Improved Cash Flow
Speed is important in revenue cycle management; Sirius Solutions Global ensures claims are submitted quickly and correctly, therefore lowering the time it takes to receive payment. Removing lag in coding, submission, and follow-ups guarantees that your cash flow stays regular and predictable, hence providing your business the financial stability needed for growth.
Reduced Denials
Claim rejections will drain your business dry. Before every claim is submitted, our experienced billing staff makes sure it is examined, sanitized, and coded correctly, therefore greatly reducing the possibility of refusals. Our clean claim rate above 98% means you should anticipate fewer denials and more approved payments on the first try.
Fewer Billing Errors
Delay, denial, or compliance problems can follow even small billing errors. This is why we use real-time claim scrubbing driven by smart billing solutions that scan for payer-specific rules, missing information, and wrong codes. By taking this proactive approach, you reduce human error and keep your revenue cycle operating efficiently.
Better Compliance
Payer demands and CMS rules vary often; failing to comply might result in lost income or penalties. Sirius Solutions Global keeps your billing compliant by constantly tracking payer updates, modifier restrictions, and document standards. Your practice is always in line with federal, state, and commercial payer policies thanks to our staff.
Full Transparency
Openness is something we value. Through user-friendly dashboards and thorough monthly reporting, our customers have instantaneous access to billing performance, revenue trends, and aging reports. This enables you to track KPIs, make wise decisions, and always remain in charge of your financial performance.
Lower Admin Costs
Handling in-house billing is labor-intensive and expensive. Outsourcing to Sirius Solutions Global helps to lighten the load of personnel, training, and software overhead. While our streamlined procedures reduce your administrative expenses and free up your crew to concentrate on patient care—what counts most.
Primary Care Medical Billing Services
You went into primary care to care for patients — not to fight paperwork and denials. At Sirius Solutions Global we partner with family medicine, internal medicine, and community clinics to take billing off your plate and put money back in your accounts. We combine certified coders and billing experts with smart automation so claims leave clean and pay fast. No fluff — just predictable revenue, fewer denials, and more time for care.
What we do — full, modular primary care billing services
We offer a complete suite of billing and revenue cycle services you can buy as a package or pick a module.
Front-end & eligibility
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Pre-visit insurance verification and benefit extraction.
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Prior authorization triage for tests and referrals.
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Patient financial estimates and point-of-service collection guidance.
Coding & charge capture
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Accurate coding for E/M, preventive visits, chronic care management, transitional care management, telehealth visits, procedures, and vaccine administration.
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Charge reconciliation with the clinical note to ensure nothing billable is missed.
Claim submission & clearinghouse
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Automated claim scrubbing + human review.
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Clearinghouse submission, daily rejection handling, and corrected resubmissions.
AR & denial management
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Prioritized AR workflows (by dollar, payer, and denial risk).
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Root-cause denial analysis and corrective action to stop repeat denials.
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Appeals and re-openings where appropriate.
Payment posting & reconciliation
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Daily posting of payer and patient payments, ERA/EOB reconciliation, and variance resolution.
Patient billing & collections
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Patient-friendly statements, online payment options, payment plans, and compliant collections workflows that protect your patient relationships.
Reporting & advisory
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KPI dashboards (days in AR, net collection rate, denial rate, first-pass acceptance).
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Monthly performance reviews with recommended actions and provider-facing documentation improvement tips.
Why primary care practices choose us
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Specialty-aware coding for E/M, chronic care (CCM), annual wellness, telehealth, and preventive services.
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AI-assisted claim scrubbing that catches errors before submission.
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End-to-end RCM: eligibility → coding → submission → AR → appeals.
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Transparent reporting with dashboards and monthly executive summaries.
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Human-first service: a dedicated account manager and a U.S.-based escalation team.
Why primary care billing is different — and how we handle it
Primary care has many visit types, high visit volumes, and frequent low-dollar claims that add up. To capture revenue reliably you need:
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Fast, accurate E/M coding (including time-based and MDM-driven documentation).
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Correct use of care-management codes (CCM), Transitional Care Management (TCM), and Annual Wellness Visits (AWV).
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Appropriate telehealth place of service and modifier use.
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Tight eligibility checks to avoid patient surprise balances.
We design workflows that maximize automation for high-volume, low-complexity work and reserve expert review for exceptions and high-value accounts.
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Predictive analysis for
income trends
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Automatically tracking of
claim condition
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Realtime KPI dashboards
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Artificial intelligence assisted detection of denial pattern
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HIPAA-compliant cloud access
What Makes Us Different?
AI-powered - what that actually does for your practice
AI in our stack is practical, proven, and supervised by humans. It does repetitive, high-volume tasks and flags exceptions for experts to review.
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Pre-submission scrub — flags missing fields, mismatched demographics, likely coding mismatches, and common payer edits.
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Denial prediction — identifies claims with high denial probability so we remediate before submission.
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NLP-assisted chart parsing — surfaces billable events and suggested codes for human coders to confirm.
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Automation of routine follow-ups — requests for simple EOBs, basic remittance queries, and recurring payer checks.
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Continuous learning loop — the system learns from resolved denials and coder corrections to reduce future errors.
Important: AI speeds the work. Certified coders and billing specialists make defensible, clinical decisions.
Typical outcomes / Deliverables
While every practice is different, clients commonly see:
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Faster claim adjudication and reduced days in AR.
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Fewer denials from common front-end errors (eligibility, demographic mismatches).
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Better capture of care-management revenue and telehealth claims.
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Clearer cash forecasting and less time spent chasing small remits.
We quantify baseline metrics during the audit so your ROI is trackable.
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Executive KPI dashboard and provider scorecards.
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Detailed AR aging and action tracker.
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Denial analysis report with corrective action items.
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Clean claims log and reconciliation packet.
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List of appeals and outcomes with documentation packages.
Let’s Grow Your Primary Care Practice—Profitably
Whether you’re looking to transition from in-house billing or unhappy with your current billing partner, Sirius Solutions Global is ready to help. Our end-to-end RCM solution for primary care ensures peace of mind, improved profitability, and a smooth billing experience for both your team and your patients.
📞 Contact us today to schedule your free practice analysis or consultation.