The Therapy Billing Company That Catches What Your Current Process Misses
Prime Therapy Billing delivers end-to-end revenue cycle management built to find and fix the billing gaps that quietly cost your practice money. We handle eligibility verification, coding review, claim submission, payment posting, denial management, credentialing, and A/R recovery — everything inside your existing EHR.
Schedule Your Free Billing Analysis
Find out exactly where your practice is losing revenue — no commitment required.
Everything Your Revenue Cycle Needs, Under One Team, One Rate
Prime Therapy Billing covers every stage of your revenue cycle, from the moment a patient schedules an appointment to the final dollar posted to your account. Every service below is included in one flat rate — no add-ons, no line-item invoicing, no surprises.
Medical Billing Services
Claims submitted clean, coded accurately, and followed through until paid. Your therapists deliver care; Prime Therapy Billing makes sure that care gets reimbursed at the full contracted rate.
Revenue Cycle Management
Complete revenue cycle management services covering every process between patient registration and final payment posting. One team owns the entire cycle so nothing falls between the gaps.
Credentialing & Contracting
Provider enrollment applications submitted complete, followed up weekly, and tracked through approval. Every week of credentialing delay is revenue your therapy practice can't recover.
Prior Authorization Services
Payer approvals secured before the session date. An expired or missing prior authorization is one of the most preventable denial types in therapy billing, and Prime Therapy Billing prevents it.
Denial Management Services
Denied claims categorized by denial reason code, appealed with clinical documentation, and root-cause corrected. That way the same denial doesn't keep showing up on next month's report.
AR Follow-Up Services
Aging claims worked daily, prioritized by dollar value and filing deadline proximity. Your accounts receivable don't sit in a queue at Prime Therapy Billing — they move forward until resolved.
Payment Posting & Reconciliation
ERA and EOB payments posted on the day of receipt, matched against billed charges, and flagged for contractual discrepancies. Every payment reconciled. Every variance documented.
Eligibility Verification
Real-time insurance verification before every encounter: active coverage, copay, deductible, and prior authorization requirements confirmed. When a patient checks in, your team already knows what's covered.
Every service above is included starting at 2.99% of collections. No setup fees. No long-term contracts.
Not sure where your billing is leaking revenue?
A 20-minute billing analysis call shows you exactly where the gaps are and what they're costing you.
From First Call to First Clean Claim
Most practices complete the transition to Prime Therapy Billing and begin live claim submissions within 7 to 10 days. Here's exactly how your revenue cycle works when we manage it.
Discovery & Setup
We review your current EHR, payer mix, fee schedules, denial history, and A/R aging report. Your dedicated billing team is assigned and we configure HIPAA-compliant access through role-based permissions. Nothing changes in your system.
Eligibility & Authorization
Before every encounter, patient coverage is verified in real time: active plan, copay, deductible, and prior authorization requirements. Problems caught here never become denials downstream.
Coding Review & Clean Claim Submission
Charges are captured daily by reconciling your schedule against entered encounters. CPT and ICD-10 codes are reviewed against provider documentation before submission. Target: first-pass clean claim acceptance.
Payment Posting & Denial Resolution
ERA and EOB payments are posted and reconciled on the day of receipt. Denied claims are categorized by denial reason code, appealed with supporting documentation, and root-cause corrected.
A/R Follow-Up & Performance Reporting
Aging claims are worked daily, prioritized by dollar value and payer filing deadline proximity. You'll receive regular performance reports showing collections by payer, denial rates by category, and days in A/R.
Most Billing Problems Do Not Announce Themselves
Your billing may be running, but running and running right are two different operations. The gaps that cost therapy practices the most money rarely appear obvious — they show as slightly lower collections, slightly higher denial rates, and A/R reports that age without intervention.
Unmonitored Denials (8–15%)
Unattended rejections result in thousands of dollars in lost income because no one followed up in time. Prime Therapy Billing works every denial until it's resolved or exhausted.
In-House Billing Overhead
Internal billing drains revenue through staff turnover, training downtime, and benefits — costing significantly more than most practice owners realize when the full overhead is calculated.
Slow or Inconsistent Payer Follow-Ups
When payer follow-ups fail, payments stall and your practice stays underfunded. Prime Therapy Billing works aging claims daily, prioritized by dollar value and filing deadline.
Which of these challenges are you facing?
See What Your Billing Is Missing
No commitment required. Get specific gap identification within your first billing cycle.
Every Week Your Provider Isn't Enrolled Is Revenue You Can't Bill
Credentialing delays are among the most underestimated revenue problems in therapy practices. Say a provider generates $8,000 per week in billable services and stays unenrolled for eight weeks. That's $64,000 in services that can't be submitted. Not delayed. Gone.
Prime Therapy Billing handles the full payer enrollment process — from application through confirmation — getting your providers enrolled in 30 to 60 days, starting at just $99 per enrollment.
What's Included at $99 Per Enrollment
- CAQH profile creation, cleanup, and attestation management — handled entirely by Prime Therapy Billing
- Payer enrollment application submission with complete documentation review before it goes out
- Proactive weekly follow-up on application status — we call the payers so your staff doesn't have to
- Recredentialing deadline tracking with advance notice before expiration
- Status updates at every milestone until enrollment confirmation is in hand
“An incomplete application is the most common reason credentialing takes longer than it should. Ours don't go out incomplete.”
Your Enrollment Timeline: 30–60 Days
Discover Your True Billing Costs — And How Much You Can Save
Compare your in-house billing costs with Prime Therapy Billing's transparent, percentage-based pricing that covers everything from eligibility through reporting.
