AI-Powered Healthcare Provider Services | Tech Mahindra

Overview

We deliver end-to-end support across the provider value chain, from patient access and prior authorization to RCM, clinical documentation improvement (CDI), coding, HEDIS, HCC coding, RAF (Risk Adjustment Factor) optimization, quality reporting, compliance, and audits.More

We deliver end-to-end support across the provider value chain, from patient access and prior authorization to RCM, clinical documentation improvement (CDI), coding, HEDIS, HCC coding, RAF (Risk Adjustment Factor) optimization, quality reporting, compliance, and audits. Powered by advanced AI and deep healthcare domain expertise, we reduce administrative burden, improve accuracy, strengthen compliance, and accelerate financial and value-based performance, while enhancing patient and clinician experience.

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Years of Experience
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Healthcare Associates
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EMR Specialists
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Health Systems

End-to-End Services for Providers

Deliver seamless, personalized patient experience across the care journey through digital access, self-service capabilities, and proactive support that improve satisfaction, affordability, and treatment adherence.

  • Digital Front Door
  • Appointment Scheduling
  • Registration and plan verification
  • Price Transparency
  • Inquiry Resolution
  • Financial Assistance
  • Digital Assistants

Improve care coordination and patient outcomes through integrated care management services that support population health, chronic disease management, and virtual care delivery.

  • Population Health Management (PHM)
  • Care coordination
  • Case Management
  • Telehealth and Remote Patient Monitoring (RPM)
  • Digital Health

Ensure accurate, compliant, and accessible health information through clinical documentation, records management, and EHR support services that enable informed decision-making.

  • EHR Support
  • Medicare records retrieval
  • Clinical Document Improvement (CDI)

Optimize financial performance across the revenue cycle through intelligent coding, claims management, payment processing, and denial resolution services that improve accuracy and accelerate reimbursements.

  • Claims and denial management
  • Autonomous Coding
  • A/R Collections
  • Payment Posting
  • ERA/EFT processing
  • Credit Balance
  • Appeals and resolutions

TechM Advantage

Accelerated Patient Access and Onboarding

Faster access. Fewer errors. Better patient experiences.

Accelerate Patient Access with seamless digital onboarding, real-time insurance checks, smart scheduling, and automated reminders for fewer no-shows.

Autonomous Clinical Coding

Higher accuracy. Faster turnaround. Stronger compliance.

Harness advanced NLP and machine learning to improve coding precision, accelerate throughput, and ensure accurate, compliant documentation that supports quality reporting and revenue integrity.

Insightful Denial Management

Predict denials. Protect revenue. Accelerate cash flow.

Leverage predictive insights and targeted workflows to identify denial risks early, prevent avoidable denials, and resolve issues faster, reducing rework and improving reimbursement timelines.

Proactive Risk and Compliance Alerts

Identify risks early. Stay compliant. Safeguard performance.

Gain real-time visibility into clinical, operational, and compliance risks, enabling proactive intervention before issues escalate into audits, penalties, or revenue loss.

HEDIS and Quality Measure Management

Close care gaps. Improve quality scores. Strengthen performance.

Enable accurate HEDIS abstraction, measure calculation, and gap closure to improve quality outcomes, support value-based programs, and enhance payer and regulatory performance ratings.

HCC Coding and RAF Optimization

Capture clinical complexity. Optimize risk scores. Protect revenue.

Ensure accurate and compliant HCC coding and RAF optimization through comprehensive chart review, suspect identification, and documentation alignment; supporting fair reimbursement and audit readiness.

AI and Automation Accelerators

RapidScrub

Instantly corrects claims and prevents denials.

RapidCode

Delivers fast, accurate clinical coding with built-in compliance.

Smart Summaries

Converts complex medical records into actionable insights.

Proactive Risk Alerts

Identify and address risks before they affect care or compliance.

RapidCDI

Integrated HEDIS and HCC coding solution that accelerates risk adjustment and quality reporting with accuracy and compliance.

Digital Patient Experience

Book appointments, send reminders, and keep everyone informed seamlessly.

Navixus

360° digital transformation suite, combining consulting, intelligent automation, AI-driven analytics, and CX technologies to accelerate and elevate patient journeys end-to-end.

Business Impact

  • Accelerate patient onboarding by up to 90%
  • Achieve up to 99% accuracy in denial prediction and handling
  • Reducing claim denials was 40-70%
  • Lower operational costs by 30-50%
  • Drive up to 30% faster risk adjustment, improve coding accuracy by 20%, and boost quality measure compliance, delivering millions in revenue uplift and reduced audit risk.

Get In Touch

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