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< Healthcare

Healthcare Business Process Solutions

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Our Expertise

Healthcare Business Process solutions backed by 25 years of industry experience for providers and payers that accelerate growth and improve cost competitiveness

Wipro’s Healthcare Business Process solutions for providers and payers improve real-time customer responsiveness, meet regulatory compliance and provide cost competitiveness. We use our 25+ years of experience working with leading US Payers, health systems and Medicaid agencies to drive business process efficiency and accelerate growth.

Our Provider services include:

  • EMR Clinical and IT Helpdesk (Epic, Cerner, AllScripts, Meditech and others)
  • Revenue Cycle Management - Patient Access Management and ICD-9, ICD-10 Medical Coding
  • Clinical Documentation Improvement (CDI)
  • AR, Denials Management
  • Patient Accounting and Contact Center
  • Corporate Business Services - Finance and Accounting, Human resources
  • 3D Imaging Reconstruction - HIPAA Compliant Global Radiology Support Center

Our Payer services include:

  • Claims Administration Services
  • Provider and Member Contact Center Services
  • Premium Billing & Reconciliation
  • Care Management - Utilization managements, Case management and Medical management
  • Integrated Behavioral - Clinical program "feet on street" services
  • Mailroom and fulfilment services including imaging, data entry, scanning, EOB, Check, correspondence printing
  • Fraud, Waste and Abuse (FWA) Program Integrity services

Our team of domain experts responds to more than 10 million member and provider calls annually and has helped settle more than $15 billion in annual claims. This is in addition to achieving savings of $2.9 million by automating provider claims submissions— facts that serve as evidence of the efficacy of our business process services

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