not weeks. Our platform pulls treatment history from your PMS to build stronger medical necessity arguments.

Proactive Analytics

Real-time dashboards surface trends before they become problems. Increasing denial rates from a specific payer? We catch it in days, not months.

Timely Filing Protection

Automated alerts warn of approaching filing deadlines. Our payer rules engine knows every payer's filing window and escalates claims before it's too late.

Underpayment Detection

Fee schedule comparison catches underpayments automatically. Our reimbursement variance reports show you exactly where payers are paying less than contracted rates.

Traditional RCM vs. Prometheus RCM

Capability
Traditional RCM
Prometheus RCM
Medical Coding
Manual, from memory
AI-suggested with confidence scores
Claim Scrubbing
Basic clearinghouse edits
CCI + payer rules + auth + timely filing
Denial Appeals
Manual letter writing, days later
AI-generated with patient history, same day
Reporting
Monthly PDF reports
Real-time dashboard, 24/7
ASC Billing
Usually outsourced separately
Dual-format 837P/837I built-in
PMS Integration
Manual data re-entry
Direct API connectors + CSV fallback
Audit Trail
Paper or none
Every action logged, searchable

See What These Numbers Could Mean for Your Practice

Get a free revenue assessment and we'll show you your current performance gaps and exactly how much revenue you're leaving on the table.