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Development of a Modular, Secure Cloud-Based Healthcare Revenue Cycle Management Platform
  1. case
  2. Development of a Modular, Secure Cloud-Based Healthcare Revenue Cycle Management Platform

Development of a Modular, Secure Cloud-Based Healthcare Revenue Cycle Management Platform

trigent.com
Medical
Healthcare

Identifying Challenges in Healthcare Revenue Cycle Automation

Healthcare organizations often operate with multiple disparate applications across different facilities, leading to workflow inefficiencies, manual record management, data duplication, delays, and errors. These fragmentation issues hinder seamless revenue cycle management and elevate operational costs, necessitating a unified, user-friendly digital platform that can seamlessly integrate with existing systems and support non-technical users.

About the Client

A mid-sized healthcare technology provider specializing in revenue management solutions for hospitals and health systems, aiming to enhance operational workflows without replacing existing systems.

Goals for Enhancing Healthcare Revenue Management Systems

  • Implement a flexible, scalable cloud-based platform that integrates with existing healthcare applications across multiple facilities.
  • Enhance workflow automation to reduce manual data entry, duplication, and delays, thereby minimizing operational errors and costs.
  • Provide an intuitive user interface accessible to non-technical users such as physicians, finance staff, and administrative personnel.
  • Enable rapid onboarding of new clients with minimal customization effort to support business growth.
  • Ensure secure, encrypted data communication and support for multiple browsers to facilitate accessible, reliable operations.

Core Functional Capabilities for the Revenue Cycle Platform

  • A tiered architecture separating data management and presentation layers for enhanced scalability and maintainability.
  • A secure HTTPS-based application hosting environment ensuring encrypted communication.
  • Compatibility with major web browsers including Internet Explorer, Chrome, and Firefox.
  • User-friendly interfaces tailored for non-technical users with views tailored to different facility operations.
  • Configurable workflows to prevent data duplication, automate information exchange, and provide real-time patient status insights.
  • Minimal effort required for client-specific customization and onboarding.

Preferred Technologies and Architectural Approaches

Ntier (multi-tier) architecture implementing separation of data processing and presentation
Cloud-based deployment with HTTPS (SSL/TLS) security protocols
Cross-browser compatible front-end interfaces (IE, Chrome, Firefox)

Essential External System Integrations

  • Existing healthcare applications and Electronic Medical Records (EMRs)
  • Billing and financial management systems
  • Patient tracking and registration platforms
  • Secure data exchange protocols and APIs

Non-Functional System Requirements for Scalability and Security

  • Scalability to onboard increasing client base rapidly, supporting growth from initial 100 clients to at least 150 within six months
  • High performance with fast response times for data retrieval and workflow automation
  • Robust security including encrypted communication channels and role-based access controls
  • Ease of management allowing non-technical staff to customize and manage workflows without specialized intervention

Anticipated Business Benefits and System Impact

The implementation of this advanced, user-centric cloud platform is projected to significantly accelerate client onboarding, leading to at least a 50% increase in customer base within six months. It will reduce customization effort and operational disruptions, enhance workflow automation, decrease manual errors, and improve overall revenue cycle efficiency and stakeholder satisfaction.

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