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Optimized EMR Functionality: Reducing Claim Denials with Advanced Visit Recording
Healthcare 
Healthcare Software Development
Speciality:
Visit recordings and Claims Management
Location:
New Jersey
Impact:
30% Reduction in Claim Denials
Services:
Healthcare Software Development
Business Challenges
- Inaccurate Time Recording for Visits
- Multiple Recording Instances
- Fragmented Systems Leading to Operational Inefficiencies
- Data Inconsistency and Poor Management
- Increased Administrative Frustration and Burnout
Solution
- Elevating Efficiency by Merging Disparate Systems
- Centralized Provider Portal with Accurate Time Recording by Integrating a System that Tracks Virtual Visit Duration
- Integrated Super Admin Portal
- Accurate Time Recording by Integrating a System that Tracks Virtual Visit Duration
Results
- 30% reduction in claim denials by integrating accurate audio and video call recording into the Centralized Provider Portal.
- 50% improvement in operational efficiency by consolidating disparate systems into a single platform.
- The Super Admin portal's marketing management features boosted campaign effectiveness by 25%.
- 20% Improvement in Patient Engagement by integrating telehealth services and secure messaging within the Enhanced Patient Portal.
Solution Implementation
We developed an integrated digital healthcare platform featuring a comprehensive Super Admin portal for streamlined marketing campaign management and efficient intake collection. The Centralized Provider Portal enhances Virtual Visits with integrated audio and video call recording, ensuring accurate billing and reducing claim denials. Additionally, we implemented an effective scheduling queue and robust document review capabilities.
1. Integrated Super Admin Portal
Developed a comprehensive Super Admin portal to manage marketing campaigns and intake collection. Integrated into the client's pre-developed website, this portal streamlines patient review validation and adds validated leads to the provider queue, ensuring consistent and efficient management.
- Intake Collection: Streamlined intake collection process to capture and validate patient information.
- Provider Queue Management: Added validated patients to the provider queue for efficient management.
2. Centralized Provider Portal
Implemented a robust provider portal that supports virtual Visits with integrated audio and video call recording, accurately capturing Visit durations for billing and claims, thus reducing claim denials and improving billing accuracy, and featuring a scheduling queue, document review capabilities, and tools for creating treatment plans.
- Call Recording Integration:
- Merged multiple call recordings into a single, accurate record to ensure billing and claim requirements are met.
- Enabled seamless recording of calls with one form, consolidating them into a single, easy-to-manage file.
- Facilitated easy submission of recorded Visits for billing and claims, reducing the risk of claim denials and improving reimbursement accuracy.
- Document Review: Provided tools for thorough review and management of patient documents.
3. Accurate Visit and Billing Management
Addressed the challenge of accurate time recording by integrating a system that tracks Virtual Visit durations, consolidating multiple recordings into a single, accurate record. This ensures compliance with billing requirements and reduces claim denials, providing a reliable solution for Visit documentation and billing processes.
- Time Tracking: Accurate recording of visit durations to meet billing requirements.
- Consolidated Recordings: Merged multiple call recordings into a single, accurate record.
- Billing Compliance: Ensured compliance with billing standards to reduce claim denials.
- Visit Documentation: Reliable system for documenting virtual Visits for claims.
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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