Payment Process Efficiency Eliminates 23% of Unprofitable Relationships for Healthcare Service Provider

Challenge

A healthcare service provider faced increased OPEX and decreased revenue due to costly and inefficient operating structures.

The company needed to assess its operations to identify benefits through more cost-effective and efficient operating structure for payments.

Approach

• Assessed the end-to-end payment integrity process to identify opportunities to increase capacity without expanding the workforce
• Captured and validated data from 2 operating businesses to define the current-state landscape
• Fully assessed the technology platform and data quality to develop technology platform modernization and master data management
• Used PCR segmentation to align effort level to increase savings per case and recovery speed