Illustrative engagement. A representative scenario showing how we approach this kind of work in healthcare. It does not describe a specific client; outcomes are described qualitatively.
Industry overview
What is shaping healthcare
Hospitals, clinics, diagnostics and health-tech companies need evidence from patients and professionals, gathered with verified respondents and strict privacy.
- Patients compare providers online
- Diagnostics and telemedicine are growing
- HCP opinion shapes referrals
Client background
A mid-sized hospital, working in Gujarat. This is an illustrative engagement: a representative scenario showing how we approach this kind of work, not a named client project.
- Organisation
- A mid-sized hospital
- Sector
- Healthcare
- Team engaged
- Finance & Accounts
- Services
- Accounting & bookkeeping, MIS & financial reporting
Client challenge
Insurance claims were often delayed or short-paid, and the hospital lacked visibility of outstanding amounts.
Research objectives
- Deliver on the brief: revenue cycle and insurance reconciliation.
- Establish accurate, reconciled numbers management can rely on.
- Put a reporting and compliance rhythm in place that runs on time.
Target audience
Scope: Monthly.
Audiences we typically reach in healthcare
Patients and caregiversDoctors and specialistsNurses and staffDiagnostics customersHealth-tech users
Geographic coverage
Coverage: Gujarat. Market: India.
- India
Research methodology
A structured finance engagement: review the current process, set up controls, run the routine and report.
- 1Brief
- 2Claim reconciliation
- 3Monthly MIS
- 4Insight
We reconciled claims against payments, tracked deductions by insurer and produced a monthly receivables report.
Accounting & bookkeepingMIS & financial reporting
Sampling strategy
- Every ledger, entity and transaction stream in scope was covered, with sample-based checks during review.
Data collection
- Source documents, bank statements and ledgers were collected through a secure shared workspace.
Data quality & validation
- Maker-checker review on all entries
- Bank and ledger reconciliations
- Client approval before every filing or report
- Supporting documents kept for every figure
Data analysis
- Variance analysis against budget and prior periods
- Ratio and trend analysis
- Cash-flow view for management
Key findings
- Unreconciled claims are lost revenue.
Recommendations
- Build on the core insight: unreconciled claims are lost revenue.
- Keep the monthly routine and review exceptions with management every period.
Business impact
- The hospital followed up deductions systematically and reduced long-outstanding claims.
Impact is described qualitatively.
Deliverables & next steps
- Insight report and management presentation
- Monthly MIS pack and reconciled books
- Compliance calendar and filings
- Continue the routine and review results every period.
- A natural follow-on question: where does the journey break?