Case Study: Healthcare
Leading physician network provider improves data accuracy with PDM, saving nearly $1 million
HGS accelerated collections, reduced receivables, and avoided write-offs
HGS provided services to accelerate cash collections and reduce receivables and excessive bad debt write-offs.
To address the client’s key objectives, HGS leveraged the proprietary PDM solution Provider Forward, a workflow management tool featuring automation and bot deployment. The solution is built with a non-invasive automation technology, based on multiple validation rules to ensure clean entry into the master database. This solution helps identify and translate unstructured data into structured data. The intelligent bots pick up the cleaned data and update the client’s proprietary system, applying appropriate business rules. The automation includes scrubbing of rosters supported by bots that capture key data for insights. Data collection and verification are performed outside of the client’s core systems. The tool can provide cleaned output files in most industry-standard formats.
HGS has also introduced a well-integrated CRM that uses machine learning to improve the connect ratio and a predictive model algorithm that prioritizes the queue to increase successful data collection. This is supplemented by a network management solution with the provider credentialing people-process-technology firepower.
HGS delivers provider data updates and maintenance from Hyderabad and Bangalore. Here are a few results:
$800K in annual savings with PDM support
$155K in credentialing cost savings, with a 50% reduction in team size
99% database quality of transactions processed through automation maintained
50K – 90K increased updates/month within six months
70% manual steps reduced with double processing output — eight transactions per hour
Increased productivity with no additional hiring