India has potential to provide KPO Solutions for Payers,
Providers and Life Sciences at low cost
Today the western (like U.S. and UK) healthcare market faces
the challenge of controlling turnaround time (TAT) for their critical business
transactions. These business challenges can be extremely disruptive within
their respective environments and can pose a greater threat to the enterprise.
Controlling TAT has a big influence on administrative cost
savings, the key driver in transforming the core payer and provider business
environment.
Indian innovative KPOs can effectively address these
challenges. Indian KPO are mature enough and cost effective and can provide all
critical business functions to the western world.
Some of the benefits western healthcare players have
realized are:
1.
Cost effectiveness
2.
Well trained highly qualified medical staff.
3.
Certified medical coders, transcriptionists and trainers
4.
World class infrastructure.
5.
Data security and easy business rules for
KPOs/BPOs
6.
Easy availability of employees for US / UK shifts
7.
Accurate claim resolution , enabling a reduction
in rework
8.
Reduced grievances and appeals through accurate
configuration of member benefits
9.
Efficient provider credentialing to avoid
incorrect contract rates in claims
10.
Reduced fraud, waste and abuse with accurate
CPT/HCPCS, ICD and modifier codes
11.
Less claim rejections and denials due to more
accurate member, provider and claim information
12.
Custom ICD-9 to ICD-10 code mapping according to
facility guidelines
13.
Many of the top payers, hospital providers and life
sciences companies are already outsourced the work to transform their
operations.
