At the heart of WNS’ RCM offering is RCMplify, a fully integrated platform encompassing front-, middle- and back-end functions, from patient access management and medical coding to claims management and collections. These capabilities, highlighted in the NelsonHall RCM report 2025, are complemented this is WNS SKENSE, a proprietary AI and Generative AI (Gen AI) enabled solution that accelerates coding accuracy, clinical documentation and appeal workflows with a human-in-the-loop approach.
WNS’ capabilities are further reinforced by ongoing investments in Gen AI use cases, analytics and Electronic Medical Records (EMR) interoperability. WNS is evolving its RCM approach toward ‘revenue excellence,’ a comprehensive, value-based model that aligns with industry shifts and growing demand for tech-enabled efficiency. WNS is also investing in a more cohesive RCM platform to minimize revenue leakage, alongside analytics that supports enterprise-wide decision-making to improve data accuracy and shorten resolution times.
FAQs
1. What is WNS's recognition by NelsonHall in Revenue Cycle Management?
WNS has been recognized by NelsonHall for its capabilities in Revenue Cycle Management, highlighting its domain expertise, technology-led solutions, and ability to deliver measurable operational and financial outcomes for healthcare organizations.
2. How does RCMplify improve Revenue Cycle Management processes?
RCMplify improves Revenue Cycle Management by bringing together analytics, automation, and process intelligence to improve visibility, reduce leakages, and optimize performance across the revenue cycle, from patient access to collections.
3. What is the role of WNS SKENSE in enhancing coding accuracy in RCM?
WNS SKENSE leverages advanced analytics and AI-driven insights to identify coding risks, improve documentation quality, and support more accurate and consistent medical coding, helping healthcare organizations strengthen compliance and reduce revenue loss.
4. How does WNS integrate Generative AI in its Revenue Cycle Management?
WNS integrates Generative AI into RCM by automating document review, supporting clinical documentation improvement, and enabling intelligent workflows. This helps improve productivity, reduce manual effort, and enhance decision-making across RCM processes.
5. How is WNS evolving its RCM approach towards ‘revenue excellence’?
WNS is evolving its RCM approach toward ‘revenue excellence’ by shifting from transactional process support to insight-driven optimization. This includes embedding analytics, AI, and automation across the revenue cycle to improve accuracy, speed, and financial outcomes while enhancing patient experience.