About us

Global locations

We are globally local with delivery center locations in 4 countries

Link to: USA

United States of America (USA)

Link to: India

India

Link to: Philippines

Philippines

Link to: Jamaica

Jamaica

Latest news and insights

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Healthcare Innovation’s Rocky Mountain Summit

Location: Virtual
Dates & time: 12:00pm - 2:00pm EST every Wednesday throughout January and February 2022.
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HGS Healthcare Gains Momentum in Revenue Cycle Management as Providers Look Beyond Pandemic and Focus on Financial Recovery

How can I monitor an older loved one’s alcohol consumption?

How Back-Office Accelerators Are Steering Optimized Experience

ACAP CEO Summit

Association of Community Affiliated Plans (ACAP) CEO Summit

Location: Washington DC
Dates: June 23-24, 2022

How do I respond to false accusations from an older adult with dementia?

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HGS Healthcare Future-Class Digital Series: How Back-Office Accelerators Are Steering Optimized Experience

Reetha Menon and Abhishek Danturti Sharma of HGS Healthcare describe three front-office accelerators that are proving to be increasingly critical: voice contact flow, web context channel, and the ultra agent.
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Healthcare Financial Management Association (HFMA) annual conference

Location: Denver, CO Date: June 29, 2022 at 9:15am
Rise SNP Summit

RISE Special Needs Plan Leadership Summit

Location of the event: New York, NY Dates: June 22-24, 2022
STETHOSCOPE

Webinar | Clinical denials and appeals management A technology-led strategy

Donna Martin SVP Healthcare Business Developme…
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PUBLIC HEALTH INSIGHT PODCAST

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See why Everest Group named HGS Healthcare a Leader!

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HGS Healthcare introduces HGS Aging in Place™ and Falls Prevention for seniors living longer at home

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Vaccine hesitancy training helps health workers answer questions for the undecided

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Three strategies to win and retain healthcare talent

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Webinar recap: Highlights from “Aging in place: Integrating fall risk assessment and prevention to ward off frailty”

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HGS Healthcare future-class digital series: Front-office accelerators

Reetha Menon and Abhishek Danturti Sharma of HGS Healthcare describe three front-office accelerators that are proving to be increasingly critical: voice contact flow, web context channel, and the ultra agent.

Three ways to not be surprised by the No Surprises Act

How parents’ attitudes toward COVID-19 vaccines have changed

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How can an older adult regain strength after a hospitalization?

Pediatricians say children need to be back in school: Here’s why

How payment integrity tools can help payers to tackle fraud, waste, and abuse

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3 fresh ideas for winning the war for healthcare talent

Myles Kevern and Scott King of HGS Healthcare explain how healthcare providers can gain a competitive edge in recruiting and retention (and contain costs!) in today's tight labor market.
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HGS AxisPoint Health receives NCQA Case Management and Population Health Program reaccreditations

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HGS Healthcare sponsoring the Intercompany Long-Term Care Insurance (ILTCI) Conference in March 2022

Austin, TX
November 8-10, 2021
COVID-19 vaccine vials

COVID-19: Promoting vaccine acceptance and addressing hesitancy

Donna Martin SVP Healthcare Business Developme…
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What are some minor changes for a safer home environment for seniors?

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How technology is improving healthcare outcomes

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3 payment integrity imperatives in post-pandemic healthcare

HGS Healthcare leaders identify three main factors behind heightened payment integrity (PI) pressures post-pandemic (i.e., volumes and resources, regulation changes, telehealth) and explain how PI solution experts can help payers reduce those pressures.
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Building a successful data culture in the post-pandemic healthcare reality

HGS Healthcare's Ramesh Murugesan describes challenges in data science deployments, how to build a healthcare data culture, and the importance of the democratization of data and analytics.
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Webinar | Aging in place: Integrating fall risk assessment to ward off frailty

Donna Martin SVP Healthcare Business Developme…
medical billing and coding

5 provider coding myths, debunked

Over the past 18 months, healthcare providers have grappled with historic cost and care challenges. The COVID-19 pandemic has increasingly forced providers to assess new areas of transformation to unlock operational value and cost efficiencies.

HGS divests its Healthcare Services business

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Health plan guidance: 3 essentials for no-surprises Act compliance

In recent years, the healthcare industry has increasingly…
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International Association of Outsourcing Professionals OWS 2022

Location: Virtual
Dates & time: 12:00pm - 2:00pm EST every Wednesday throughout January and February 2022.
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Webinar | Social determinants of health: Impacting highest-need populations

Donna Martin SVP Healthcare Business Developme…
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HGS Healthcare team recognized as a Major Contender for revenue cycle management (RCM) operations – Services PEAK Matrix® Assessment 2021

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The human side of healthcare analytics

A recent study by Tempkin Group showed when individuals have a positive emotional association with a specific brand, they are 8.4 times more likely to trust the company, 7.1 times more likely to purchase more and 6.6 times more likely to forgive a company’s mistake.
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Report | Recover lost revenue

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Texas Association of Health Plans

Austin, TX
November 8-10, 2021
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HFMA annual conference

Minneapolis, MN, and online
November 8-10, 2021
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ACAP CEO Summit 2021

