RESPONSIBILITY MATRIX

Clear ownership at every care, workflow, and billing handoff.

PrimeVital works around the provider organization’s clinical and billing authority. This matrix makes the operating roles explicit before a program begins.

See the feasibility assessment

Support does not replace provider authority.Clinical judgment, final coding, billing, and patient-care decisions remain with the provider organization.

OPERATING OWNERSHIP

One shared operating model, without blurred accountability.

The final matrix is adjusted to the practice’s programs, staffing model, payer arrangements, and delegation rules before launch.

WorkPrimeVitalPractice

Candidate-list analysisLead: prepare and organize the reviewSupply authorized data and approve use

Benefit verificationPerform or support the verification workflowConfirm contract interpretation and final payment approach

Clinical eligibilityPrepare supporting evidenceMake final clinical decision

Consent and onboardingPerform under the approved workflowApprove content and preserve the clinical relationship

Device logisticsPerform when included in the program designApprove device and clinical protocol

Routine outreachPerform coordinated outreachSupervise as required

Clinical thresholdsConfigure within approved workflowApprove thresholds and protocol

EscalationsRoute and documentMake clinical decision and treatment change

Coding recommendationSupport workflow and evidence reviewSelect final codes and retain billing authority

Claim submissionPrimeVital RCM or practice workflow, as agreedRetain billing-provider authority

Audit responseAssemble supporting records and operational evidenceOwn the claim and clinical record

MAKE IT SPECIFIC

Roles should be approved before patient outreach begins.

Program type, practitioner supervision, EHR workflow, payer contracts, and patient communication preferences can change the final division of work. The assessment documents those choices instead of leaving them implicit.

See the sample implementation toolkit

DESIGN A PRACTICAL STARTING POINT

Tell us where the workflow is breaking. We’ll show you where to begin.

Choose how to connect

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