Exdion

 
  • Health Care
  • Insurance
  • Why 180+ ?

    Our client is one of the Medical billing services and revenue cycle solutions firms in the USA that focuses on improving practice performance in the areas of physician productivity, charges and medical revenue, staffing, operating costs, accounts receivable and collections. They have been utilizing sophisticated tools to help their clients meet today’s reimbursement challenges and improve the profitability of their business.

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    First Time Right Metrics

    In a Services origination, the most efficient method for cutting waste is to attack anything and everything that is not done right the first time. This concept, known as First Time Right (FTR), involves making sure all activities are carried out in the right manner - First time and every time.

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    Improving AR effort

    The client had business challenges ensuring Provider side accuracy in Demo and Charges and appropriate adjustment and actions at payment posting side. In addition there were Quality issue at D & C resulting in high rework which in turn led to Increase in aging and AR days, low resolution rate and more AR time in adjusting the claims which could have being resolved at the Payment Posting stage.

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    RPA simplifies the Claim Process for a Billing company specializing in Chiropractic practice
     
    Our client is a leading Billing Company specializing in RCM services for Chiropractic services in the USA. With a high volume of transactions, they were committed to deliver exceptional value to their clients and invested in comprehensive quality audit procedures.

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    Robotics in the Revenue Cycle –eliminate 70% manual processes in Charge Integrity Audits
     
    Our client is a Medical Billing company that specializes in serving only hospital-based medical practices in the South East region, delivering professional services that focused on maximizing profitability for each of their clients. With deep domain experience, they have been working on behalf of pathologists, radiologists and emergency room physicians, as well as other medical specialties to stay ahead of the innovation curve.

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    How Exdion helped a revenue cycle outsourcing solution provider optimize costs and minimize compliance risks?
     
    Our client is a leading provider of revenue cycle outsourcing solutions for specialty physician practices. The company delivers complete billing, coding, and practice management services to independent practices, academic practice plans, and other provider groups.

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    Digital Transformation of RCM

    In recent years, the US healthcare industry has not only experiencing substantial uncertainty on regulatory front, but also in the manner healthcare services are organized, delivered, and financed. Transitioning coding system, increasing pressure on healthcare providers to accept cost-containment strategies while ensuring and enhancing the quality of healthcare services is posing new challenges to the healthcare organizations operate.

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    Credit Balances

    Credit balances accounts on a provider’s accounts receivable (AR) system that have payments and allowances exceeding total charges are considered by some to be the “stealth aircraft” of hospital patient accounting.

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    Exdion’s Audit Process Automation creates a new quality benchmark

    One of the largest billing companies for Pathology in the South Eastern US. The company, with over 40 years of experience in services hospital based physicians and laboratories with complete accounts receivable management services.

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    Business Transformation for Billing Entrepreneurs

    Exdion began with a consultative approach through eARMM©, our unique maturity framework, which has helped us deliver continuous and measurable improvements in the billing industry.

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    Revenue Leakage In Vaccines

    Exdion builds powerful but simple process automation to detect and control over 37% in lost revenues from underpaid vaccine codes 

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    Exdion's Accounts Receivables Maturity Model (eARMM©)

    Exdion’s Accounts Receivables Maturity Model (eARMM©) helps providers self-assess their process maturity...

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    Cost to Collect Case Study

    A Reputed billing company based out of Central US, their client base consisting majorly of FQHC clients. With Revenue of around $30 million, they are constantly in the process of adding new clients and have added 5 clients in last 6 months. As they handle FQHC, they have to manage multiple specialties and have providers working on multiple EHRs and billing applications.

    They have been utilizing Offshore Vendors for more than 6 years now.

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    Delivering Expertise 

     

    A reputed billing company based out of Southern California, their client base was large hospital systems. With revenue of about $ 15 Million in 2015, they actively onboard at least 2-3 new clients every quarter boosting their growth by over 50% in the last 3 quarters ending April 31, 2016. They handled most specialties and had clients on multiple EHR and billing applications. They had a mature offshore relationship for over 3 years that was meeting their needs around costs and getting things done.

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    Pathology Center of Excellence

    Exdion winning the condence of the client on HIPAA compliance was audited and certified by Pricewaterhouse Coopers (PwC). To ensuring our compliance, our client spoke to the PwC India head as well. 
     
    On their expectations with respect to the Pathology domain expertise, Exdion won hands down. Exdion was the only onshore organization that operated a Pathology Center of Excellence (COE). Through the COE, Exdion services multiple clients across a variety of processes in he RCM cycle and is well versed with Clinical and Surgical procedures.

