Boost the Beats
on RCM Front

Value Enhancing Solutions for Providers and Payers

Healthcare Management Expertise by Leveraging

Consulting

Technology

Cognitive Science

BPM

Exdion helps Healthcare Service Providers assess their current systems and processes, identify gaps and recommend appropriate changes to evolve as strong businesses. Our consulting assignments are based on eRCMM ® , a comprehensive revenue cycle management framework. eRCMM ® covers structure, process and conduct (SPC) of the revenue cycle management. It also covers the activities, process and system, infrastructure along with their maturity and adoption across the enterprise, human resources involved, their capabilities, outcomes and governance.

Exdion auditing projects involve three stages: as-is analysis, gap identification and recommendations. Our recommendations not only include appropriate administrative and management changes, but also the right mix of technology enhancements to improve revenue cycle management.

Our consulting offerings include:
Practice setup & front office audit
Data integrity audit
Revenue assurance audit
Patient experience audit
Partners and payers audit

Practice Setup and Front Office Audit

Exdion evaluates practice setup and front office process to eliminate waste, rework, waiting time and aim to provide high patient experience. Practice setup and front office play a key role in acquiring new patients, hassle-free appointments, optimized demand and supply matching. Our audit helps healthcare service companies improve their operational metrics on several fronts that include revenue per patient, scheduling mismatches, cancellations, no-show rates, etc.

Healthcare service providers benefit from optimal time management, higher realization of revenue, efficient matching of supply and demand, technology leverage that can result in higher efficiency and service experience. Our consultants conduct service walkthrough and benchmark against the best-in- class healthcare service delivery models to identify as-is efficiency, gaps and improvements.

Data Integrity Audit

Clinicians are mandated to audit adherence to clinical policies and procedures. The unavailability of right data can lead to erroneous results. Improper documentation can lead to coding errors and costly billing errors. Exdion offers a data integrity audit to check the accuracy of data flowing through billing and other systems. Accuracy and integrity of data flowing through the systems is key to a healthcare service provider’s decision-making capability.

Healthcare service providers gain from seamless service operations, reliable data processing and straight-through processing opportunities. Improvements based on the audit leads to adoption of the best healthcare practices and smooth CMS audits and compliance.

Revenue Assurance Audit

The audit is useful for healthcare service providers to analyze the current status of Practice Management, identify gaps and prioritize improvements that can prevent revenue leakage, and maximize customer experience while retaining high quality service levels.

Revenue assurance audits can indicate methods to benefit from lower costs including centralization, outsourcing and automation. Our recommendations may also include leveraging advanced technologies like Artificial Intelligence (AI), Machine Learning (ML), E-bots, Robotic Process Automation (RPA), and cloud technologies to eliminate human errors and other constraints that limit scale and growth.

Patient Experience Audit

Patient experience audits help our clients significantly to improve customer satisfaction and increase loyalty. Our consultants help companies understand patient experiences, pain areas, service irritants, pre-encounter and post-encounter engagements. Healthcare service providers can choose from automation and customer portals for self-service straight through processing to reduce waiting time and improve patient engagement.

We conduct primary research and service walkthroughs to uncover the voice of customers, in parallel to secondary analysis of the process, information flow that affects service quality and moments of truth. Healthcare service providers can use the experience of audit results to implement appropriate remote monitoring systems that help improve patient outcomes.

Partners and Payers Audit

Patient experience audits help our clients significantly to improve customer satisfaction and increase loyalty. Our consultants help companies understand patient experiences, pain areas, service irritants, pre-encounter and post-encounter engagements. Healthcare service providers can choose from automation and customer portals for self-service straight through processing to reduce waiting time and improve patient engagement.

We conduct primary research and service walkthroughs to uncover the voice of customers, in parallel to secondary analysis of the process, information flow that affects service quality and moments of truth. Healthcare service providers can use the experience of audit results to implement appropriate remote monitoring systems that help improve patient outcomes.

Exdion evaluates practice setup and front office process to eliminate waste, rework, waiting time and aim to provide high patient experience. Practice setup and front office play a key role in acquiring new patients, hassle-free appointments, optimized demand and supply matching. Our audit helps healthcare service companies improve their operational metrics on several fronts that include revenue per patient, scheduling mismatches, cancellations, no-show rates, etc.

