ProRCM LLC

Optimizing Your Revenue One Cycle At A Time

418 Broadway, Suite 12891, Albany, New York 12207, United States

https://prorcm.com

ProRCM LLC Overview

Number of Employees: Under 49

Minimal Budget: Inquire

Average Hourly Rate: $50/hr

Year Founded: 2018

We specialize in end-to-end medical billing and revenue cycle management (RCM) for US healthcare providers, driving accurate claim submissions, maximizing clean claim rates, and optimizing total revenue capture from charge entry and payment posting to accounts receivable (AR) follow-up and denial management. Our expert team executes patient eligibility verification, prior authorizations, and complex claim denials remediation with high first-pass resolution rates, ensuring full HIPAA compliance and strict adherence to ICD-10, CPT, and HCPCS coding standards. We seamlessly integrate with all major commercial payers, including Medicare, Medicaid, TriCare, VA, and Workers Comp. Leveraging real-time eligibility verification, automated medical necessity checks, and advanced denial pattern analysis, we significantly reduce AR days, accelerate reimbursements, and prevent revenue leakage across ambulatory, surgical, and hospital settings. Our proactive approach includes denial trend identification, payer-specific rule tracking, underpayment detection, and appeals management. We also provide detailed KPI reporting, including net collection rate, first-pass resolution rate, and days in AR. With 24/7 secure access to your billing data and dedicated US-based support, we help physicians, clinics, and hospitals achieve predictable cash flow and regulatory peace of mind. Outsource your medical billing to us and experience higher collections, lower overhead, and complete compliance from claim scrub to final payment posting.