Primrose Vs Traditional Billing
Why Choose Primrose Over Traditional Billing?
Are you relying on your colleagues and friends to tell you their favorite billing company? What if we were to lay out the facts so you can make the right decision for your practice?
Basic Billing functions
| AREA | TRADITIONAL BILLING COMPANY | PRIMROSE | ADVANTAGE |
|---|---|---|---|
Data Entry | Manual data entry from paper notes or EHR exports; prone to human error | Automated extraction using AI/NLP from structured and unstructured notes | Primrose |
Coding Assistance | Often relies on external coders; delay in identifying proper codes | AI assists with real-time code suggestions based on captured notes | Primrose |
Charge Lag | 24–72 hour lag between visit and billing | Real-time charge capture using NLP and OCR | Primrose |
EHR Integration | May require staff to manually export data or copy-paste | Direct EHR integration with automatic data pulling | Primrose |
Audit Trail | Minimal logging or version history for entered data | Complete data lineage; every extraction is time-stamped and trackable | Primrose |
Staff Involvement | High staff burden to translate clinical notes into billable data | Low staff involvement; AI automates first-pass data capture | Primrose |
Accuracy | Varies by staff experience; error rates can be significant | AI maintains consistent accuracy with low error rate | Primrose |
Custom Rules | Staff follows general payer rules; updates may lag | AI scrubber updates rulesets dynamically based on payer feedback | Primrose |
Exception Handling | Human staff manually investigates edge cases | AI flags unclear inputs for human review, reducing oversight time | Both |
Learning Curve | Trained staff with billing knowledge required | Minimal training needed as system handles most first-line capture | Primrose |
Core Software
| AREA | TRADITIONAL BILLING COMPANY | PRIMROSE | ADVANTAGE |
|---|---|---|---|
Note Parsing | No parsing; staff reads and enters manually | Parses free-text notes and extracts CPT/ICD codes | Primrose |
Template Support | Templates are static or paper-based | AI dynamically adapts to varied note structures | Primrose |
Real-time Feedback | No feedback; errors discovered during denial phase | Instant validation and alerts for missing data | Primrose |
Billing Interface | Data entered via external billing tool or spreadsheet | Unified platform with embedded AI tools | Primrose |
Structured Output | Requires formatting by staff | Structured data generated automatically for downstream systems | Primrose |
OCR Capability | Not standard; scanning handled separately | Built-in OCR for reading face sheets, forms, and notes | Primrose |
Audit-Friendly | Depends on documentation habits | Standardized structured output ready for audit | Primrose |
Notes Reuse | Needs reentry of past visit data | Can retrieve and reuse past structured notes for billing continuity | Both |
Software Updates | Requires vendor coordination | Frequently updated with new features and rules | Primrose |
Speed | Staff-limited throughput | Processes claims at machine speed | Primrose |
Previsit Services
| AREA | TRADITIONAL BILLING COMPANY | PRIMROSE | ADVANTAGE |
|---|---|---|---|
Previsit Eligibility Check | Manual or skipped due to workload | AI fetches and validates eligibility in real-time | Primrose |
Previsit Notes Review | Done manually a day before (if at all) | AI scans upcoming appointments and reviews notes for completeness | Primrose |
Coverage Flags | Requires staff to notice coverage gaps | AI highlights plan mismatches or expired policies | Primrose |
Authorization Needs | Determined post-visit or overlooked | Flagged by AI before visit based on service/note patterns | Primrose |
Estimation Accuracy | Estimates are skipped or based on general fee schedules | AI uses note content + payer policy to generate accurate estimates | Primrose |
Missed Documentation Alerts | Not flagged before visit | AI pre-checks documentation readiness (e.g., missing diagnosis) | Primrose |
Insurance Card OCR | Manual key-in required | Scan via app; OCR extracts and validates data | Primrose |
Form Completion | Patients fill out paper forms | Previsit forms prefilled using existing structured data | Primrose |
Chart Prep | Paper-based review by staff | AI generates structured preview of visit data | Primrose |
Appointment Scheduling | Disconnected from billing intelligence | Scheduler linked to billing engine to prompt financial readiness | Both |
Setup & Support Services
| AREA | TRADITIONAL BILLING COMPANY | PRIMROSE | ADVANTAGE |
|---|---|---|---|
System Training | Training focuses on software navigation | Also includes training on AI functionality and interpretation | Primrose |
Custom Mapping | Manual mapping of fields for each EHR | AI auto-maps and learns optimal data paths | Primrose |
Ongoing Optimization | Ad hoc based on feedback | AI continuously improves via machine learning | Primrose |
Support Tickets | Human-handled with delay | Many minor issues self-resolve via intelligent prompts | Primrose |
Transition from Manual | Requires heavy involvement from staff | AI onboarding includes auto-import of past notes and history | Primrose |
Pre-launch Audits | Manual preflight by biller | AI performs automated audits to find potential documentation gaps | Primrose |
Team Familiarity | Relies on the expertise of the assigned staff | Cross-trained team plus AI assistance minimizes dependency on individuals | Primrose |
System Monitoring | Basic logs or user feedback | AI monitors system health and alerts for anomalies | Primrose |
Report Customization | Limited by reporting tool | AI-curated insights plus customizable filters | Primrose |
EHR Compatibility | Often requires vendor coordination | Plug-and-play AI layer adapts to EHR data structure | Primrose |
¹ – feature is available only in our Premium & Enterprise plans. Click to view our plans | |||
³ – Assumes that Primrose gets sufficient lead time to transition billing service | |||
I used an inhouse biller the first year of my practice and then switched to a top EMR vendor for the next year. Both attempts failed and I have been using Primrose over the last 5 years and I couldn’t be happier with their solution. Recommended
Primrose is here to help you all the way
Enable the success of your practice. From day one, we make it easy to get up and running with Primrose. Once onboarded, our support team is ready to make sure that your success continues with our specialized services.