Revenue Cycle Services

Healthtek, a Data-Core Systems Company, delivers essential services and tools to support
providers and payers in their Healthcare Revenue Cycle Management (RCM).

The offerings include:

Revenue Cycle Optimization services that enhance financial success.
A suite of Healthcare Automation Tools that improve RCM KPIs in real-time.

Maximize Your Revenue Potential with Healthtek’s end-to-end
RCM services

At Healthtek, we redefine revenue cycle management by becoming a seamless extension of your team. Our years of service experience coupled with AI-based tools optimize your financial performance while maintaining high standards of quality and turnaround. From patient eligibility verification to denial management, our services integrate effortlessly with your workflows to boost efficiency and results.

Healthtek’s Revenue Cycle Services

Streamlined patient enrollment and eligibility verification for maximized revenue

Our team simplifies patient onboarding and ensures smooth billing with our proactive approach to patient registration and eligibility verification. This integration with your existing processes minimizes the risk of denied payments.

Efficient onboarding :

Our streamlined registration captures accurate demographic and insurance details, reducing denied claims and payment delays.

Eligibility & benefit verification :

We verify insurance eligibility before claims are generated, addressing coverage issues upfront to minimize denials.
If eligibility fails, our expert team performs coverage discovery to find any other insurance that the patient might be eligible for.

Accurate Medical Coding That Drives Revenue Growth

Our certified coding team ensures precise medical coding that adheres to industry standards, minimizing revenue leakage and boosting accuracy.

Precision coding :

We assign accurate codes for diagnoses, procedures, and services, staying up to date with the latest coding changes and guidelines.

Quality assurance and risk mitigation :

Regular internal audits safeguard compliance with coding standards and minimize the risk of coding errors that can lead to revenue loss.

Maximize Quality And Compliance With Rigorous Coding Audit

Our specialized audit services ensure your medical coding meets the highest standards, reducing errors and improving financial performance.

Thorough chart reviews

We perform detailed patient chart reviews to ensure coding accuracy, consistency, and compliance, identifying areas for immediate improvement.

Continuous coding training and education :

We provide regular training for coders to stay current with industry updates, ensuring best practices are always followed.

Secure & Efficient Lockbox Services

Healthtek’s Lockbox services streamline the handling of mailed payments, ensuring secure deposits and providing you with customized reporting, enhancing revenue cycle efficiency.

Automated remittance processing:

Our Robotic Process Automation (RPA) ensures fast and accurate handling of mailed payments, swiftly depositing funds into designated accounts.

Complete visibility

Get comprehensive, customized reports offering actionable insights into your payment processes.

Proactive A/R Follow-Up For Faster
Payment Realization

Our team takes a strategic approach to Accounts Receivable (A/R) follow-up, prioritizing claims based on value and age to ensure timely resolution.

Strategic follow-up:

Our team actively prioritizes high value claims to expedite payment and resolution.

Streamlined payer communication :

Integrated communication channels enable seamless interaction with payers, accelerating issue resolution while maintaining positive relationships.

Predictive Denial Management to
Prevent Revenue Loss

At Healthtek, the denial management process begins before a claim is even submitted, using advanced AI tools to reduce the likelihood of denials.

Proactive denial prevention :

Our AI/ML-based Denial Manager tool predicts potential denials and suggests corrective actions before submission.
This proactive approach reduces the likelihood of denials and improves overall claim acceptance rates.

Comprehensive denial resolution :

In the event of a denial, our specialists work swiftly to address root causes, preventing future issues and enhancing acceptance rates.

Seamless Payment Posting For
Optimized Cash Flow

Our specialists post payments from EOBs and verify posted amounts from ERAs. By reconciling total reimbursements with individual patient accounts, our comprehensive RCM solution ensures every payment is accurately posted, reducing errors and optimizing financial performance.

Payment handling, consolidation & reconciliation:

Our team manually processes paper-based payments from EOBs and ensures all sources are properly reconciled before posting. Electronic payments are automatically posted in the system and verified by our team.

Automated EOB conversion :

Our AI-driven EOB Converter automatically transforms paper EOBs into electronic data, streamlining your payment posting process.

Elevating Patient Services To
improve Satisfaction

Our dedicated patient services team handles all communication related to patient visits, ensuring satisfaction while supporting revenue cycle goals.

Responsive correspondence management :

We manage patient correspondence efficiently; ensuring timely, accurate responses to inquiries.

Patient satisfaction assurance:

We are committed to delivering exceptional patient experiences, addressing any concerns swiftly and professionally.

Why Choose Healthtek’s RCM Services?

Proven Expertise

With over two decades of industry experience, we bring a seasoned approach to Revenue Cycle Management (RCM) that supports sustainable growth and efficiency.

Client-Centered Approach

Our flexible solutions are tailored to meet each client’s unique needs, with a commitment to high satisfaction levels across every service.

Global Reach

We serve clients from multiple locations, including Bristol, Pennsylvania; Las Vegas, Nevada; and our international hubs in Kolkata and Mumbai, India.

Uncompromising Compliance

Healthtek upholds national and international security, privacy, and quality standards, ensuring every process aligns with the highest compliance requirements.

Rapid Turnaround

We provide swift processing and can deliver results within 24 hours.