In-House Billing
Annual Collection: $1,000,000
Prime Therapy Billing
Annual Collection: $1,000,000
Revenue Savings Calculator
Adjust the sliders to see your personalized savings estimate.
Specialty-Specific Billing That Knows Your Payer Rules
Most billing companies list your specialty and call it coverage. Prime Therapy Billing knows your specialty by its denial triggers, modifier requirements, coding edge cases, and payer-specific documentation standards.
Behavioral Health
Time-based add-ons require encounter-level review.
Mental Health Counseling
Session documentation and time-based codes demand precision.
Physical Therapy
Timed code rules determine reimbursement per 15-minute unit.
Occupational Therapy
Functional limitation reporting and medically necessary documentation.
Speech Therapy
Progress notes must support medical necessity per payer.
Applied Behavior Analysis
ABA codes require authorization tracking and behavior plan alignment.
Psychiatry
E/M and psychotherapy add-on code combinations require expertise.
Psychology
Testing codes and 90-minute evaluation rules vary by payer.
Marriage & Family Therapy
Family session codes and multiple-client billing need correct sequencing.
Social Work
Medicaid documentation requirements vary significantly by state.
Addiction Counseling
SUD treatment codes require specific place-of-service matching.
Neuropsychology
Testing duration and report documentation drive denial risk.
Don't see your specialty? We've handled claims across 100+ clinical areas.
What Providers Say After Their Billing Gaps Get Fixed
We work with providers across 100+ specialties. Most come to us with the same frustration: claims unpaid, denials recurring, revenue down, and nobody can explain why.
“I've been incredibly pleased with the professionalism and efficiency of Prime Therapy Billing. Their team responded quickly and thoroughly when it came to checking credentialing and addressing any discrepancies. Their attention to detail and prompt communication have made a noticeable difference in how confidently we move forward with patient care.”
“They have been very responsive and persistent in working on my credentialing. I appreciate how quickly they respond and resolve questions and concerns. The billing process is seamless and I finally have full visibility into what's happening with my claims.”
“The Prime Therapy Billing team has always been very responsible and very clear in their communication. They've always been accessible and answered my questions promptly and with clarity and care. I appreciate their professionalism very much.”
“I have found Prime Therapy Billing to be knowledgeable, professional, and courteous in regard to credentialing and billing. They communicate in real time and the turnaround for payments moves rather quickly. I highly recommend them for those in private practice.”
“I am very satisfied with the services I've received from Prime Therapy Billing. They are proficient and knowledgeable. I appreciate the extra time they took to answer all my questions and make sure I understood exactly where my revenue cycle stood.”
“Switching to Prime Therapy Billing was the best operational decision I've made for my practice. Collections increased by over 30% in the first 90 days. They found denial patterns I didn't even know existed and fixed the root cause immediately.”
Trusted by 500+ healthcare providers nationwide.
Questions Practices Ask Before Switching
Everything you need to know about our services, pricing, onboarding, and how we protect and grow your revenue cycle.
Most practices complete the transition to Prime Therapy Billing and begin live claim submissions within 7 to 10 days. This includes reviewing your EHR, payer mix, fee schedules, and denial history, assigning your dedicated billing team, and configuring HIPAA-compliant access. Nothing changes on your end.
Prime Therapy Billing operates inside your existing EHR from day one. We have hands-on experience with SimplePractice, TherapyNotes, athenahealth, eClinicalWorks, Kareo (Tebra), DrChrono, AdvancedMD, NextGen, Allscripts, ModMed, Practice Fusion, and 40+ additional systems.
Our denial management process includes root cause analysis, timely appeal preparation with supporting clinical documentation, resubmission tracking, and upstream correction to prevent the same denial from recurring. We categorize every denial by reason code and maintain a clear resolution timeline.
Our standard medical billing service starts at 2.99% of collections. Credentialing is $99 per enrollment. There are no setup fees, no long-term contracts, and no add-on line items. Every service is included in one rate. You pay only on what we actually collect.
Absolutely. We are fully HIPAA compliant and use enterprise-grade encryption, secure servers, multi-factor authentication, and regular security audits. All staff undergo rigorous HIPAA training and background checks.
Yes. Therapy billing has specific coding requirements that general billing companies routinely miss — time-based add-on codes, session documentation standards, behavioral health prior authorization workflows, and payer-specific rules for CPT codes like 90837, 90847, 90791, and 96130.
You receive regular performance reports showing collections by payer, denial rates by category, days in A/R by aging bucket, clean claim rates, and recommended adjustments. You also get access to a real-time analytics dashboard.
Yes. Prime Therapy Billing handles the full payer enrollment process — from CAQH profile creation through enrollment confirmation — for $99 per enrollment. Credentialing and billing operate under one team, so you're never coordinating between separate vendors.
Still have questions? Our billing specialists are ready to walk you through every detail.
Your Billing Is Running. But Is Every Dollar Making It to Your Account?
Practices that outsource billing to Prime Therapy Billing see specific gap identification within the first billing cycle. Not vague promises. Not a pitch deck. Actual findings from your actual data, with a clear path to fix what's leaking.
A 20-minute billing analysis call shows you exactly where the gaps are and what they're costing you. No commitment. No pressure. Just the numbers your practice needs to make an informed decision.
Let's Talk About Your Billing Needs
Fill out the form and our billing experts will get back to you within 24 hours with a customized solution for your practice.