Healthcare organizations turn to RISARC when revenue is unpredictable—claims stall, denials rise and teams work hard without results. RISARC strengthens the entire revenue cycle by integrating AI and robotic process automation into existing workflows to manage eligibility, prior authorizations, coding, claim submission, follow-up and denial management. After RISARC, cash flow improves, backlogs shrink, KPIs become reliable, staff refocus on higher-value work and hospitals get paid faster with confidence.
RISARC's Front-End Module automates the pre-certification and pre-authorization process, verifies patient eligibility and identifies the correct insurance payer before service delivery. By eliminating manual verification and pre-auth delays, our AI-powered Digi-staff ensure data accuracy and compliance at the start of the revenue cycle—resulting in cleaner claims, faster reimbursement and measurable improvements in key performance indicators.
RISARC's Middle Module merges clinical accuracy with automation to streamline coding, charge capture and claim generation. Digi-staff handles high-volume data validation, charge posting and intelligent coding review—ensuring compliance, clean claim submission and optimal financial performance.
For clients not utilizing our Front-End or Middle Modules, RISARC offers standalone Back-End services focused on denial management, remittance processing and A/R recovery. Digi-staff automates the identification, correction and resubmission of denied claims—using predictive analytics to prioritize accounts and close revenue gaps.
We provide services to clients across the U.S. and across all verticals in healthcare.
Integrated Delivery Networks
Hospitals
Clinics
Ambulatory Surgical Centers
Pharmacies
Government
Healthplans
ACOs
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Burbank, CA
