PrimaryPlus opens healthcare and behavioral health practices, then runs the business behind them. Licensure, compliance, credentialing, certified coding, billing, and collections, owned end to end by one team. Take the full build or any single piece.
Before a single claim goes out, the license, the policies, the provider files, and the systems have to be right. This is where most practices lose their first year. We handle all of it, and every piece is available on its own.
State facility licensure, certification and accreditation readiness, site and staffing requirements, and the sequence to follow so you open on time and pass inspection the first time.
Policy and procedure manuals, clinical documentation standards, HIPAA workflows, HR and personnel files, and records governance built to hold up under payer, state, or accreditation review.
Provider enrollment, CAQH build and maintenance, payer credentialing, contracting, and revalidation managed start to finish so your providers can bill without delay.
New clinicians set up end to end. License verification, roster additions, EHR access, supervision documentation, and billing setup, so a new hire is billable in weeks instead of months.
EHR selection, configuration, templates, clearinghouse connections, and the reporting setup that makes everything downstream measurable instead of guesswork.
Scheduling and intake workflows, front desk process, staff training, and back office support that keeps the practice running day to day.
The revenue cycle in the order it actually happens, from checking benefits before the visit to the last patient balance cleared. Hand us the full cycle, or just the stage that is leaking.
Benefit verification before the visit, prior authorization submitted and tracked to decision, and authorized units monitored so care is covered before it is delivered.
Certified coders apply correct ICD-10, CPT, and HCPCS codes against reviewed documentation, so charges leave the practice complete and defensible.
Claims scrubbed against payer edits and submitted daily across commercial, Medicaid, Medicare, and managed care. Rejections worked the same day they come back.
ERAs and EOBs posted accurately, deposits reconciled to the penny, contractual adjustments verified, and patient responsibility calculated correctly the first time.
Aged receivable worked by bucket and by payer, root-cause denial analysis, corrected resubmissions, and the fixes that stop the same denial from repeating.
Formal appeals with clinical support, timely filing protection, and contract-rate audits that catch payers reimbursing below the agreed fee schedule.
Statements, payment plans, card on file, and respectful balance follow-up that protects the patient relationship while it protects the revenue.
Ongoing chart and coding audits, undercoding and overcoding detection, and provider-level feedback that reduces audit exposure before a payer finds it.
Real-time dashboards on collections, denials, aging, and payer performance. You always know exactly where your money is and what is driving it.
We know Rule 132, Part 140, MCO billing, and the nuance of behavioral health claims that generic billers miss.
Operations across Nevada, Illinois, Texas, and Florida with experience navigating each state's Medicaid and managed care rules.
Clear pricing, open reporting, and direct access to your account team. You see every claim, every denial, every dollar.
Licensure, provider onboarding, policies, audit readiness, and operations under the same roof as your revenue cycle. One team, one accountable point of contact.
Onboarding is structured and fast, whether you are handing off a billing backlog or opening a brand new location. Once we are live, the work runs on a predictable rhythm you can see in real time.
We find out where you are. Opening, expanding, or fixing a revenue problem. Then we map the gaps and the plan, with no obligation.
Licensure, policies, credentialing, and system access stood up in sequence, with a documented BAA before anything moves.
Eligibility, coding, claim submission, posting, and denial work performed daily by your dedicated team.
Transparent monthly reporting across licensure, credentialing, and collections, with continuous improvement on every stage.
PrimaryPlus was built by people who run behavioral health and primary care operations every day. We know what it feels like to watch a denied claim sit untouched, to wait months on a credentialing packet, to open a location before the licensure is clean, and to wonder where collections really stand.
That experience shapes how we work. We treat your revenue like our own, with the precision of certified coders and the urgency of operators who understand cash flow. The result is cleaner claims, faster payments, credentialed providers, and a practice that runs on accurate numbers instead of guesswork.
Opening a practice, adding providers, or watching revenue slip. Request a free review of your licensure, credentialing, and revenue cycle and we will show you exactly where the risk and the recoverable money are.
Tell us what you are running or building and we will follow up to schedule your free audit. No pressure, no obligation.