BPO Services for Healthcare Providers

While the recent global market meltdown has impacted outsourcing for both clients and service providers, the Healthcare industry has emerged as a relatively defensive sector that is offering opportunities for growth.

The healthcare reform finally became a reality and was signed into a law on March 23, 2010. Known as the Patient Protection and Affordable Care Act (P.L. 111-148) (called ‘PPACA’), this law will not only bring new insurance coverage to 32 million Americans but will overhaul the entire healthcare system, affecting Healthcare Payers, Healthcare Providers, and service vendors.

Another regulatory requirement mandated by the government is the HIPAA 5010 standards that require implementation of changes in medical coding from ICD-9 to ICD-10 by October 1, 2013. These changes will require healthcare organizations to upgrade software and systems and implement new processes to facilitate compliance with the latest standards.

A further impetus to growth has been achieved with US government’s grant of USD 10 billion annually to Physicians for adopting Healthcare IT services. This amount is a part of the economic stimulus package and it aims at creating Electronic Health Records (EHR) for each person in the US by 2014.

While the credit crunch has forced the Healthcare industry players to recognize the need to reduce their cost-to-serve, the American Recovery and Reinvestment Act 2009 makes it mandatory for them to focus on investing in cost effective, state-of-the-art IT systems to pave the way towards electronic claims processing and thus halving the cost-to-collection. As organizations contend with increasing regulatory and legal complexities, Healthcare outsourcing strategy opens up opportunities to decrease costs, increase efficiencies, and address scalability while providing ample time to healthcare organizations to focus on core competencies.

How Wipro Helps

Wipro Healthcare BPO is a full-spectrum, end-to-end provider of Business Process Outsourcing (BPO) services covering Healthcare Payers, Healthcare Providers, and Medical Device companies.

We have more than 2500 resources delivering back-office functions and multilingual contact center support services to clients out of our delivery locations spread across the globe.

The scope of services ranges from customer interaction centers to back office functions. These include healthcare claims administration, provider and member call support and capability in revenue cycle management.

Wipro has qualified Healthcare professionals delivering high-end domain intensive services such as medical information dissemination, medical device reporting, and remote patient monitoring.

Healthcare Provider
Wipro BPO offers efficient healthcare provider industry solutions to address administrative work functions so that the healthcare providers can provide quality time to patient care. Our focus is in developing an extended service partner model to address major back-office functions as well as industry specific processes. With unique propositions like dedicated business support units, Six Sigma, Kaizen and Lean methodology, Wipro has the capability to provide a range of services, e.g.
  • Revenue Cycle Management
  • Patient Scheduling/Verification
  • Medical Coding
  • Charge capture and submission
  • Denials Management
  • A/R follow-ups
  • Payment Posting Medical Records Management
  • Document Management Clinical Process Services
  • Teleradiology Shared Services
  • Finance and Accounting
  • Human Resources
  • Supply Chain Management
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Center for Medicaid & Medicaid (CMS) service Center for Medicaid & Medicaid (CMS) services

As State Fiscal agent for past 25+ years, WIPRO has developed its expertise in delivering end-to-end technology and process solutions for Healthcare Payers.

Read more about:

Healthcare Payers' Adaptability
Roadmap for Health Benefit Exchanges

The Patient Protection and Affordable Care Act is a United States federal statute that was signed into law by President Barack Obama on March 23, 2010.