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Why Cognizant?

4.4 billion

payer-provider transactions annually

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450+

hospital and health system clients

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875,000

healthcare providers supported

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80,000

healthcare employees

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Provider services

Filter by provider type

Cognizant is ready to help providers address the shift to virtual health with solutions that can be deployed separately or in combination for comprehensive and seamless virtualization. We provide healthcare organizations with consulting, operations and technology services to help launch, scale or enhance virtual health.

{"0":"Hospitals and health systems"}

Cognizant’s robust, end-to-end platform combined with our flexible service model can tackle nuances at every stage of the revenue cycle. Our expertise in the provider and payer areas allows us to deliver a unique approach for revenue cycle challenges and solutions.

As an established player with over 40 years in RCM, we process 4.4 billion transactions annually, providing meaningful support for nearly 1 million care providers. Our breadth of knowledge helps bridge the gaps caused by talent shortages and reimbursement complexities, helping providers uncover hidden opportunities for revenue optimization.

{"0":"Hospitals and health systems","1":"Ambulatory care organizations"}

Cognizant’s consulting services address the industry trends and market forces that drive business and IT decision-making—from rethinking new business models to enabling digital innovation.

{"0":"Hospitals and health systems"}

Wherever you are on your journey—from aggregating data to building sophisticated AI models—Cognizant will meet you there. With our innovative offerings, you’ll be able to harness the power of data and AI to drive faster, predictive and proactive decision-making while educating your organization on the path forward.

{"0":"Hospitals and health systems"}

Business demands keep changing, which means your infrastructure must do more to stay ahead of the curve. Cognizant cloud and infrastructure services ensure your business is always ready, fuel employee productivity, integrate your departments and groups and future-proof your organization.

{"0":"Hospitals and health systems","1":"Ambulatory care organizations"}

Innovative partnerships are essential for payers, providers and pharmacy benefit managers to succeed in the competitive healthcare industry. We help clients rethink how they create value, innovate and grow by combining process expertise with intelligent digital platforms to optimize business operations.

{"0":"Ambulatory care organizations","1":"Hospitals and health systems"}

We offer providers advanced infrastructure services, industry and platform solutions and MLOps to help you improve patient safety and satisfaction, as well as clinical effectiveness.

{"0":"Ambulatory care organizations","1":"Hospitals and health systems"}

How we transform organizations like yours

The challenge

MetroHealth, a large, safety-net healthcare system needed to mitigate a spike in payer claim denials to shorten outstanding accounts receivables days and increase cash collections.

Our approach

Deployed the Cognizant® Revenue Cycle Management Workflow solution and the Cognizant® Advanced Reimbursement Manager (ARM) Pro denials management solutions. This combination continuously deployed automation to improve process quality and financial outcomes while automating the previously manual process of identifying the root cause of initial claim denials.

Business outcomes
  • 30% decrease in denials
  • $13M increase in revenue
  • 25% increase in average daily collections
The challenge

Anesthesia Financial Solutions (AFS) required an insurance verification coverage strategy to lower the number of denials due to missed filing deadlines and prevent future write-offs.

Our approach

Cognizant’s TriZetto Eligibility solution was introduced and provided immediate gains in operational efficiency, reliability of data validation and increased payer remittance. The solution became the cornerstone of the revenue cycle process and is used as the foundation for all patient and staff validations.

Business outcomes
  • Reduced timely filing denials by 47%
  • Reduced 44% overall write-off between 2022 and 2023
  • Reduced eligibility and registration denials by 11%
  • Reduced coordination of benefit (COB) inquiries by 98%
The challenge

Help MetroHealth implement a strategic and sustainable operations solution to support business changes and increased call center volumes.

Our approach
  • Collected and analyzed data to identify opportunities and prioritize actions
  • Identified technology solutions, streamlined workflows and determined additional staffing needs
  • Onboarded a new employee using change management tactics, which improved training, documentation and morale
Business outcomes
  • 100% increase in call volume with minimal staff expansion
  • 4.49/5 customer satisfaction levels
  • 4.25% lower than industry-standard call center abandonment rate
The challenge

Client faced staffing challenges that hindered their ability to improve front-end patient access, particularly upfront payments and prior authorization.

Our approach
  • Provided well-trained staff who integrated into revenue cycle management roles

  • Ensured accurate patient liability estimates and timely prior authorization filing

Business outcomes
  • 49% increase in upfront collections within first 6 months

  • 304% increase within first 12 months

  • 4.25% lower than industry-standard call
LATEST THINKING

Thought leadership

Take the first step

Serving customers by looking forward as well as back is a big promise, but the power of today’s new digital capabilities is vast and growing.

Let’s talk about how digital can work for your business.