Case Study: Healthcare
From-scratch provider data stewardship earns wins in quality, compliance, and cost-containment
Health plan experiences immediate improvements in PDM and credentialing/recredentialing with HGS
From intake and assignments to tracking and monitoring, the client has experienced immediate improvements across PDM and credentialing/recredentialing. Automated workflows, outreaches and follow-ups are supported by standardized templates for auto email acknowledgements to providers. Additionally, HGS manages audit samples (sampling method and size), audit templates and overall audit process along with quality score reporting along with trending, along with effective monitoring of aging and TAT of inventory. The client agreed to augment this service with provider data validation.