Question 1

How much does outsourced medical billing cost?

Accepted Answer

Outsourced medical billing with Prismatica Health typically costs a small percentage of your net collections, rather than a flat exorbitant fee. Because we only get paid when your practice gets paid, we are incentivized to secure maximum reimbursements. By leveraging our 98% clean claim rate and avoiding long-term contracts, our clients historically experience a 30% average revenue increase, making our full-service RCM an extremely profitable investment. Discover how affordable expert medical billing can be by requesting your free practice audit today.

Question 2

What is your clean claim acceptance rate?

Accepted Answer

Prismatica Health operates with an industry-leading 98% clean claim acceptance rate on the first pass. We achieve this exceptional accuracy by relying solely on AAPC-certified coding specialists and implementing robust, multi-tiered claim scrubbing workflows. By proactively resolving complex CPT mapping and modifier errors before submissions go out, we drastically limit rejections, ensuring a steady, uninterrupted cash flow with an average 15-day AR turnaround. Speak with our experts to learn how we can optimize your clean claim metrics.

Question 3

How long does the onboarding process take?

Accepted Answer

At Prismatica Health, the onboarding process is comprehensive yet highly streamlined, generally taking between two to four weeks. During this period, our dedicated onboarding specialists work directly with your team to integrate securely with your existing EMR/EHR, analyze historical AR data, and establish a 100% HIPAA-compliant data exchange protocol. We ensure zero disruption to your daily clinical schedule or cash flow during the transition. Schedule a free consultation to map out a seamless transition timeline for your practice.

Question 4

Do you work with my EHR/EMR system?

Accepted Answer

Yes, absolutely. Prismatica Health is EMR-agnostic, meaning our highly trained medical billing staff integrates directly into whatever Electronic Health Record system you currently rely on. Whether your practice utilizes Epic, eClinicalWorks, AdvancedMD, BrightTree, or a niche specialty platform, we adapt to your clinical workflow seamlessly. This prevents you from enduring costly software migrations and allows your staff to focus fully on patient care while our AAPC-certified coders optimize the backend. Contact us to verify your specific software integration.

Question 5

Are your services HIPAA compliant?

Accepted Answer

Data security and patient privacy are our top priorities. Prismatica Health is strictly 100% HIPAA compliant across all operational levels. We utilize end-to-end encryption for all patient data exchanges and maintain secure, restricted-access infrastructure protocols. Furthermore, our entire staff of AAPC-certified professionals partakes in rigorous, recurring compliance training regarding the specialized handling of ePHI. We are fully prepared to execute a comprehensive Business Associate Agreement (BAA) with your facility. Reach out today for our full security prospectus.

Question 6

What medical specialties do you support?

Accepted Answer

With 10+ years of Revenue Cycle Management experience and over 500 providers served nationwide, we support a diverse array of medical specialties. Our deep expertise covers Therapy (ST/PT/OT), Cardiovascular, Pain Management, Oncology-Hematology, Dental Billing crossover, Behavioral Health, DME Billing on BrightTree, Neurology, and Radiology. Every specialty presents unique coding hurdles?our AAPC-certified professionals meticulously navigate these distinct guidelines to safeguard a 98% clean claim rate regardless of your field. Let us customize a billing strategy for your exact specialty.

Question 7

How do you handle denied claims?

Accepted Answer

Denials cripple practice cash flow, which is why we offer aggressive Denial Management. When a rare denial occurs, our specialized accounts receivable team initiates an immediate root-cause investigation. We rapidly rectify coding errors, attach required clinical documentation, and submit robust appeals directly to payers. By prioritizing fast resolution workflows, we ensure our clients maintain a 15-day average AR turnaround time and successfully capture revenue that would otherwise be permanently lost. Stop writing off denials and contact us today.

Question 8

What is revenue cycle management?

