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Enhancing the Abilities of Healthcare Sector
The client was a mental healthcare center based in Texas, which was using the conventional pen and paper-based system to manage its day-to-day operations. With such a system, activities like scheduling appointments, patient engagement, verifying insurance, and billing were inefficient and often resulted in loss of revenue. The client needed expert consultation to identify workflow gaps, improve its clinical as well as administrative operations, and serve its patients better. In other words, it needed a consolidated digital strategy through which to handle its workflows. They chose OSP for consultation on their requirements.
High Claim Denials
Slow Billing Process
Longer Revenue Cycles
Lower Revenues per Billing
Incomplete Claims Filed
OSP’s consultation recommended a digital platform where patients could schedule appointments online at any time. People would no longer need to call up the clinic, be put on hold as the staff checked for available timings. In case a patient isn’t able to show up, he or she can reschedule their appointment within minutes.
Our consultation recommended enabling the staff at the mental healthcare center to verify the insurance plans of every patient almost as soon as they enter the clinic. The recommended solution streamlines the entire process and speeds it up considerably, thereby reducing the wait times for patients. It’s a win-win for the provider, payer, and the patients.
We advised a telehealth feature as part of the recommended solution for the client. This would be integrated with the EMR and medical billing functionality to enable the therapists to see patients remotely. The best part – patients can now access mental health care from the privacy of their homes with just a laptop or a smartphone and an internet connection.
OSP’s consultation for managing clinical and administrative operations recommended a high-level of data security. Our suggested solution complies with HIPAA regulations and ensures the privacy and integrity of patient data. The software framework was planned to be thoroughly aligned against multiple scenarios to ensure its reliability and credibility.
Our recommended workflow streamlined the entire process-flow surrounding medical coding and billing, coupled with claims submissions. As a result, the client would be able to manage their accounts receivable with greater efficiency and experience a marked improvement in their revenue cycles. Interestingly, this was expected to be achieved with a reduction in overhead.
OSP’s consultation for the client recommended integrating a number of medical solutions such as electronic medical records, telehealth, medical billing, and so forth. This would engender a cohesive flow of clinical and management activities and improve the overall operational efficiency of the clinic. As a result, the client would be able to serve patients better.
Claim denials and rejections are among the leading reasons for revenue loss incurred by providers. OSP’s consultation recommended a workflow that automatically checks the claims to see if everything is done right according the existing stipulations of payers. The claims flagged down for discrepancies are sent over to human operators for re-examination.
Good patient engagement has been directly tied to positive clinical outcomes. Keeping this in mind, OSP included a user-friendly patient engagement recommendation to help the client improve doctor-patient rapport and boost clinical results. For people struggling with mental health, continuing interactions with their therapist goes a long way in improving their situation.
Improved Revenues
Enhanced Productivity
Reduced Claim Denials
Lower Overhead
Better Patient Experience
Telehealth
Advanced Homecare Management We developed a cutting-edge mobile app with geo-tracking and scheduling of doctors, and a payment module with a telehealth solution for a healthcare staffing agency. Winner of the 'Fast 100 & Innovation Award' by Houston Business Journal.
Advanced RPM With Telehealth We built a tailored RPM solution with telehealth features to provide 60% Of patients who reported a better overall experience and improved care access.
Mental Health PM-RCM Suit We built a custom medical billing, credentialing, and practice management suite to achieve over 55% reduction in claims losses and faster claims processing.
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