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Healthcare Provider Real-time Patient Information and Billing Platform
  1. case
  2. Healthcare Provider Real-time Patient Information and Billing Platform

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Healthcare Provider Real-time Patient Information and Billing Platform

experionglobal.com
Medical
Financial services
Information technology

Physician Workflow & Revenue Cycle Challenges

Physicians are spending excessive time on manual patient record updates, leading to reduced patient interaction time and potentially impacting patient outcomes. This manual process also results in significant financial losses due to missed reports and delayed insurance submissions. The lack of real-time access to patient information hinders efficient billing and revenue cycle management.

About the Client

A globally renowned healthcare institution with a century-long history, specializing in oncology, nephrology, and cardiology, operating a chain of hospitals across Australia, committed to positive patient outcomes.

Project Goals

  • Reduce physician time spent on patient record updates by 30%.
  • Improve patient experience through enhanced physician-patient interaction.
  • Minimize financial losses from missed reports and delayed insurance claims.
  • Streamline the billing process and improve revenue cycle efficiency.
  • Provide real-time access to patient consultation information.

System Functionality

  • Real-time patient data access and updates.
  • Automated data entry and validation.
  • Missed report alerts and submission functionality.
  • Patient billing history and access.
  • Secure access control based on user roles.
  • Mobile application support (iOS and Android).

Technology Preferences

Mobile-first design
Cloud-based architecture
API integrations
Secure data storage

Integration Points

  • Electronic Health Record (EHR) system
  • Billing system
  • Insurance claim processing system

Non-Functional Requirements

  • Scalability to accommodate future growth.
  • High availability and reliability.
  • Data security and privacy compliance (HIPAA).
  • Performance for fast data access and processing.
  • User-friendly interface and intuitive navigation.

Expected Business Impact

This project is expected to result in significant cost savings through reduced missed report penalties, improved revenue capture, and increased physician efficiency. The enhanced patient experience will contribute to improved patient satisfaction and loyalty. The streamlined billing process will improve operational efficiency and reduce administrative overhead.

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