• 99%Accuracy
    in Medical Coding

  • 15%Reduction in Denials
    (Predict and Prevent)

  • 90%Clean Claim Rate

  • 30%Improvement
    in Collections

Healthcare providers are facing increased financial pressures such as soaring costs, reimbursement changes and workforce shortages. Adding to these are pandemic-driven complexities that make traditional RCM processes ineffective for today’s needs.

WNS addresses the core challenges that healthcare organizations face – high operating costs, revenue leakage, inefficient claims processing, non-compliance and staffing issues. We alleviate COVID-19-specific constraints including new consumer billing rules, updated collection practices and newer healthcare delivery practices such as telehealth.

 

2 Mn+

Eligibility
Verification

500K+

Insurance Authorization

 

8 Mn+

Charts in
Coding and Billing

10 Mn+

Claims
Processed

 

800K

Denial
Management

$1 Bn

Collections
Portfolio

2 Mn+

Eligibility
Verification

500K+

Insurance Authorization

8 Mn+

Charts in
Coding and Billing

10 Mn+

Claims
Processed

800K

Denial
Management

$1 Bn

Collections
Portfolio

 
 

From patient scheduling and registration to claims submission and denial management, we provide the entire gamut of services to help providers ensure billing transparency while securing fair and timely reimbursement.

End-to-end RCM solution powered by digital innovation and managed by a team of clinical experts

 

Revenue Cycle Management Services

Front-End

Front End

Pre-visit

  • Scheduling and Registration

  • Eligibility Verification

  • Appointment Reminders

Visit

  • Patient Check-in

  • Copay and Deductible Collection

  • Payment Arrangements

  • Encounter Documentation

  • Coding and Charge Capture

+
Transaction-Processing

Transaction Processing

Claims Submission

  • Charge Entry

  • Claims Scrubbing

  • Claims Submissions

  • EDI Management

Inbound Processing

  • Mail Processing

  • Scanning and Indexing

  • ERA / EFT Processing

  • Payment Posting

  • Cash Reconciliation

+
Back-End

Back End

Accounts Receivable Management

  • Claim Status

  • Denial Management

  • Appeals and Follow-ups

  • Request for Information

  • Patient Statements Inbound and Outbound Calls

  • Collection Letters

  • Small Balance Write-offs

  • Transfer to Collections

+
 
 

How WNS is Powering the Future of RCM

Digital-ready Processes

We pair digital solutions and workflows with workforce talent for faster and more effective RCM processes. We help clients gain better visibility into the end–to-end process through insight-based revenue management.

Focus on Profit Maximization

We help clients better utilize resources, eliminate non-value added activities and do away with revenue leaks due to erroneous processing for improved financial performance. We help them ensure revenue integrity and productivity gain with our team of experienced staff and digital transformation suite.

See RCM Through a Patient’s Eyes

We enable clients to accommodate billing processes and documentation for virtual care modes as telemedicine continues to grow. We help them focus on patient-centric processes that include financial counseling and price estimates before a medical procedure for an enhanced user experience and value-based patient care.

How-WNS-Helps-in-Building-RCM-of-the-Future
 

WNS Advantage

Proven Clinical Expertise

  • 16+ years of clinical expertise in co-creating RCM solutions for hospitals, physician groups and medical groups

  • Center of Excellence (CoE) model and coding academy to invest and grow talent pool

End-to-end Offering

  • Comprehensive solution that covers the full spectrum of RCM activities

  • Ease of management for reimbursements, care quality and documentation

  • Framework for alignment with existing technology vendors and flexible engagement models

Digital and Domain Expertise Combined

  • Automation solution suite and workflows to improve accuracy and timely service delivery

  • AI and analytics for improved risk scoring and visibility

  • Coding automation through AI-driven auto medical coding

  • Leveraging insights for providers from payer care management and claims expertise

Outcome-based Pricing

  • Pricing based on the value delivered

  • Co-create solutions based on clients’ goals

Talent Framework

  • Certified clinical staff including nurses, physicians and certified medical coders

  • Internal talent from healthcare domain to lead teams

  • High-performance culture with a focus on continuous learning

 

Some Outcomes Delivered

 

Recovered USD 3 Million+ in approximately 10 months and reduced Day Sales Outstanding by 1 percent for a leading US-based healthcare products manufacturer

Reduced customer complaints by 70 percent and reduced credit notes for a leading manufacturer of advanced healing technologies