Healthcare service providers benefit from optimal time management, higher realization of revenue, efficient matching of supply and demand, technology leverage that can result in higher efficiency and service experience. Our consultants conduct service walkthrough and benchmark against the best-in- class healthcare service delivery models to identify as-is efficiency, gaps and improvements.

Clinicians are mandated to audit adherence to clinical policies and procedures. The unavailability of right data can lead to erroneous results. Improper documentation can lead to coding errors and costly billing errors. Exdion offers a data integrity audit to check the accuracy of data flowing through billing and other systems. Accuracy and integrity of data flowing through the systems is key to a healthcare service provider’s decision-making capability.

Healthcare service providers gain from seamless service operations, reliable data processing and straight-through processing opportunities. Improvements based on the audit leads to adoption of the best healthcare practices and smooth CMS audits and compliance.

The audit is useful for healthcare service providers to analyze the current status of Practice Management, identify gaps and prioritize improvements that can prevent revenue leakage, and maximize customer experience while retaining high quality service levels.

Revenue assurance audits can indicate methods to benefit from lower costs including centralization, outsourcing and automation. Our recommendations may also include leveraging advanced technologies like Artificial Intelligence (AI), Machine Learning (ML), E-bots, Robotic Process Automation (RPA), and cloud technologies to eliminate human errors and other constraints that limit scale and growth.

Patient experience audits help our clients significantly to improve customer satisfaction and increase loyalty. Our consultants help companies understand patient experiences, pain areas, service irritants, pre-encounter and post-encounter engagements. Healthcare service providers can choose from automation and customer portals for self-service straight through processing to reduce waiting time and improve patient engagement.

We conduct primary research and service walkthroughs to uncover the voice of customers, in parallel to secondary analysis of the process, information flow that affects service quality and moments of truth. Healthcare service providers can use the experience of audit results to implement appropriate remote monitoring systems that help improve patient outcomes.

Partners and payer audits help healthcare service providers to understand their current carrier mix, payer enrollment, associate costs, and suggests areas to improve and initiate higher revenues. Based on the audit, healthcare service providers can build the right workflow and appropriate measures for partner evaluation and review. The audit can also help to identify the right training and support required to ensure high FTR claims and management outcomes, right from code categories to claim submission and follow up.

Thinking of ways to improve your business efficiency?

Access to Cosmic Knowledge at the Tip of your Fingers

Exdion Veda is a cloud-enabled collective intelligence exchange for Healthcare service providers. Exdion Veda serves as a centralized knowledge warehouse that associates can access from anywhere in the enterprise round the clock.

Best in Class Healthcare Processing

Exdion has decades of outsourcing experience supporting very large healthcare billing companies offshore their backend process to low cost regions. Exdion manages seamless migration by using a proven transition methodology that consists of:

Consulting Workshops

Process Documentation

Knowledge Transfer

Review and Retool

Quality Review

Implement Robust Processes

Exdion uses Lean, six sigma and service quality frameworks to standardize, and lean each process. Exdion develops operating procedures, training manuals and other documents to and documents to standardize knowledge management and training of client resources. Once the knowledge transfer is done, appropriate process quality systems are implemented to ensure high process conformance.

Exdion team conducts periodic management reviews along with client teams to review performance improvements and identification of corrective actions if required.

Streamline your business processes efficiently

Healthcare Revenue Cycle Management Transformation

Exdion helps healthcare service providers realize significant cost savings through technology solutions including RPA, Bots, AI, ML and analytic tailored to improve efficiency and drive business growth. The Healthcare Revenue Cycle Management transformation comprises of a simple 3 step methodology –

Evaluate Process

  • Owners capacity
  • Workloads
  • Challenges
  • Areas to improve

Rationalize  Process

  • Build capabilities
  • Governance structures
  • Right person for the right job

Deploy KPI

  • Measure at all levels
  • Communicate success

Benefits of Exdion RCM Transformation

Workflow Standardization

Error prone to Error free systems

Automation through RPA, AI, ML leading to high scalability

Cost optimization

Revenue Maximization

Providing Significant Insights through Analytics

Exdion’s Analytics helps you to identify uncover relationships that influence business outcomes and develop actionable management responses that are insight driven. We help companies transform to a data driven organization and realize latent value drivers.

