End-to-End Revenue Cycle,
Powered by AI
From the moment a patient is seen to the moment payment hits your account — we handle it all with technology no other billing company has.
Medical Coding
Our AI reads clinical documentation and suggests the most accurate ICD-10 and CPT codes, complete with confidence scores. Your dedicated coder reviews, confirms, and submits — combining human judgment with machine speed.
Claims Submission & Follow-Up
Every claim is electronically scrubbed, validated against payer-specific rules, and submitted through our clearinghouse integration. We track every claim from submission to payment posting.
Denial Management & Appeals
Denials aren't just tracked — they're attacked. Our platform identifies denial patterns by payer, generates appeal letters using denial reason codes and patient history, and tracks every appeal through resolution.
A/R Follow-Up & Recovery
We don't wait for claims to age out. Our platform surfaces aging claims, tracks filing deadlines, and our team systematically works every outstanding balance with payer-specific follow-up strategies.
ASC & Facility Billing
Ambulatory surgical centers have unique billing requirements — dual-format claims, revenue codes, and payer-specific format rules. We handle all of it, automatically determining whether each payer needs an 837P or 837I.
Compliance & Audit Support
Every action taken in our platform is logged, auditable, and HIPAA-compliant. We generate scheduled compliance reports and maintain a complete chain of custody for every claim.
Let's Talk About Your Revenue Cycle
Every practice is different. Tell us about your challenges, and we'll show you exactly how Prometheus RCM can help.