Empowering Healthcare with Precision and Integrity
Delivering Excellence in Revenue Cycle Management and Healthcare Staffing
At RIK Healthcare Solution, we believe that sustainable healthcare growth begins with operational precision and trusted partnerships. With over 15 years of combined experience, our team specializes in End-to-End U.S. Medical Billing, RCM, and healthcare workforce solutions designed to maximize efficiency, accuracy, and compliance.
We serve healthcare organizations of all sizes — from solo practices to large hospital groups — ensuring seamless billing, faster reimbursements, and reliable staffing support. Every service we offer is built on three pillars: transparency, technology, and trust.
Our mission is simple — to help healthcare providers focus on what matters most: delivering exceptional patient care while we handle the rest.
Comprehensive Revenue Cycle Management
We manage the entire RCM workflow from patient intake to final payment, ensuring accuracy and efficiency at every step.
| RCM Stage | RIK Healthcare Solution | Value to Your Practice |
|---|---|---|
| Front-End | Patient Data Intake, Insurance Verification & Pre-Authorization | Prevents 20–45 min delay and claim denials before they happen. |
| Mid-Cycle | Medical Scribing, Expert Coding, Requisition & Submission | 95–98% First Pass Acceptance Rate (FPAR) with certified coders. |
| Back-End | Medical Billing, Payment Posting, AR & Denial Management | Aggressive follow-up on high-value/older claims, recovering 15-25% of otherwise lost revenue. |
| Patient Billing | Clear, supportive, and trustworthy patient invoicing. | Improved patient satisfaction and faster self-pay collections. |
- Results-Driven Performance
Key Performance Indicators
We measure our success by the financial results you see
| Metric | Industry Standard | RIK Healthcare Target | Financial Impact |
|---|---|---|---|
| First Pass Acceptance Rate (FPAR) | ~75-85% | 95-98% | Minimized rework; faster cash flow. |
| AR > 90 Days | High/Volatile | Reduced by up to 50% in 3 months | Maximum recovery of aged debt. |
| Denial Resolution Rate | Varies | 90-95% success on appeals | Protection of earned revenue. |
| Collection Efficiency | Varies | Increase by 15-25% in 6-12 months | Significant boost to overall profitability. |
| Cost Savings vs. In-House | N/A | 30-40% savings | Predictable, lower operational expenses. |
Precision & Transparency
Our End-to-End RCM Workflow
We manage the entire Revenue Cycle to maximize the probability of a “clean claim” and ensure timely payment
This critical front-end step involves gathering and verifying all patient demographic, insurance, and guarantor information. Errors here are the #1 cause of claim denials. Our staff ensures that data is entered precisely into the EMR/PMS, validating spelling, addresses, and date formats to establish a clean financial record before service delivery.
Before a patient is seen, we confirm eligibility, benefits, and financial responsibility. Crucially, we proactively obtain prior authorization (pre-auth) for services that require it. This process streamlines insurance checks and approvals, preventing delays and claim denials before they happen, saving 20–45 minutes per claim.
While primarily a clinical support function, accurate scribing directly impacts billing. Our expert scribes ensure that the provider’s documentation fully supports the services rendered, including time, location, and medical necessity. This results in complete and error-free clinical records, which are essential for correct coding and avoiding payer audits.
This is where clinical documentation is translated into standardized codes, specifically CPT (procedures), ICD-10 (diagnoses), and HCPCS (supplies). Our certified coders ensure that all codes are accurate and compliant with the latest regulations and payer-specific rules. Accurate coding (saving 15–30 minutes per claim) is the backbone of our high First-Pass Acceptance Rate (FPAR) of 95–98%.
This step involves auditing the coded encounter data and assembling the final claim package. Our automated and manual workflows ensure all necessary attachments, modifiers, and documents are reviewed and submitted correctly. This guarantees that the claim is ‘submission-ready’ and meets all payer formatting requirements the first time.
Claims are submitted electronically (EDI) to payers, and payments (Electronic Remittance Advices/ERAs or Explanation of Benefits/EOBs) are efficiently posted back to the patient ledger. We ensure accurate reconciliation of payments and identify any underpayments immediately, flagging them for subsequent action.
Why Choose RIK Healthcare Solution?
We solve the critical challenges that healthcare providers face every day
High Denials & Slow Cash Flow
Our Solution: Proactive Denial Prevention at eligibility + aggressive AR recovery.
Administrative Burden
Our Solution: End-to-End RCM allowing your clinical staff to focus on patient care.
Staffing Shortages & Overload
Our Solution: One-Vendor Staffing providing certified coders/billers on demand.
Cost of In-House Billing
Our Solution: 30-40% Cost Savings with flexible, performance-driven pricing.
Compliance Risk
Our Solution: 100% HIPAA/SOC-2 Compliance with secure, encrypted data handling.