Our Analytics Service targets delivering holistic data management, insight generation and modeling and much more. Exdion provides analytics tools for:

1. Holistic data management: Ingestion, Data, Characteristics & Interactions and Data Quality

2. Insight generation and Modelling: Visual Maps, Data density – Outliers / anomalies

3. Segmentation, Classification, Regression and Forecasting models

Be data-driven with controlled data sense

Exdion Process Automation Suite

Robotic Process Automation

Exdion uses RPA tools to help brokers/MGA’s automate and integrate their disparate systems. Exdion also has developed and deployed Bots to automate the process. Exdion Bots are easy to code, deploy and scale. These bots can work seamlessly with the existing applications and escalate fallouts to their human colleagues. Exdion is also extending learning and NLP capabilities for Bots to make them more intelligent. Exdion automation solutions range from application to binding, issuance to certificates and accounting to claims management. Exdion RPA and Bots cover:

– Policy Administration

– Claims Administration

– Simplified Quote Process

Exdion RPA and Bots help improve client retention, accelerate growth and improve operational efficiency.

Cloud

Exdion has extensive experience in developing cloud-based services on leading public platforms and efficiently manages cloud operations to help optimize utilization and maintain business agility. We have developed innovative SOP, D&C and knowledge cloud solutions that capitalize the infrastructure to dynamically manage RCM processes.

Analytics

Exdion data scientists and subject matter experts come with deep software skills on various analytical platforms. Exdion data scientists are experts in R, SAS, Python, SPSS, SQL and many more. Beyond these general analytical tools, Exdion team brings deep expertise in Big Data. Exdion expertise covers Hadoop, Pig, Hive, and Google Big Query for Big Data SQL like environment. Exidon can work on MangoDB, Vertica and Couchbase for advance storage solutions.

Exdion uses RPA tools to help brokers/MGA’s automate and integrate their disparate systems. Exdion also has developed and deployed Bots to automate the process. Exdion Bots are easy to code, deploy and scale. These bots can work seamlessly with the existing applications and escalate fallouts to their human colleagues. Exdion is also extending learning and NLP capabilities for Bots to make them more intelligent. Exdion automation solutions range from application to binding, issuance to certificates and accounting to claims management. Exdion RPA and Bots cover:

– Policy Administration

– Claims Administration

– Simplified Quote Process

Exdion RPA and Bots help improve client retention, accelerate growth and improve operational efficiency.

Exdion has extensive experience in developing cloud-based services on leading public platforms and efficiently manages cloud operations to help optimize utilization and maintain business agility. We have developed innovative SOP, D&C and knowledge cloud solutions that capitalize the infrastructure to dynamically manage RCM processes.

Exdion data scientists and subject matter experts come with deep software skills on various analytical platforms. Exdion data scientists are experts in R, SAS, Python, SPSS, SQL and many more. Beyond these general analytical tools, Exdion team brings deep expertise in Big Data. Exdion expertise covers Hadoop, Pig, Hive, and Google Big Query for Big Data SQL like environment. Exidon can work on MangoDB, Vertica and Couchbase for advance storage solutions.

Strategic Engagement towards Business Excellence

Exdion offers flexible engagement models depending on client requirement.

*The activities mentioned under each engagement models are only illustrative examples.
Close Menu

L.S Ram

L.S Ram: Managing: Director & CEO Ram is one of the co-founders of Exdion and has served as President and CEO since inception. Under his leadership, Exdion has consistently set new standards in the field of process management and quality excellence. He brings over 30+ years of experience and holds a post-graduate degree in Computer Science and is a Chartered Accountant. He is also a Certified Information Systems Auditor from ISACA, USA and a Certified Associate of Insurance Services awarded by “The Institutes” (AICPCU), USA.

Find Us

AMERICAS
EUROPE
ASIA

Talk to Us

+1 646 257 3490

Drop us a Line

info@exdion.com