2019 AWARD FINALIST SPOTLIGHT: NTT DATA Services - Finalist in the Operational Excellence in Healthcare Project Category

Read this article about Blue NTT DATA Services, one of our finalists, in the category Best Achievement of Operational Excellence in Healthcare, selected by the independent judging panel, for the 2019 Business Transformation & Operational Excellence Industry Awards program. Click here to read articles on other finalists.

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NTT DATA Denial Management Artificial Intelligence Platform

Automate Denial Management, Improve Your Cash Flow and Reduce the Cost to Collect

Approximately $262 billion in healthcare claims were initially denied in 2016 — an estimated 9% of charges.* Most healthcare organizations reach out to IT service providers to help manually resolve accounts and refile the denied claim, a time consuming and labor-intensive process. Automation can transform end-to-end denial management and help speed up the process.

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Transforming denial management with NTT DATA Services

The NTT DATA Denial Management Artificial Intelligence (AI) Platform uses machine learning and intelligent automation to simplify the denial management process. The intelligent platform actively learns, constantly adapting and evolving — far beyond human thinking and capabilities. It can help you:

Discover insights using advanced machine learning algorithms, deep learning neural networks, prescriptive and predictive modeling, and also apply that insight into core business processes
Build and optimize prediction models using an intuitive, user-friendly interface for reinforcement learning and self-guidance

Our Denial Management AI Platform performs advanced perception using the NTT DATA Robotic Context Processor to read and analyze information from heterogeneous data sources, image files and documents. It is able to use the most basic knowledge to provide insights and denial reduction guidance to increase claim acceptance rate for future claims.

The Denial Management AI Platform gives you the ability to:

Assist claims agents on the job by analyzing data in various stages
Pinpoint the root cause of the claim denial
Provide detailed information on denial spread and detailed analysis of the processes that impacted the denials
Give details on the reason(s) and stage(s) creating a delay
Determine the regions, providers and insurance that has the highest denial rate
Ensure on-time claims submission, improving overall turnaround time and collection efficiency
Effectively track denial activity, identify new rules, and generate exhaustive and automatically distributed set of rules over the entire network for comprehensive claims qualifications

For more information, please visit www.nttdataservices/bpo

About the Awards

The Business Transformation & Operational Excellence Awards have been established to showcase globally the most outstanding organizational achievements through the application of Operational Excellence programs. Click here to view the Press Release.

The winners for all categories and for The Platinum Awards will be announced at The Business Transformation & Operational Excellence Summit & Industry Awards on Wednesday March 20th, 2019, from 6.30pm, in the Venetian Ballroom at the Loews Portofino Bay Hotel at Universal Orlando Resort^®.

The Business Transformation & Operational Excellence Awards are open to all organizations, both private and public sector, across the globe, which have implemented Operational Excellence programs to deliver outstanding business results.

The 2019 Awards will be held in conjunction with the Business Transformation & Operational Excellence World Summit on March 20, 2019 in the Venetian Ballroom at the Loews Portofino Bay Hotel at Universal Orlando™

BTOES.com

The issues in this article are just one of topic areas that are going to be discussed at the Business Transformation & Operational Excellence World Summit & Industry (BTOES19). March 18-22, 2019, Loews Portofino Bay Hotel at Universal Orlando Resort^®

BTOES is the industry’s biggest and best, senior-level, cross-industry gathering of Business Transformation & Operational Excellence industry leaders and senior executives.

It also hosts the Business Transformation & Operational Excellence Awards, which showcase globally the most outstanding organizational achievements through the application of Operational Excellence programs.

The summits hosts a number of private forums for C-Level & Global corporate-level leaders as well as business unit heads.

With over 150 speakers, over 100 sessions, 12 Keynotes, 9 Track Themes, 5 parallel tracks, 60+ track sessions, 50 roundtable discussions, 20 Interactive Workshops, 6 Thought Leader Panels, 5 Leaders Boardrooms, 5 co-located events, the Industry Awards Program, Site Visits, 20+ hours of social networking including 2 gala cocktail parties, dinners, numerous group activities, this is the ultimate event to benchmark, network and drive Operational Excellence to the next level.

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Agenda

BTOES19 Awards

There is a strong focus on Cultural Transformation, Customer Delight, Sustaining an Operational Excellence program, Need for end-to-end Business Transformation, Keeping up with new technologies/impact of digitalization and Leadership Buy-in & Understanding. We dedicated two tracks to advanced technologies, such as AI, Machine Learning, RPA, Predictive Analytics, Blockchain, Cloud infrastructure etc.

The agenda is designed to encourage active meaningful conversations though all day enhanced networking and interaction opportunities, including

All-day Refreshment & Themed Breaks
1¼ Hour Hot Breakfast Networking Sessions
1½ Hour Hot Plated Networking Lunches with Topic & Industry Sector focussed tables
1½ Hour Roundtable Sessions by Topic & Industry Sector.
Keynote & Themes Panel Sessions
Hosted Welcome Receptions from 5.30pm
Expanded more lavish Awards Program
Newly launched Night Summit for attendees to meet after dinner