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Business Process Services

Wipro's Revenue Cycle Management Solution

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At Wipro, we understand the challenges that healthcare providers face in managing their revenue cycle. These challenges arise from changing regulatory guidelines, technological advancements, and the ever-increasing complexity of healthcare services, which include patient registration, claim submission, denial management, and collections. Wipro’s Revenue Cycle Management (RCM) solution is designed to help healthcare providers optimize their revenue cycle processes, improve financial performance, and enhance the overall patient experience.

Wipro’s RCM solution enables healthcare providers to

Streamline

revenue cycle processes

Maximize

revenue for healthcare practices

Wipro leverages AI and analytics to streamline and automate revenue cycle processes from patient registration to claims management and payment posting. With AI, our systems can intelligently analyze large amounts of data and identify patterns and anomalies that could affect the financial health of an organization. Our solutions are customized to meet the unique needs of for different practices and use the latest technology and best practices to ensure maximum efficiency and profitability.

We have a unique RCM asset  -  Denial Rules Understanding backed by experience in processing 350M+ claims across commercial, Medicare, Medicaid, and individual ACA plan segments.

A proven large-scale healthcare digital operations transformation experience

3000+

bots, AI/ML-powered accelerators

60+

lean/six sigma black belts

~$200M

business value delivered annually 

Modernizing revenue cycle processes
Increased Revenue
 
  • Optimize billing processes to ensure that billing for all services rendered and receiving timely payment.
  • Identify opportunities to increase revenue, such as implementing new billing codes and identifying non-payable codes.

Reduced Administrative Burdens

  • Streamline administrative tasks and focus on providing quality patient care.
  • Seamlessly handle tasks such as claims processing, coding, eligibility, authorization management, AR and Denial management, cash posting, and patient billing .

Improved Efficiency

  • AI and predictive analytics help in analyzing data from multiple sources, such as claims data, denials data, etc. to identify potential issues before they become denials.
  • Reduces the workload and improves financial performance .

Enhanced Patient Engagement

  • Leverages patient engagement technology, such as patient portals and mobile apps to improve the patient experience and increase patient satisfaction.
  • Minimizes the number of denied claims by enabling patients to update their insurance and demographic information electronically.
To delve deeper, connect with our experts and discover how Wipro’s healthcare RCM solution can help you ensure seamless operational transformation, ensuring patients’ comfort and delivering profitability.

What We Think

Maximizing Profits and Efficiency: How AI and Analytics are changing the RCM game

Technological advancements are driving seismic shifts across various industries, with the healthcare sector being no exception.
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