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    Anesthesia Centre of Excellence

    In spite of utilizing offshore resources for over 3 years, the management was spending more time on repetitive questions coming out of lack of domain knowledge. They were very concerned about compliance issues as data was processed offshore and many a time downloaded offshore.The present partner had too many departments and sometimes correspondence/denials couldn’t catch up with posting causing delay.

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    Exdion – Research & Analytics for Healthcare Market

    Exdion Research & Analytics has worked with various healthcare providers in the US to understand the issues faced by them in the areas of patient billing and cash collections, medical claims and denials, and the financial impact that these have on the profit and loss statement of the healthcare provider.

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    End-to-End Revenue Cycle Management Services

    Partnering with Exdion has helped our client manage a highly data intensive business with minimal onsite staff. The relationship has reduced costs and overhead for our client while improving the value for the providers that they service. Exdion's provider reports create a high visibility for the value derived from the relationship and also bring in references.

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    Revenue Cycle Analysis as a Decision Support Solution

    Exdion's health data analysts went on to create an ROI matrix and this turned out to be a ready and highly-effective business proposal to the provider. Our client significantly improved their sales conversion and now signs up 4 in every 10 providers that they speak to.

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  • Outcome Based Models – Driving Change

    As businesses across all industries realize the need to deliver more value to the customers beyond just low price, they are making changes to their complete business model. Vendors are increasingly seen as partners in value creation. Smarter companies are moving away from cost based transactional relationships to an outcome based partnership model. 

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    Auto Checking of Forms & Endorsements in Property & Casualty Insurance 
     
    Our clients being P&C Insurance brokers have a responsibility to ensure all the policies serviced by them are bound as per client requirement. To ensure that they do not have any exposure to E&O, they are required to check all the carrier issued policies for accuracy. This being a manual activity and not necessarily client facing, it was not given due priority, consequently resulting in backlogs and at times E&O claims. 

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    Technology and Business Strategy Consulting that yielded more than $1MM+ in cost savings
     
    The Client is one of the largest privately held independent insurance brokers in Central US with multiple branches in Texas. The company had an annual revenue of $ 25 Million and also amidst the top 100 independent property and casualty insurance agencies in the United States.

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    Exdion helps a mid-market personal lines brokers improve process and reduce costs
     
    Our client is an independent agency offering a wide range of insurance plans to meet their customers’ personal protection and business risk management needs. They were very keen to see how they can deepen the engagement with small clients who contributed to about 50% of business in a cost effective and efficient manner.

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    Post- BREXIT VUCA world: how insurers can stay on growth course
     
    In 2016 the Global Financial Centres Index placed London once again as the leading global financial centre, ahead of New-York, Singapore, Hong-Kong and Tokyo. This highlights the conspicuous role played by London in the single market for financial services, since it operates as a hub for the whole Union...

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    Streamlining the Renewal Process in Personal Lines
     
    Our client is a leading global Insurance Brokers headquartered in London with over 5000 employees and handling around £3bn of insurance premiums...

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    Policy Life Cycle Transformation for a Top 10 UK broker

    A leading global Insurance Brokers firm was facing challenges of placid business growth, complexity of managing multiple IT systems at branches causing revenue losses...

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    Transformational Consulting – Solutions that Deliver Measurable Value
     
    Exdion serviced the client through a dedicated Center of Excellence to bring in process standardization, cost savings and continuous process excellence to enhance the clients competitive edge in the market place...
     

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    Managing Transformation And Change Management In Brokers And Agencies

    Introducing a culture of change! Structured change management can guide preparation, equip and support individuals to successfully adopt change in order to drive organizational success and outcomes. Exdions detailed key measures could be considered to bring in cultural change…

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    Exdion’s Comprehensive Analytics Expertise 

    A few use cases to demonstrate Exdion’s comprehensive analytics expertise... 

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    Exdion’s Policy Life Cycle Maturity Model (ePLMM©)

    Exdion’s Policy Life Cycle Maturity Model (ePLMM) helps agencies self-assess their process maturity...

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    Acquisition Integration Consulting - TOM

    Exdion’s consulting team expedites operational integration of an acquired agency for a Top 10 Agency...

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    Policy Review to Control E&O Exposure!

    Exdion’s BPM team helps a Top 5 agency reduce E&O Exposure and Non-Compliance...

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    Streamlined Policy Issuance For A Leading MGA

    Exdion helps a leading Lloyds MGA streamline its personal auto policy issuance process...

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    Value Driven Offshore SSC

    The client has a very rich heritage in the Insurance brokerage business operating since 1927. With over 9 decades in business, they are today one among the top 5 brokers globally and listed in NYSE. Recognized as one of the world’s most ethical companies, they employ over 22000 staff globally with revenue in excess of USD 4 Billion.

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