Revenue Cycle Management Genpact’s specialized Revenue Cycle Management (RCM) services deliver significant business impact on two critical business outcomes—increased cash flows and reduced costs. Our Approach Genpact’s solutions are uniquely positioned to deliver on revenue cycle management goals through: Global delivery model and mix of on-shore/near-shore/offshore capabilities: This helps reduce cost to collect cash, ensures follow-up on small/low dollar balances and take advantage of time zone differences to reduce cycle time Lean Six Sigma heritage: 80 percent of operations staff trained on lean techniques, largest pool of black belts, master black belts and green belts in any business process management organization Domain specialization and process expertise: Genpact brings deep process expertise of managing over 4000 business processes for 400-plus customers coupled with domain knowledge of 4000-plus healthcare professionals Exception Management: Ability to reduce exceptions, conduct root cause analysis and improve front-end processes Services offered Medical Coding: In-patient and out-patient coding including ASC coding, ICD-9, ICD-10-CM/PCS, HCPCS, NDC (National Drug Codes) as well as coding across various specialties, audit and adjudication services, and ongoing physician and staff training on coding regulations. Genpact’s coding expertise covers all types of providers including facility, hospital, physician as well as specialist services. Accounts Receivable (AR) Management: Remote billing and collections services, A/R IT conversion services, underpayment programs / denial programs, A/R targeted finalization services, aged AR projects Third Party Solutions: Cash collections, reduction in A/R days Denial Management: Payment accuracy verification, pre and post intervention comparisons of appeals, denials and adjustments to revenues Customer Service / Uninsured Patients: Dedicated customer service management team, financial counseling and charity, state and county programs for hospitals. Patient Access: Bad debt expense reduction, verification of benefits and patient liability prior to services Reengineering/Optimization: Root cause analysis, RCM process improvements and redesign Client Successes Increased collections and cash flow for a global medical device company: 70 percent increase in cash collections and additional cash flow of $8 million. Increased self-pay cash for a global medical device company: 110 percent increase in self-pay cash with an annualized cash impact of $5.3 million.