Industries

Healthcare Provider Solutions

Sweeping national healthcare reform is accelerating providers' efforts to implement Electronic Medical Records solutions (EMR). However, the transformation process can be cumbersome and time-consuming. As providers strive to achieve "meaningful use" status, the EMR learning curve often poses a barrier - which potentially leads to losses in efficiency, productivity, and revenue. Challenged by the market time pressures, providers are increasingly looking to Business Process Outsourcing as source of process expertise and competitive advantage.

Providers who partner with Sutherland leverage the strategic advantage of a Business Process Outsourcing (BPO) company with unparalleled experience and expertise in the healthcare industry. Our integrated BPO model with Revenue Cycle Management and Electronic Medical Record solutions (EMR) support companies through every step of the technology transformation and business services process - from initial installation and deployment to employee training, ongoing support, and 24/7 customer care.

  • Patient outcomes
  • Financial performance, including A/R and ROI
  • Clinical documentation and accuracy
  • Information availability and exchange
  • Regulatory compliance
  • Revenue optimization
  • Cost and capital expense reductions

Customer Care

  • Patient Relationship Management
  • Eligibility, Enrichment
  • Prior Authorization
  • Real-time Adjudication

Records Management

  • EMR/PMS Platform (SaaS)
  • Legal Medical Record
  • Clinical Applications
  • Financial Applications

Claim Preparation and Submission

  • Billing
  • Coding
  • Pre-Adjudication

Revenue Cycle Management

  • Lockbox
  • Remittance Processing
  • Denials Management
  • Coordination of Benefits

KPO Resources

  • Coders
  • Billers
  • Telemedicine

Business Intelligence

  • Data Aggregation, Mining
  • Duplicate Analysis
  • Predictive Modeling

Outcomes Management

  • Wellness
  • Disease Management
  • Case Management
  • Risk Management
  • Formulary Management