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Transforming Financial Operations with Precision and Intelligence

Reduce Denials, Accelerate Revenue, Ensure Accuracy, and Streamline Financial Operations

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Fragmentation in Healthcare Billing

The Problem: A System Built for Silos, Not Outcomes

Healthcare financial operations remain deeply fragmented. Coding, billing, and patient engagement processes are disconnected, forcing teams to work around ambiguity, outdated systems, and manual workflows. Patients face confusion and delays. Coders face complexity without clarity. And despite more vendors and layers, denials, write-offs, and administrative waste continue to rise.

At HealthWorks, we helped build the systems payers use to ensure payment integrity—and now we help providers thrive within them. We understand the mechanics of the problem—and we’ve built a smarter way through it.

The Solution: A Structured System That Solves Problems Upstream

HealthWorks transforms revenue cycle performance by embedding logic, rules, and payer alignment at the point of coding and patient engagement. Rather than reacting to denials, our system prevents them—applying structured, evidence-based decision paths that ensure every claim is accurate, justified, and submission-ready.

Sitting between the medical record and billing system, our platform analyzes encounter data, documentation sufficiency, and payer edit rules in real time—resolving issues before submission. Whether optimizing coding integrity or guiding patient financial interactions, HealthWorks delivers front-loaded precision that reduces rework, accelerates payments, and improves trust across the system.

THE RESULTS

REDUCED DENIALS FROM

20% to less than 5%

FOR PROVIDERS

ACCELERATED COLLECTIONS

by more than 30%

REDUCED INCOMING CALLS

by over 50%, mitigating waste, improving efficiency

Precision in Action

Our Collaboratives: Delivering Precision Across Financial Operations

The Provider Performance Studio is powered by three specialized Collaboratives, each designed to address critical aspects of provider financial operations:

REVENUE PRECISION COLLABORATIVE

Ensures accuracy in revenue cycle processes by leveraging real-time claims monitoring and denials intelligence. We combine exceptional expertise with world-class technology to tackle traditional full-service revenue cycle management, out-of-network claims, and complex cases.

  • Insurance Billing
  • Out-of-Network/IDR
  • Complex Claims
  • Patient Responsibility
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REVENUE ASSURANCE COLLABORATIVE

Drives excellence and accuracy in clinical coding practices and auditing services. By aligning provider billing practices with regulatory requirements and standards, we reduce compliance risks and optimize revenue.
  • Coding
  • Flex Resources
  • DRG Audit & Assurance
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PAYMENT & ENGAGEMENT COLLABORATIVE

Delivers clear, consistent communication to improve patient satisfaction, billing accuracy, and collections. By fostering transparency and trust, we enhance the patient experience while reducing administrative burdens.
  • Clear Billing Communications 
  • Personalized Payment Options
  • Automated Financial Engagement
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DENIALS ELIMINATION COLLABORATIVE

Proactively eliminates denials before they happen. By leveraging real-time monitoring and denial intelligence, we reverse-engineer insights to anticipate potential denials and reengineer rules to prevent them. No other solution works smarter to protect your revenue.
  • Denials Intelligence
  • Rule Reengineering
  • Real time monitoring
  • Reverse Engineer
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Provider Testimonials

“I’ve implemented 24 different systems over the past two years and this has been the smoothest rollout I have ever experienced. “

National Healthcare Partner

“HealthWorks (formerly VantageHealth.ai) acts as a true extension of our team. Their technology ensures patients get the support they need quickly, allowing our staff to focus on higher-value priorities.”

Early-Out/Collections Customer

“We sent a patient a payment link via HealthWorks (formerly VantageHealth.ai), and the payment was completed in seconds. The automation has been a game changer.”

Multi-Provider Health System

A Connected, Efficient Ecosystem

The Impact: Closing Gaps, Reducing Costs, and Improving Outcomes

HealthWorks’ approach goes beyond traditional revenue cycle management. By integrating real-time data, advanced analytics, and human expertise, we create a connected ecosystem where payers, providers, and patients can collaborate effectively. Our system doesn’t just solve problems—it prevents them.By anticipating denials, streamlining workflows, and ensuring accurate payments,we reduce costs, improve outcomes, and foster trust across the healthcare ecosystem.

FOR PROVIDERS

Optimized revenue cycle, reduced denials, and improved patient satisfaction.

FOR PAYERS

Accurate payments, reduced administrative waste, and enhanced compliance.

FOR PATIENTS

Transparent communication, fewer billing issues, and a better overall experience.

Ready to Transform Your Revenue Cycle?

Discover how HealthWorks can help you reduce denials, accelerate receivables, get you your rightful revenue, ensure billing compliance, and streamline financial operations. Let’s work together to create a more efficient, transparent, and collaborative healthcare ecosystem.

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