Case Study: Largest US Healthcare Provider improves revenue and denial management with Persistent Systems

Leading Healthcare Provider optimizes revenue and denial management systems with automation

Largest US Healthcare Provider worked with Persistent Systems to address growing denial management, budgeting, forecasting, and compliance challenges tied to HIPAA, CMS, Medicare, and Tricare requirements. The provider also needed a more standardized way to communicate between providers and payers, while improving revenue recognition and reducing reimbursement denials.

Persistent Systems delivered an integrated revenue and denial management solution, using automation and a microservices-based architecture to replace a monolithic application. The solution met HIPAA, CMS, ANSI 837 and 835 compliance needs, streamlined denial management and contract modeling, and cut manual effort and customer release cycles by 50%.