RP Sanjiv Goenka Group

Global healthcare supply chain company improves TAT by 85%

The challenge: Improve turnaround time and reduce rejected invoices

Our client, a private-equity owned healthcare business and data automation company, is on a mission to create an operationally efficient healthcare supply chain. Its technology-based platforms, analytics and solutions, bring industry players together, increasing efficiency and driving down costs across the supply chain.

The client helps 36 hospitals across the US to efficiently process invoices, enabling full visibility and ensuring rigorous contract compliance. Every month, the client receives nearly 150,000 invoices from over 10,000 suppliers. Its on-demand invoice processing solution automates various aspects of the invoice process, including invoice receipt, document image and data capture, and workflow management, leading to lower costs, improved efficiencies, and faster processing. But two major roadblocks were hampering the efficiency of the automated solution.

  • Roadblock #1: It took the client nearly a week to receive rejected invoices data (about 2% of the total volume). The reason: the rejected invoices had to be manually scanned and then physically shipped back to the hospitals after data capture.
  • Roadblock # 2: At one time, the number of invoices rejected due to the presence of PHI information on the invoice, shot up to about 3% of overall rejects due to instruction changes – from just 0.4% earlier.

The client needed support in improving turnaround time of rejected invoices and reduce percentage of rejected invoices containing Protected Health Information (PHI)

The solution: Automated data extraction and exception handling workflows

Firstsource leveraged its proprietary workflow platform Sympraxis which streamlines business processes with intelligent workflows.To address the first roadblock of reducing TAT of receiving rejected invoices, our team automated data extraction through proprietary workflow and case management tool and minimized manual intervention. Sympraxis leverages an Optical Character Recognition (OCR) rules engine which was deployed to accurately extract relevant information and convert them into an electronic format. The electronic invoices were then emailed to the client instantly.

To tackle the second roadblock of reducing the number of rejected invoices, the OCR engine of Sympraxis automatically identified invoices containing PHI using PHI-related keywords and sent them to the different workflow for PHI redaction and further processing.

The result: Streamlined processes delivering impact on all counts

The workflow management and automation not only significantly reduced the turnaround time of rejected invoices from one week to 24 hours, but also eliminated the shipping costs associated with mailing the rejected invoices back to the client. Redacting all PHI-related invoices with 100% accuracy resulted in Zero PHI-related rejects exceeding the client expectations.

Business impact

< 24 hours

TAT reduced from 1 week


Zero

PHI-related rejects


100%

Data accuracy


Eliminated

delivery service cost

What’s your challenge?

Let’s work together to solve it.

Related services

This form will put you in touch with our business development team. For all other functions, please click here.
Ready to get in touch and grow your business?
Tell us a little more so we can connect you with the right person
Last step! Let us know which solutions you're most interested in
Connect with us
For patients inquiring about Eligibility and Enrollment Services available through their hospital or health system — Please complete the form below, and a Patient Advocate will contact you shortly.

    Download Now

    Simply fill out this form to download