The Capital Hilton
Washington, DC October 28-29, 2021
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Special Needs Plan Alliance 18th Annual Fall Forum

Location: Virtual
October 25-26, 2021
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California Association of Health Plans annual conference

San Diego, CA
October 11-13, 2021

New CMS data interoperability rule takes effect July 1

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COVID-19 vaccines for children: Timing, side effects, and more

Three ways healthcare engagement models differ from other industries

Healthcare engagement models differ from other industries in three ways: compliance needs, customer types, and org structures. A BPO can assist in minimizing differences to truly put customers first.
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How to talk to someone who’s hesitant to get the COVID-19 vaccine

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Feds seek more vaccines at practices, but delays hamper the plan

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Effectively handling clinical denials amid a pandemic backlog of elective surgeries

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HGS AxisPoint Health to speak at SNP Alliance Spring Roundtable

IAOP Global Outsourcing 100 logo 2021

HGS Healthcare team recognized by IAOP as a Leader for ten years in a row!

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COVID-19 and healthcare: 3 areas of market focus

HGS Healthcare team placed in the 2021 Gartner Magic Quadrant for Customer Service BPO

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For better RCM, prioritize people and track with technology

Proper revenue cycle management (RCM) involves careful documentation of the entire patient journey. Once captured by a proficient employee, patient and member data can be handed over to AI-based systems to reveal insights.
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258+ healthcare revenue cycle companies to know | 2020

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Preventing and appealing clinical denials with analytics, automation, and AI

U.S. hospitals lose $262 billion due to denied claims each year, representing 10% of the total claims paid. Unraveling the root cause of denials costs an average of $118 for each claim. Applying modern technology — such as analytics, automation, and artificial intelligence (AI) — can help to increase the number of clinical denials investigated, boost appeal effectiveness, and unearth root cause.
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COVID-19 and healthcare: 3 areas of market focus

COVID-19 has heightened the focus on optimized provider data management, utilization management, nurse triage, and telemedicine for payers and providers, both during and after the pandemic subsides.

Three digitized ways to improve the member experience

COVID-19 update

A COVID-19 update from our company’s consulting physician

Throughout 2020 and as we plan for 2021, HGS has trusted the…
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Eyeing the future: E/M will disrupt, the PHE will end, telehealth will stay

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HGS Axispoint Health and Parkland Community Health Plan partner to deliver disease management

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Member experience: Never a better time for digital enablement

Health plans are all too familiar with the challenges of member…
Steviews award for women in business 2020

Donna Martin, SVP of HGS Healthcare, is a Stevie award-winning “Female Executive of the Year – Business Services” for 2020

Precision utilization management: Meeting patients where they are

Providers view prior authorization as a manual, burdensome, and…

Everest Group identifies HGS Healthcare team as a Major Contender and star performer in its Healthcare Payer Operations Services PEAK Matrix®

Bridging provider-payer gaps with today’s technology

Across the world, today’s healthcare organizations are sharing…
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Report | Count on a star performer!

HGS Healthcare team members recognized with a 2020 IAOP Global Impact Sourcing Award

4 ways that healthcare systems can manage denied claims

Healthcare systems can better manage denied claims by investing in the front office, improving coding and documentation with technology, improving denial turnaround times, and developing distinct workflows for denials and rejections.
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Healthcare customer engagement: Charting an empathetic experience

At the heart of all great customer engagement strategies is empathy – especially in healthcare. COVID-19 has created an opportunity for a CX reset that fully recognizes customer emotions.
mental health

For a more holistic SDoH picture, look at social determinants of mental health

By Daniel A. Schulte, Senior Vice President, Provider Operations,…
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Picking up the pace: Healthcare’s evolution to social media

Healthcare has room to grow in providing a B2C social media experience for members/patients and, for several reasons, should pick up the pace of adoption.
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Webinar | Social determinants of health: Your questions answered

Donna Martin SVP Healthcare Business Developme…
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20/20 vision: 9 trends at the heart of tomorrow’s healthcare

From an in-control consumer to digital experience and telemedicine,…
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Medical credentialing: A safeguard worthy of significant support

By Priyankar Bhattacharya, HGS Senior Manager, Provider Network…
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Next frontier in healthcare claims automation

By Manjunath, Practice Lead, Claims Adjudication, HGS Claims…

HGS hits $1 billion in recovered payments for healthcare systems’ toughest claims

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Pre-pay, post-pay, and blended payment integrity: Prevention worth the cure

By Anju Sah, General Manager, Operations; HGS Healthcare Today’s…
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eBook | The uberification of health insurance

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Pulse check on healthcare delivery transformation

This article was published in IAOP Pulse magazine. By Anand…
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3 ways collaborative care can drive better outcomes

By Krithika Srivats, Vice President, HGS Healthcare Practice…
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Volume-to-value shift drives surge in demand for revenue cycle management outsourcing

By Dan Schulte, Senior Vice President, HGS Healthcare Today’s…
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4 ways healthcare BPO partnerships deliver

By Austin Ridgeway, Director, Sales Support and Business Development,…
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Provider database management: Getting it right

By Priya Sabharwal, HGS Practice Leader, Network Operations;…
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Re-engineer, automate to avoid claims errors

By Manjunath; Practice Lead, Claims Adjudication; HGS Healthcare…

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