Accepted Answer

Revenue Cycle Management (RCM) encompasses the entire life cycle of a patient account, from initial appointment scheduling and insurance verification to precise coding, claim submission, payment posting, and aggressive denial management. By outsourcing your complete RCM process to Prismatica Health, we handle the exhausting administrative burden, drastically reducing overhead while fueling a 30% average revenue increase. We ensure 24/7 dedicated support and absolute financial transparency. Maximize your profitability by starting your free practice revenue audit right now.

Question 9

Do I need to sign a long-term contract?

Accepted Answer

No! Prismatica Health confidently operates without any restrictive long-term contracts. We strongly believe that our exceptional performance should retain our clients, not a binding legal document. Because our AAPC-certified coders consistently deliver a 98% clean claim rate and a 30% average revenue increase, we retain over 500 providers nationwide based purely on merit. You can cancel at any time if you are unsatisfied with our results. Experience risk-free medical billing outsourcing by speaking with our specialists today.

Question 10

How is outsourced billing better than in-house billing?

Accepted Answer

Outsourced billing eliminates the tremendous overhead required to hire, train, and maintain an in-house billing department, including expensive software licenses and employee benefits. By partnering with Prismatica Health, you gain an entire infrastructure of 10+ year experienced, AAPC-certified professionals dedicated to maximizing your payouts. Our aggressive denial management and 98% clean claim rate guarantee a 15-day AR turnaround, something in-house teams consistently struggle to achieve. Reclaim your time and boost profitability by outsourcing your revenue cycle management.

Question 11

What reports will I receive and how often?

Accepted Answer

Financial transparency is critical to a healthy practice. Prismatica Health provides comprehensive, detailed reporting packages delivered on a monthly, and upon request, weekly basis. These bespoke analytics encompass key performance indicators such as total claims submitted, outstanding AR aging, clear denial reason breakdowns, and net collections. This granular visibility helps 500+ providers track their 30% average revenue increase and make educated, data-driven decisions regarding practice expansion. Get in touch to view sample reports tailored to your clinical specialty.

Question 12

How do you ensure coding accuracy?

Accepted Answer

Coding accuracy directly links to your bottom line, which is why Prismatica Health strictly requires all coders to be AAPC-certified. Our experienced team relentlessly stays updated on ever-changing ICD-10, CPT, and HCPCS Level II compliance regulations. Before any claim is ever transmitted, it is meticulously validated through high-level scrubbing software and an internal quality assurance team. This dedicated precision is what cements our 98% first-pass clean claim acceptance rate across all our clients. Ensure coding compliance by partnering with us.

Question 13

Can you help with provider credentialing?

Accepted Answer

Absolutely. Provider Credentialing and insurance enrollment are notoriously complex processes that can halt cash flow if handled poorly. Prismatica Health fully manages CAQH profiles, PECOS updates, and multi-payer network contracts to secure seamless in-network status across Medicare, Medicaid, and commercial networks. We navigate the bureaucratic red tape so you can quickly onboard new clinicians without costly payment delays or administrative errors. Accelerate your practice expansion by letting our credentialing experts manage your enrollments.

Question 14

What is your average turnaround time for claims?

Accepted Answer

Our highly optimized revenue cycle workflows ensure lightning-fast cash flow. Thanks to our meticulously scrubbed coding process and 98% first-pass clean claim acceptance rate, Prismatica Health consistently maintains a 15-day average Accounts Receivable (AR) turnaround time. Clean claims are accurately submitted within 24 to 48 hours of your patient encounters. This exceptional speed eliminates cash flow bottlenecks and enables the 30% average revenue increase our providers depend on. Streamline your AR today by consulting with our team.

Question 15

How do I get started with Prismatica Health?

Accepted Answer

Starting with Prismatica Health is immediate, risk-free, and incredibly straightforward. You begin by requesting a complimentary, comprehensive practice revenue audit. With 10+ years of RCM analytics, our experts evaluate your current AR aging and coding practices to pinpoint exact areas of revenue leakage. Since we require zero long-term contracts and provide 24/7 dedicated support, transitioning is painless. Call us directly at +1-908-829-0133 or email Info@prismaticahealth.com to schedule your free audit and maximize collections.

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