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Healthcare

Provider

A Digital-first Approach to Clinical and Revenue Cycle Management

We specialize in managing provider functions encompassing administration, revenue cycle and clinical management. Our unique blend of administrative and clinical process management focuses on bending the cost curve, and improving outcomes and profitability.

We bring a skin-in-the-game approach to reimbursement to prevent revenue leakage – through coordination of treatment plans, insurance cover and alternative insurance. We help drive a high clean claims submission ratio underpinned by streamlined billing processes, robust claims follow-up practices and analytics-led decision-making. We ensure there are no payment delays from insurers, reducing the risks of higher Days Sales Outstanding (DSO) and denials. We are compliant with International Classification of Diseases (ICD) and Common Procedural Technology (CDP) coding, and strictly adhere to all accepted medical guidelines.

 

7.7 Mn

Claims Processed

$1 Bn

Collections Portfolio

$100,000

Recouped in Denials

6 Mn+

Charts in Coding and Billing

 

Comprehensive Future-ready Solutions

Revenue Cycle Management

Revenue Cycle Management

Leveraging clinically powered Revenue Cycle Management (RCM) to improve financial outcomes and modernize customer experience

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Business Transformation

Business Transformation

Unlocking value with a transformative solution that modernizes workflow, and leverages analytics, clinical knowledge and domain-backed technology to enable intelligent RCM. It drives seamless engagement with providers, payers and patients to deliver value-based care

Digital Customer Experience

Digital Customer Experience (CX)

Leveraging WNS EXPIRIUS – a Digitally Integrated CX Service Model – to simplify processes, deliver superior business outcomes and build trust with members and providers

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Telehealth

Telehealth

Helping providers manage virtual patient interactions through digital tools and delivering clinical support excellence while minimizing administration burden

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WNS Advantage

Domain Expertise and Global Footprint: WNS brings 15+ years of specialized experience to support more than 35 leading companies from 13 global delivery locations. Our expansive footprint and strategic delivery centers allow us to deliver to our clients the benefit of reduced medical and administrative costs. We continue to invest in domain-driven automation and analytics to improve business outcomes. Our global talent pool comprises medical doctors, registered nurses, pharmacists, certified medical coders, data scientists, data modelers, data visualization specialists, transformation experts, F&A and reporting associates, and programmers. Apart from the HITRUST and URAC accreditations, we are also Quality Improvement Organizations (QIQ) certified – one of the few companies in our peer group to have achieved this certification.

Depth of Clinical Knowledge: Over the years, we have successfully augmented our clinical knowledge. We develop evidence-based clinical guidelines across multiple specialties such as radiology, cardiology, oncology, pain, spine and orthopedic, sleep care and specialty drugs. We have a dynamic clinical leadership team and staff, with ~110 medical doctors. We are also associated with 12 of the most renowned medical universities. We have managed to develop deep payer and provider relationships – we work with ~180K providers and our provider satisfaction scores are higher than the industry benchmarks. While the average healthcare industry Net Promoter Score (NPS) stands at 20, WNS scores much higher at 54, due to cutting-edge technological capabilities.