Medical Business Process Management (MBPM)
Transform Your Healthcare Operations with CIMSS MBPM
The Future of Healthcare Management—Powered by Salesforce, Snowflake, and AI
Welcome to CIMSS Innovative Solutions, where digital transformation meets real-world impact. We’re excited to launch our Medical Business Process Management (MBPM) service—a game-changing solution for payers, providers, and life sciences organizations seeking to streamline operations, reduce costs, and elevate patient care.
With CIMSS, you gain a trusted partner dedicated to your growth, compliance, and digital transformation—so you can focus on what matters most: your patients.
Why CIMSS MBPM Stands Out
Deliver Better Outcomes, Faster Results, and Lower Costs with a Truly Global Solution
Ready to see the difference?
Schedule a consultation today and discover how CIMSS can accelerate your digital transformation!
Core Service Pillars: What We Deliver
Revenue Cycle & Billing Excellence
- Eligibility & Benefits Verification
- Prior Authorization & Referral Management
- Claims Submission, Remittance, and Denials Resolution
- Patient Billing, Follow-up, and Collections Coordination
Clinical Operations & Care Coordination
- Pre-Visit and Post-Discharge Task Automation
- Chronic Disease Management (Diabetes, Hypertension, Obesity)
- Diagnostics Scheduling and Lab Tracking
- Health Cloud Care Plan Compliance and Guided Interventions
- Virtual Care Enablement
AI-Augmented Virtual Clinical Assistants
- Real-Time Medical Scribing and Documentation Support
- Structured Clinical Note Capture
- Inbox, Task, and Order Management
- Intake, Triage, and Gap Closure Operations
- Salesforce OmniStudio and Flow Integration
Multilingual Patient Communication & Service Center
- 24/7/365 Omnichannel Communication: Voice, Chat, Email, SMS
- Appointment Scheduling and Coordination
- Patient Intake, Consent Management, and Escalation
- Language Support: English, Hindi, Spanish, and More
CRM, EHR & Platform Integration
- Seamless Health Cloud and Service Cloud Management
- Smart Case Routing, Care Record Updates, and Outcomes Tracking
- Bidirectional Connectivity with EHRs (AdvancedMD, eClinicalWorks, and More)
- Snowflake-Based Analytics for Population Health and Operations
- Automation with MuleSoft, IDP, and AI-Enhanced Bots
Powered by PhoenixAPM™
The Digital Core for Future-Ready Healthcare
- Salesforce-native architecture with Health Cloud, Data Cloud, and Marketing Cloud
- Integrated AI tools for case triage, workflow orchestration, and intelligent scheduling
- Interoperability with external systems via FHIR, HL7, and MuleSoft
- Data operations and dashboards via Snowflake, Tableau, and other cloud-native platforms
- Modular expansion across RCM, clinical coordination, pharma services, medtech workflows, and digital front doors
Proven Results: Real-World Impact
See the Difference with CIMSS MBPM
| Metric | Before MBPM | After MBPM | Improvement |
|---|---|---|---|
| Administrative FTEs | 18 | 8 | ↓ 55% |
| Prior Authorization Turnaround | 72 hours | <24 hours | ↓ 66% |
| Billing Cycle Duration | 32 days | 21 days | ↓ 34% |
| Claim Denial Rate | 14% | 5% | ↓ 64% |
| Monthly Net Revenue | Baseline | +18% | ↑ ROI |
| Patient Communication | Limited | 24/7 Multilingual | ↑ Engagement |
Transform your organization—request a case study now!
Who We Serve
Tailored Solutions for Every Healthcare Stakeholder
- Providers: Physician groups, hospital systems, ACOs, virtual care networks
- Payers: Medicare Advantage, managed Medicaid, TPAs, value-based programs
- MedTech & Life Sciences: Diagnostic platforms, digital therapeutics, remote patient monitoring, specialty pharmacy operations
Find your custom solution—talk to a CIMSS advisor today!
Our Delivery Model
Global Expertise, Local Support
- Global Capability Center (GCC) in India—24/7/365 support
- Full alignment with U.S. clinical, regulatory, and revenue models
- Nearshore/offshore hybrid support as needed
- Continuous QA, multilingual capabilities, and governance reporting
Experience seamless global execution—get started now!
Why Choose CIMSS?
A Partnership for Growth and Innovation
CIMSS is more than a consultant—we are your strategic partner in digital transformation.
Our team combines deep healthcare expertise with cutting-edge technology to deliver actionable, personalized solutions that drive efficiency, compliance, and growth.
Take the Next Step with CIMSS
Don’t Let Inefficiencies Hold You Back
Join leading healthcare organizations that trust CIMSS for their digital transformation and operational excellence.
Our MBPM services are designed to help you reduce costs, improve patient care, and stay ahead in a rapidly evolving industry.
Ready to unlock the full potential of your healthcare operations?
Contact Us to schedule a consultation with a CIMSS Healthcare Transformation Advisor.
