Complete Healthcare Billing and RCM Services for Healthcare Providers
Healthcare providers need more than claim submission to maintain healthy cash flow. Prospect Healthcare Solutions delivers comprehensive Healthcare Billing and RCM Services that streamline every stage of the revenue cycle—from patient registration and medical coding to claims processing, denial management, accounts receivable recovery, credentialing, and practice support.
As a medical billing company, we resolve many challenges for healthcare professionals. We process claims correctly to help you get paid faster and avoid delays. We check insurance details and confirm patient eligibility to save time. We follow up on unpaid or denied claims so nothing is left behind. You can keep track of your finances with our easy-to-understand audit reports.
We also assist with tracking payments and managing accounts to avoid missed revenue. By handling the billing process from start to finish, we help improve cash flow and financial stability.
Ready to talk about billing and RCM support? We’re always waiting to serve you. Make an Appointment with Prospect Healthcare Solutions
Our Healthcare Billing & RCM Services
Medical Billing Services
Our medical billing specialists manage claim submission, payment posting, insurance follow-up, and reimbursement optimization to improve collections while minimizing administrative workload.
RCM Services
We provide Revenue Cycle Management services on an end-to-end basis through scheduling, billing, coding, AR follow-ups, and reporting. Our integrated system enhances efficiency, minimizes leakages in revenue, a nd guarantees a steady supply of cash in all phases of the revenue cycle.
Medical Coding
Our medical coding services are accurate to the present practices in CPT, ICD-10, and HCPCS guidelines. To provide appropriate reimbursement to every service performed, our certified coders consider clinical documentation and assign the appropriate code, minimize claim refusals, enhance compliance, and make sure that your practice is fairly reimbursed.
Denial Management
We recognize, examine, and fix claim denials effectively. Our denial management procedure concentrates on the correction of mistakes, timely submission of appeals and analysis of the causes to avoid recurrence of the same denial, enhancing first-pass settlement, and as well as escalating the total reimbursement.
Accounts Receivable
We take care of and maintain your accounts receivable so that pending claims are pursued within a short time. Our team lowers the aging AR through monitoring the outstanding balances, eliminating payer delays, rectifying the issues, and retrieving the revenue that would have been lost or written off.
Medical Credentialing
We also manage the overall medical credentialing process to make sure that providers are enrolled and approved by the insurance payers. Our group handles applications, re-credentialing, and follow-ups in such a way that claims are accepted, reimbursements are not postponed, and compliance is achieved.
Virtual Medical Assistant
Our virtual medical assistants will be trained to help with front-office and administration work. Our staff can assist in scheduling, insurance checking, communicating with patients, and documentation to allow your practice to have less work, increased efficiency, and daily operations.
Medical Scribe
Our medical scribe services are professional to assist in the proper documentation of clinical records. Our scribes are designed to aid providers when having interactions with patients, provide meticulous charting, and relieve the administration of some of the workload to allow physicians to spend more time with patients and to be more productive.
Led by Certified Medical Billers
Prospect Healthcare Solutions is run by certified medical billers who have spent their careers in medical billing.
Murtaza Ahmed Tahir
Chief Executive Officer
- 18+ years in the medical billing industry
- Certified professional medical biller
- Background in law
Muhammad Awais Khan
Chief Operating Officer & Managing Director
- 13+ years in the medical billing industry
- Certified professional medical biller
- MBA in Finance
How Our Services Cover the Revenue Cycle
Each of our services covers one part of the revenue cycle. Practices can use one service on its own or combine several. This is where each one fits:
| Stage | What happens | Our service |
|---|---|---|
| Before the visit | Insurance eligibility and benefits checks, prior authorizations, scheduling | Virtual medical assistants |
| Before you can bill | Enrollment with Medicare, Medicaid and commercial payers, CAQH upkeep | Medical credentialing |
| During the visit | Real-time documentation in your EHR | Medical scribe services |
| After the visit | CPT, ICD-10 and HCPCS code assignment from the provider's notes | Medical coding |
| Claims | Charge entry, claim scrubbing and submission, payment posting | Medical billing services |
| Denials | Root-cause review, corrections and appeals | Denial management |
| Follow-up | Unpaid and aged claims, payer calls, patient balances | Accounts receivable services |
| Oversight | Audits of coding and billing, reporting across the whole cycle | Medical billing audits and RCM services |
Practices that want one partner for the whole cycle usually choose revenue cycle management. Practices that only need claims handled choose medical billing services, and can add coding, credentialing or AR support later. See pricing for what each service costs.
We also bill for providers outside the physician practice model: ambulance billing services for EMS and transport providers, and DME billing services for durable medical equipment suppliers. Both follow their own Medicare rules, such as ambulance origin and destination modifiers and DME rental modifiers.
Which Service Do You Need?
Start with the problem you're seeing, and use the matching service:
| If this is your problem… | Start here |
|---|---|
| Claims are slow, rejected or not followed up | Medical billing services |
| You want one team to run billing from eligibility to payment | Revenue cycle management |
| Codes are causing denials or audit risk | Medical coding services |
| Denials keep repeating | Denial management |
| Old unpaid claims are piling up | Accounts receivable services |
| New providers can't bill yet | Credentialing services |
| You need a second opinion on your billing | Medical billing audit |
| Your front desk is stretched | Virtual medical assistants |
Billing for a specific specialty? See all specialties we bill for. Want to see costs first? Check our pricing.
Billing and RCM Services FAQs
What is the difference between medical billing and revenue cycle management?
Medical billing covers creating, sending and following up on claims. Revenue cycle management covers the whole process around it, from scheduling and eligibility checks to coding, payment posting, denials, AR follow-up and reporting.
Can I use just one service?
Yes. Practices can use a single service, such as credentialing or AR recovery, or combine services into full revenue cycle management.
Which specialties do you work with?
We bill for more than 25 specialties, including mental health, cardiology, laboratory, orthopedics and urgent care. See our specialties page for the full list.
How do I get started?
Request a free billing quote or call us. We review your current billing, then recommend the services that fit your practice.
Faster Reimbursements
With proper coding, you get all the reimbursement you deserve. We assist in improving cash flow and revenue stability by avoiding under-coding and rejection.