As patients demand more than just quality clinical care, healthcare providers are under pressure to offer better services. This has also triggered the need for improved health management programs to ensure enhanced operational efficiency and patient care. Additionally, ICD-10 mandates are driving providers to adopt a customer-centric culture. They are, therefore, looking to ensure superior patient care while optimizing costs, running efficient processes and meeting regulatory requirements.

WNS’ Business Process Management (BPM) provides an array of healthcare offerings that cater to the needs of healthcare providers. This includes physician groups, hospital systems, academic medical centers, Durable Medical Equipment (DME) manufacturers and providers of hospital supplies. Our services enable our clients to manage critical healthcare processes from billing to patient care. We enable healthcare providers to deliver the best experience to patients, improve productivity and reduce costs. The services we offer include mailroom operations and data conversion, pre-services, charge preparation, accounts receivable management, and practice and care management.

Case:
WNS’ twin-site solution enabled the client to move away from its legacy system and increase savings
Case:
WNS drove 99.98% accuracy in quality measurements and results
Case:
WNS improved coding accuracy and seamlessly upgraded technology and resources to transition from ICD-9 to ICD-..

The WNS Advantage

By leveraging our rich experience and partnerships with leading healthcare providers, we offer a gamut of services that includes transcription / abstraction, bill preparation, disease management and debt analysis. Our industry and process expertise enable us to offer effective solutions and labor arbitrage for our clients.

Domain Expertise

Our deep domain experience and BPM expertise are reflected in our ability to manage end-to-end, complex and critical processes. We have experience in handling Federal and non-Federal claims in Specialty Insurance. Our pool of skilled resources includes AAPC certified coders, doctors, nurses and other experienced healthcare experts. We process over 32 Million transactions every year, and manage revenues of over USD 5 Billion every year across verticals.

Shared Services

We have the capability to set up enterprise shared services across functions such as customer interaction services, legal, financial and accounting, and research and analytics.

Technology Solutions

Our technology solutions include IT-enabled applications with Electronic Data Interchange (EDI) generation and Optical Character Recognition (OCR). They meet the standards of National Provider Identifier (NPI).

"I was impressed with the amount of information WNS was able to gather in such a short period of time as well as the level of analysis that was conducted. I appreciate the consultative efforts and strategically planned deliverables that were focused on business stakeholders. The value derived from our relationship with WNS has had an influential impact on the business that goes well beyond the anticipated strategic and operational benefits."

Head – Information Management of a leading African and Middle East-based healthcare company

A ‘Major Contender’ in Everest Group’s Contact Center Outsourcing (CCO) Market for the Healthcare Industry – Service Provider Landscape with PEAK MatrixTM Assessment – 2014

Services

Pre-Services

  • Incident Management
  • Scheduling and Reminders
  • Patient / Provider Registration
  • Medical Transcription

Charge Preparation

  • Coding (ICD, CPT, HCPCS)
  • Insurance Verification
  • Update Provider Information
  • Bill Correction
  • Charge Entry
  • Bill Submissions
  • Month-end Reporting

Accounts Receivable Management

  • Payment Follow-up
  • Collections
  • Denial Management
  • Appeals
  • Payment Posting
  • Month-end Reporting
  • Aging Analysis

Practice and Care Management

  • Medical and Chart Review and Summarization / Abstraction
  • Risk Management
  • Contract Review and Monitoring
  • Physician Referral Tracking
  • Customer Query Management
  • Clinical Research Support
  • Care Management
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