Prime Medical Revenue provides medical billing and revenue cycle management to practices across the USA. Our team is headquartered in Austin, Texas, with local pages for Austin, Houston and Dallas.
Serving practices in all 50 states from Austin, Texas
Prime Medical Revenue provides medical billing services USA practices use to get paid faster, wherever they are. Our team works from Austin, Texas, and bills for practices in all 50 states through secure access to your own systems.
Location matters less than it used to. What matters is knowing each payer’s rules. Medicare is run by regional contractors, every state runs its own Medicaid program, and commercial plans differ by region. We check the right rules for each claim.
Texas is home. These cities have their own pages with details on how we support practices there.
Medical billing runs through secure access to your systems, so your location is never a barrier. We work with practices in all 50 states.
Medicare Part A and B claims are processed by Medicare Administrative Contractors (MACs), each covering a group of states. Local coverage rules and edits depend on your MAC.
| Jurisdiction | Contractor | States |
|---|---|---|
| JH | Novitas Solutions | Texas, Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma |
| JL | Novitas Solutions | Delaware, District of Columbia, Maryland, New Jersey, Pennsylvania |
| JE | Noridian | California, Hawaii, Nevada |
| JF | Noridian | Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming |
| J5 and J8 | WPS | Iowa, Kansas, Missouri, Nebraska (J5); Indiana, Michigan (J8) |
| J6 and JK | NGS | Illinois, Minnesota, Wisconsin (J6); New York and New England (JK) |
| J15 | CGS | Kentucky, Ohio |
| JJ and JM | Palmetto GBA | Alabama, Georgia, Tennessee (JJ); North Carolina, South Carolina, Virginia, West Virginia (JM) |
| JN | First Coast | Florida, Puerto Rico, U.S. Virgin Islands |
Source: CMS, Who are the MACs. Contractor assignments can change; we confirm the current MAC for each practice.
Each service works on its own or as part of the full revenue cycle, for practices in any state. Read the short summary, then follow the link for the full details.
As a revenue cycle management company serving all 50 states, we run the full cycle from the eligibility check to the final payment, inside your EHR and clearinghouse, with weekly or monthly reports.
Each state runs its own Medicaid program and managed care plans. Our eligibility verification services confirm coverage, benefits and prior authorization before each visit, in any state.
Filing limits and payer edits change from state to state. Our clearinghouse claim submission scrubs each claim against your payers’ rules and sends it through the clearinghouse you already use.
Practices outside Texas enroll with their own Medicare contractor, state Medicaid program and commercial plans. Our provider enrollment and credentialing services handle the applications and follow-up.
Most denials come from eligibility, coding, authorization or timely filing, in every state. Our claims denial management works each denial within the payer’s appeal window and fixes the root cause.
Every ERA, EOB and check is posted to the charge it pays, wherever the payer is. Our payment posting services catch underpayments, credit balances and unapplied cash.
Want an outside view before you switch billing teams? Our medical billing audits review coding, charge capture, claim quality and A/R for practices in any state.
Our coders match CPT, ICD-10-CM and HCPCS codes to each note, including E/M levels and modifiers. These outsourced medical coding services work the same way for practices in every state.
Solo and small practices in any state get one billing specialist who knows the practice. Our medical billing services for small practices remove the overhead of an in-house team.
One team runs your billing from Austin, Texas, no matter where your practice is.
Your first consultation happens by phone or Microsoft Teams, wherever your practice is located.
We work inside your EMR, practice management software and clearinghouse with the access you grant.
Medicare contractors, Medicaid programs and commercial payers differ by state. We follow the rules that apply to your claims.
Weekly or monthly reports are emailed to your office so you always see results.
Being out of state should not mean being out of touch. As a medical billing company in USA practices can reach by phone, email or Microsoft Teams, we answer within one business day.
Start with one service, like credentialing or denial management, or hand over the full revenue cycle.
Billing keeps revenue flowing. These services help more patients in your area find you, trust you and book.
Clear service pages, provider bios and easy contact paths for practices in any state. See what goes into a new site and the medical website design cost.
Local search works city by city. Our SEO for healthcare providers covers your Google Business Profile, local citations and service pages wherever you practice.
Campaigns built around booked appointments in your area, not clicks. Our healthcare PPC services include keyword research, conversion tracking and clear reports.
Reach local patients with real faces and clear offers. Our Facebook marketing for doctors follows Meta’s health rules in every market.
Education posts, practice news and team photos that build trust with your patients, managed through our social media management for healthcare.
More real reviews and careful replies, wherever your practice is. Our reputation management for medical practices protects your name online.
Yes. We provide medical billing to practices in all 50 states, working inside their existing EMR, practice management software and clearinghouse.
Consultations and check-ins happen by phone or Microsoft Teams, and reports are emailed to your office on a weekly or monthly schedule.
Yes. We bill to the Medicare contractor and Medicaid program that cover your state, and we check eligibility and authorization rules before claims go out.
Each state runs its own Medicaid program and managed care plans, with different enrollment steps, authorization lists and filing limits. We confirm the rules for your state and your plans during onboarding, and we check each plan’s current requirements before claims go out.
Tell us about your practice. A billing specialist will get back to you within one business day.
5900 Balcones Drive STE 100, Austin, TX 78731
Open 24 hours, 7 days a week
Book a free consultation by phone or Teams.
