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Transforming 24/7 Primary Care with AI-powered chatbot
Healthcare 
AI-Powered Chatbot
Speciality:
AI-Powered Chatbot
Location:
Multiple Location
Impact:
Reduce provider workload by 30%
Services:
Custom Healthcare Software Development
Business Challenges
- The constant demand for real-time assistance led to provider burnout
- Manual triaging delayed responses to critical cases
- Lack of a streamlined process to capture patient details prior to appointments
- Disjointed patient records hampered comprehensive care
- Inaccurate documentation caused claim denials and revenue losses
Solution
- Chatbot with Clinical Pathway Settings (Pre-programmed clinical pathways)
- Scheduling with Pre-Visit Intake
- Encounter Management (Telehealth + Voice-to-Text)
- Patient Charting for Comprehensive Profiles (Documentation)
- Automated claim generation with encounter details
Results
- Reduce provider workload by 30%, allowing them to focus on critical cases.
- Decrease patient wait times for non-urgent queries by 50%.
- Achieve a 25% improvement in claim acceptance rates.
- Enhance patient satisfaction with a 24/7 interactive support system.
Solution Implementation
Our client is a prominent primary healthcare provider committed to offering round-the-clock care to patients. With a mission to improve patient access and satisfaction, the client delivers comprehensive healthcare services 24/7. To enhance operational efficiency and patient engagement, the client sought to develop a robust Electronic Medical Record (EMR) system equipped with essential features such as scheduling, telehealth, documentation, and billing. However, a key requirement was the integration of a smart chatbot functionality to assist patients in real-time. The chatbot aimed to:
- Serve as the First Line of Support: Address common patient queries and provide immediate assistance.
- Triage Critical Cases: Identify emergencies and escalate them to a provider only when necessary.
We embarked on creating a cohesive solution tailored to their specific challenges, focusing on streamlining workflows and improving care management:
1. Chatbot with Clinical Pathway Settings:
The AI-powered chatbot is a standout feature, streamlining patient support and reducing provider workload while ensuring timely care. It leverages pre-programmed clinical pathways to triage common conditions, providing immediate assistance with FAQs, medication refills, and appointment scheduling. The chatbot intelligently escalates critical cases to providers based on real-time assessments, ensuring no urgent need is overlooked. Providers can customize settings to define escalation thresholds and tailored responses, enhancing both efficiency and patient satisfaction.
- Pre-programmed clinical pathways
- Immediate assistance
- Escalation of critical cases to providers
- Customizable settings for providers to define escalation thresholds and responses
2. Scheduling with Pre-Visit Intake:
We implemented a dynamic scheduling module that streamlines appointment booking and enhances preparation by capturing pre-visit details. Patients complete intake forms to share symptoms and medical history, which are summarized for providers ahead of encounters. Automated reminders improve adherence to scheduled visits, ensuring timely care. Additionally, the system integrates with a chatbot to pre-qualify appointment needs, directing patients to appropriate resources or providers based on urgency, optimizing both patient experience and provider efficiency.
- Reduced appointment no-shows
- Improved provider preparedness
- Enhanced patient satisfaction
- Chatbot to pre-qualify appointment needs
3. Encounter Management (Telehealth + Voice-to-Text):
The system enhances encounter management by supporting real-time virtual visits with integrated telehealth services and voice-to-text functionality for seamless documentation. Audio/video consultations ensure secure and efficient patient-provider interactions, while voice-to-text transcription streamlines note-taking. Customizable and standardized note templates further expedite documentation, ensuring accuracy and consistency. Additionally, the system enables easy tagging of encounter durations to maintain billing compliance, improving operational efficiency and ensuring accurate claims submission.
- Audio/video consultations with secure connections
- Voice-to-text transcription for efficient note-taking
- Standardized note templates
4. Patient Charting for Comprehensive Profilest:
The patient charting feature delivers a comprehensive view of each patient’s medical history, diagnoses, and treatment plans, ensuring a 360-degree profile. Providers benefit from centralized access to critical data, including demographics, allergies, and medications, all within an interactive dashboard that tracks patient progress. Real-time updates from encounters and chatbot interactions keep records current, while secure sharing capabilities enable seamless collaboration across care teams, promoting better decision-making and improved patient outcomes.
- Real-time updates from encounters and chatbot interactions
- Centralized access to patient data
5. Billing and Claim Management:
The billing and claim management module streamlines invoicing and ensures precise claim submissions. It automates claim generation by integrating detailed encounter data, reducing manual errors. Seamless integration with clearinghouses ensures accurate and timely submissions, while real-time status updates keep providers informed about claims and invoices. Additionally, built-in analytics offer insights into reimbursement trends, helping improve financial performance and streamline revenue cycles for enhanced operational efficiency.
- Automated claim generation with encounter details
- Integration with clearinghouses for error-free submissions
- Real-time status updates on claims and invoices
Business Value
Improving UX
Helped being on the same page with the patients. We improved User experience and made the accuracy of the results higher.
Developing All Flow
Helped in having a competitive advantage. We chose a proper tech stack, developed all flow from A to Z and implemented in real life.
Optimization
Increasing operational speed by 2 times. Now all data in one place. Increasing operational speed by 2 times. Now all data in one place.
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