Providers
Flexible partnerships to reduce the cost of care and improve clinical outcomes
Provider organizations and Accountable Care Organizations (ACOs) are urgently working to enhance the patient and staff experience, improve care outcomes, and optimize operational efficiency and profitability. At EXL, we help providers and ACOs address these challenges with data-driven solutions that offer the right level of support to solve the biggest challenges.
Together, let’s find a better way
EXL has experience serving providers and ACOs with a thorough understanding of the complexities caused by competing and aligned incentives to reduce cost of payments and maximize revenue capture.
Thousands of healthcare data scientists, architects, and engineers with deep provider domain and operations expertise can extract value hidden in data.
Our deep, enterprise-wide understanding of where automation is most needed can help drive up staff productivity and patient satisfaction.
Our thousands of U.S. licensed nurses and administrative staff can augment providers’ clinical and operational capacity.
What we do
Improve Operating Margins
- HCC coding analysis and risk suspecting
- NLP driven chart review and coding services
- Best in KLAS Risk Adjustment
- Provider performance dashboards
Improve the Patient Experience
- Contact center operations
- AI driven patient engagement
- Clinical nurse triage
- Customer journey mapping
- Conversational AI
Drive Health Outcomes
- Predictive risk stratification
- Gap identification and quality improvement
- SDOH and barrier identification
- Predictive risk models
Increase Operational Efficiency
- End-to-end Utilization Management
- Automated case management platform
- Intelligent analytics workflow integration
- Clinical and non-clinical capacity services
Accelerate revenue capture
- RCM workflow design and assessment
- Optimal analytics for workflow performance enhancement
- Payment Posting
- Denials Management & Insurance A/R Follow-Up
Drive growth and profitability
- General ledger accounting
- Accounts payable
- External & Govt. reporting
- Financial planning & analysis
If you are a Provider who has received a request for documentation or has a question regarding correspondence received from EXL, please visit this link.