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HCL Technologies

Provider Revenue Cycle Management

Provider Revenue Cycle Management

Client Information

A large U.S. healthcare service provider group providing multi-specialty care and diagnostics and genomic test services across several states in the U.S.

Business Challenges

  • Rising incidents of patient self-pay and bad debts
  • Reimbursement cuts across the board from Government and commercial payers
  • Transition from ICD 9 to ICD 10
  • Increasing focus on payment integrity by payers, to reduce medical payouts
  • Expansion of utilization management and reviews

HCL Solution

This solution applies autonomic science and predictive analytics to maximize revenue cycle outcomes by using new generation technologies. It provides:

  • Process industrialization across payers and specialties
  • HCL Toscana EDEN – plug and play point solution for RCM acceleration
  • Adaptive rules engine
  • Real time predictive analytics
  • Intelligent denial analytics

Value Delivered

  • Upfront performance guarantee for revenue cycle outcomes
  • 23% increase in cash flow
  • 18% reduction in DSO
  • 6% increase in collection ratio
  • 30% reduction in administrative costs beyond traditional ‘Lift & Shift’ BPO
  • 20% increase in patient satisfaction
  • 32% reduction in rework for rejects, denials and appeals


Contact Us

We will treat any information you submit with us as confidential.

HCL provides software and services to U.S. Federal Government customers through its partner ImmixGroup, Inc. Please contact ImmixGroup, Inc. at

We will treat any information you submit with us as confidential.