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Healthcare - Provider

Healthcare providers need improved process effectiveness from the minute patients walk in the door until bills and claims are settled, to deliver optimal patient care amid spiraling costs, regulatory reforms, the ICD-10 transition, and shrinking revenues.

Genpact partners with more than 70 healthcare clients enabling them to focus on patient care, while we help reimagine their operations to reduce costs, drive customer satisfaction, deliver quality care, and manage risk and compliance.

We design, transform, and run healthcare operations processes through advanced operating models that harness technology and analytics through appropriate organizational design, focused to where they can deliver the most impact. The result is Intelligent OperationsSM.

Our solutions include the following:

Revenue cycle management
End-to-end revenue cycle management solutions from cash posting and explanation of benefits (EOB)processing through denial management, insurance follow-up, and self-pay for shorter revenue cycles to ensure increased cash flows at reduced cost.

Finance and Accounting (F&A)
Genpact Finance and Accounting services include Accounts Payable, General Accounting, Accounting, Closing & Reporting (ACR), Treasury, Tax Services, Financial Planning & Analysis, and F&A Systems of Engagement.

Data-to-Action AnalyticsSM
Research content and presentation services, marketing sales and services analytics, information science analytics, risk analytics, and finance and accounting analytics, with customized solutions for the healthcare industry such as analytics for population health management and accountable care organizations.

Hospital optimization
Genpact uses its strong process management and process transformation skills to improve hospital performance, by designing efficient and effective workflows, so that medical personnel can spend less time on non-value-adding activities and more time caring for their patients.

Hospital coding
Genpact optimizes process performance, which flows naturally into clinical coding, and we specialize in highly accurate coding services that not only streamline the ICD-10 transition but also improve submission times for claims and increase coding capacity and productivity.

Healthcare IT
Our solutions encompass proprietary and third-party technologies and specialized tools for project and plan testing, ICD-10 migration, systems integration, testing, compliance, and other provider-specific needs.

Accountable care organizations
Our knowledge of payer and provider operations, information flows and technology landscapes helps deliver solutions for population identification and management, master data management and data warehousing , business intelligence, contract management support, and customer service. Our Data-to-Action AnalyticsSM enable a 360-degree view of the patient, which helps identify chronic and/or high-risk patients, supports value-based payment models, and allows providers to deliver quality and cost-effective patient care.

  • A large US-based pediatric hospital increased customer satisfaction by 3% and decreased patient wait times by 18% by streamlining the hospital work flows, enhancing patient experience and care levels, and increasing the use of hospital infrastructure for additional capacity
  • An integrated pharmacy healthcare services provider minimized revenue leakage, enhanced profitability, and achieved mandatory compliance through robust ICD-10 migration