Growing volume shouldn't mean growing headcount and shrinking margins. Healacle automates the revenue cycle end-to-end and plugs best-of-breed AI into every function — denials, coding, prior auth, follow-up — so you recover more revenue without adding FTEs. That's Margin RecoveryTM.
Routine revenue cycle work runs automatically across the lifecycle, with humans focused on the exceptions.
Streamlined workflows and intelligent routing compress the time from service to reimbursement.
Operate with fewer, more specialized staff and scale without growing your headcount.
Specialized AI for coding, prior auth, and appeals plugs into the workflow per function — you're never locked into yesterday's AI.
Every payer rule change, every new claim type, every aging A/R bucket lands as one thing on your P&L: more FTEs. Hire to keep up, and cost-to-collect erodes the margin you just earned.
Healacle breaks the loop. One orchestration layer runs the cycle end-to-end — intelligent automation absorbs the routine work, best-of-breed AI plugs in per function to prevent denials before they're filed, and your specialists focus on the exceptions that actually move revenue. The result is Margin Recovery — growing your book without growing your team.
Two numbers you already know are enough for a first estimate: the claims your team works in a year, and what that team costs. Automation typically absorbs 30% of the labor line at go-live and up to 50% at maturity.
Illustrative estimate from your inputs at typical automation rates — 30% of labor at go-live, 50% at maturity. Excludes platform fees; your actual model is built on your data in discovery.
However your operation runs today — on your own billing chassis or inside your clients' practice-management systems — the platform meets you there.
Bill at scale on a chassis designed for RCM companies — with the client-level P&L and cross-book reporting a retail PM was never built to give you. Onboard your entire client base onto one modern platform, including clients with no billing system at all.
Healacle sideloads the 837/835 from the clearinghouse — the one integration every client already has — so denial and A/R work runs in prioritized queues and corrected claims resubmit straight through. No per-PM integration projects, and cross-client, cross-PM denial analytics you can't see today.
Same platform, two entry points. Either way, your whole book runs on one orchestration layer.
A field analysis for revenue cycle management companies and the operators who run them. Sourced from Kaufman Hall, CAQH, MGMA, KFF, and Experian Health — the full picture of why getting paid now costs more than it should, and what it takes to reverse the curve.
Four levers of Margin Recovery — each backed by automation your team can configure today, with best-of-breed AI orchestrated where it actually moves the number.
Most denials are predictable. Healacle flags risk before submission and runs structured appeals on the ones that still slip through — so dollars you'd quietly write off this quarter actually land.
Payer-aware routing, automated status follow-up, and yield-prioritized work queues shrink the gap between service rendered and dollars collected — without your team chasing portals all day.
Automation absorbs routine claim work end-to-end. Your specialists work the exceptions that actually move revenue. The FTE curve flattens while your customer base keeps climbing.
Eligibility, coding, claims, denials, A/R, executive reporting — every revenue workflow in one workspace, with specialized AI plugged in where it wins. Stop stitching nine point tools into a process. Run the cycle on the layer they plug into.
The best model for coding, prior auth, or appeals will keep changing. Your workflows, queues, and audit trail won't have to.
Protected health information demands protected infrastructure. Healacle is built on the same security foundation enterprise healthcare organizations already trust.
PHI handling built to HIPAA Privacy and Security Rule requirements. Healthcare-grade data protection across every workflow Healacle touches.
Security controls aligned with the NIST Cybersecurity Framework — the standard enterprise healthcare buyers hold their vendors to. Identify, protect, detect, respond, recover.
TLS 1.3 for data in transit, AES-256 for data at rest. Role-based access control with full audit trail across every workflow.
Purpose-built for revenue cycle management companies — whether you bill on your own chassis or work inside your clients' PMs. See how Healacle fits your payer mix, your existing stack, and the team you already have.