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Business Process Consulting for Healthcare Providers

2025 Global Innovation Award WHT
Proud winners of 2025 Appian Partner Innovation Award for our No Surprises Act (NSA) solution for Healthcare Providers
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Macedon Healthcare Business Process Consulting Expertise

Macedon’s extensive experience working with healthcare providers makes us uniquely qualified to provide business process consulting services that help hospitals and medical centers develop process automation solutions to address operational, patient-journey, and revenue cycle challenges. We understand how to develop workflow automation strategies that streamline patient care, reduce errors, and ensure HIPAA and No Surprises Act (NSA) compliance.

Using our combined consultation expertise and knowledge of healthcare compliance challenges, Macedon used the Appian low-code platform to design an NSA solution for healthcare providers. Our NSA solution enables healthcare providers to navigate complicated Independent Dispute Resolution (IDR) processes to meet compliance while securing revenue.

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Industry Use Cases

 

 
  • Cash Posting, Accounts Receivable

  • IT Applications Management

  • Inbound Document Management

  • Change Control Management

  • Safety, Risk, & Compliance

  • Clinician Management

Business Process Consulting Use Case Spotlight: NSA IDR

90% of the NSA IDR process should be automated.

 Our healthcare customers come to us with cumbersome, manual processes. They are drowning in emails and spending time on "time-wasting" payors instead of "good faith" negotiations. To prevent losing revenue for services already completed, healthcare providers need business process consulting services.

Our consulting services help healthcare organizations develop automation solutions for dispute workflows. We advise healthcare providers on how to gain visibility into the progress of revenue recovery processes and scale these processes to meet growth demands.  

Our workflow automation consulting services enable healthcare customers to optimize IDR processes through automation so they can generate positive outcomes, including:  
 

  • Automated IDR increases volume for revenue uplift​

  • Increased IDR win rate %

  • 100% risk avoidance for missed IDR deadlines, eliminating revenue leakage

  • Refocused existing headcount to focus on ONP process

Learn More about our award-winning NSA Solution

What are our Clients Saying?

“Thanks for your thoughtful solutions,
your anticipation of needs, and just being a great partner to work with.”

Product Owner at a
Regional Bank

“[Macedon] made this project
seem easy. Always prepared,
always on target.”

Product Owner at a Healthcare Organization

“[Macedon] proactively suggests process improvement items that had never occurred to me.”

Sponsor and AVP at an Insurance Organization

Tired of outdated work? You're not alone. We can help.

Businesses suffer from outdated systems and broken processes that make work painful. Macedon helps you simplify your work.

Stage & Gate

Learn about Macedon's powerful, highly configurable stage-gate tool, Stage & Gate

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    Business Process Consulting for the Healthcare Provider Industry

    Macedon Technologies has 15 years of experience in delivering industry-specific automation solutions, enabling us to provide business process consulting services to healthcare providers.

    We empower healthcare providers to identify automation use cases, such as regulatory compliance, scheduling, and insurance claims submission workflows, and design custom solutions to meet them.

    Our healthcare workflow automation consulting services help healthcare organizations increase their revenue, reduce costs, and focus on patient outcomes.  

     
    Find Out More

    By partnering with Macedon Technologies for business process consulting, organizations in the healthcare industry can develop automation solutions for streamlining workflows related to: 

     

    • No Surprises Act - ONP, IDR, IDRE selection

    • Claims Submissions

    • Patient Journey Management / Care Coordination

    • Home Health Automation

    • Regulatory Compliance

    Blog Post: Navigating the No Surprises Act's Challenges for Healthcare Providers

     The healthcare landscape has undergone significant changes with the introduction of the No Surprises Act, enacted on January 1, 2022. While this legislation aims to protect patients from unexpected medical bills, it has also introduced workflow complexity and reimbursement challenges for healthcare providers.

    Through our healthcare compliance consulting services, we have worked with healthcare customers to develop strategies for meeting compliance demands.  

    Read More
    Navigating the No Surprises Act's Challenges for Healthcare Providers

    Ready to Talk?

     Curious how Macedon can help your healthcare organization with business process consulting services? Let's get started.  

     
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