About Us

ProSperus offers full service practice management to physicians—from primary care physicians to office-based specialists. No newcomer to revenue cycle management, the company is based on 20 years of experience and the industry’s highest level of claims processing accuracy and resolution. ProSperus has a complete suite of best-in-class software and services and currently assists over 500 physician groups and manages over 5.1 million transactions annually. The complete ProSperus solution improves the efficiency of processes from the implementation of PMIS/EMR systems to revenue cycle management, credentialing, administrative staffing and practice analytics. Physicians can choose just one or the entire suite of services to consistently enhance their practice performance and returns.

What Makes Us Better

• Accuracy: As the leader in revenue cycle management reliability and performance, ProSperus’ accuracy in claims processing is regularly tested by one of the highest quality audit standards. Up to 20% of millions of transactions are audited each month with data correction required in less than 1% of the transactions tested.
• 100% Processing: Not satisfied with the industry’s best accuracy levels, ProSperus even captures patient visits and procedures that fall through the cracks for other systems. In fact, 3-8% of patient visits typically go unprocessed in most practices. So ProSperus performs the additional analytics to ensure that these visits are caught and the claims are processed in a timely manner.
• Revenue Recovery: This translates into excellence in revenue recovery as well, since less than 1% of ProSperus rejected claims go unresolved, while other solutions struggle with denied claims as high as 10% of the total.
• Most Complete Coverage Database: At the heart of the ProSperus software is the Coverage Knowledge Center which is updated each week with government and health plan reimbursement modifications on a national, state and local basis. Every line item submitted for reimbursement is electronically checked and rechecked against the Knowledge Center to ensure the highest levels of reimbursement.
• The Coding Experts: The people behind the software are also a big part of the ProSperus difference. ProSperus employs some of the most competent, certified healthcare coding experts, averaging 12 years of experience across the board. Health plans may change regularly but these people keep up with every adjustment to ensure that the next claim processed is approved and paid in a timely manner at the appropriate level.

And the Results…

Practices using ProSperus services experience increased revenue, decreased expenses and an improved competitive position in their markets.