Compliance-First · Technology-Enabled

Maximizing Reimbursements. Eliminating Revenue Leakage.

End-to-end Revenue Cycle Management and exclusive Medicare Part C enrollment services for U.S. healthcare providers — delivered through a hybrid U.S.–India model built for precision, compliance, and speed.

Chennai, India · Founded 2022 info@primespearhealthcare.com +91 7904184457
Performance Snapshot
98%
Clean Claim Rate
<5%
Avg. Denial Rate
40+
Specialties Served
30%
Cost Reduction
19
Services Offered
6
Service Pillars
70+
EHR / PM Platforms
50+
Certified Professionals

The Pulse of Your Practice's Financial Health

Prime Spear Healthcare is a Chennai, India-based healthcare revenue cycle company founded in 2022 with a singular mission: to bridge the widening gap between U.S. care delivery and payment realization — with exclusive expertise in Medicare Advantage (Part C) enrollment.

We operate on a hybrid U.S.–India delivery model, combining onshore client management with offshore operational precision, backed by a team of 50+ AAPC- and AHIMA-certified professionals.

2022
Year Founded
50+
Team Size
40+
Specialties Served
HIPAA
Fully Compliant
Learn More About Us →

Tailored for Every Tier of Care

1
Private PracticesOff-site business office, reducing overhead while maximizing daily collections.
2
Medical GroupsUnified billing across specialties with consistent cash flow.
3
Hospital SystemsEnterprise RCM with Chargemaster optimization & high-volume accuracy.
4
Medicare Advantage PlansExclusive Part C enrollment support with CMS-compliant precision.

Our Complete Service Portfolio

Comprehensive · HIPAA-Compliant · Technology-Enabled · Specialty-Agnostic — six pillars covering the entire revenue cycle.

01

Patient Access Services

5 Services
  • Patient Scheduling
  • Prior Authorization
  • Eligibility & Benefits Verification
02

Medical Coding Services

5 Services
  • Facility Coding (UB-04)
  • Professional Fee Coding
  • HCC Coding & HEDIS Abstraction
03

Extended Business Office & RCM

7 Services
  • Revenue Cycle Management
  • Payment Posting & Reconciliation
  • Denial Management & Prevention
05

Provider Credentialing

4 Services
  • CAQH Profile Management
  • Medicare & Medicaid Enrollment
  • Commercial Payer Credentialing
06

HIPAA & Data Security

6 Frameworks
  • HIPAA Privacy & Security Rules
  • HITECH & Omnibus Rule
  • 256-bit AES Encryption & Zero-Trust
View Full Service Portfolio →

Performance Benchmarks & KPI Commitments

Industry-leading metrics that define our operational excellence standard.

98%
Clean Claim Rate
<5%
Denial Rate
<35 Days
Days in A/R
99%
Coding Accuracy
30%
Cost Reduction
<2%
Medicare Part C Application Error Rate

Trusted By Practices Nationwide

Real results. Real practices. Real revenue recovered.

Prime Spear Healthcare helped us streamline our billing process and reduce claim rejections by 30%. Their team understands payer-specific nuances better than any offshore vendor we have worked with.

30%Fewer Claim Rejections
Dr. Sarah MillerFamily Medicine Practice, Texas

Outsourcing our coding and billing to Prime Spear saved us over 20% in operational costs. Their denial management process is systematic, fast, and exceptionally accurate.

20%Operational Cost Savings
Michael StevensPractice Manager, New York

Their Medicare Advantage enrollment team processed over 5,000 applications in our first quarter with them — with a 99.2% first-pass accuracy rate.

99.2%Enrollment First-Pass Accuracy
Jennifer OrtizMedicare Plan Operations Director, Florida
Read All Success Stories →
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Ready to Transform Your Revenue Cycle?

Get a complimentary RCM assessment — we will identify revenue leakage and show you exactly where we can improve your collections.