A growing healthcare service provider working in the mental health space wanted to improve the efficiency of its revenue cycle operations and make it into a platform to grow the business. The cloud-based solution led to a reduction in their claim-payment cycle by 59% and multi-tenancy enabled them to create a new revenue channel.
The Problem
The client had a legacy system that required manual submission of claim forms. These were error-prone and led to longer cycles of claim processing. Additionally, they were unable to capitalize on the incoming revenue because their proprietary system was very appealing to other companies, but were concerned about its reliability.
The Approach
We revamped its architecture to make it scalable by taking advantage of the Microsoft Azure cloud platform. We re-architected the database and code to enable multi-tenancy, and added interfaces to generate the complex claim submission form that was previously error-prone. In anticipation of new customers, we rebuilt the user interface as well, making it responsive and support customization for each client.
The Results
Our solution provided the client to enable the new revenue stream as a SaaS product with HIPPA compliance to assure their customers. And we streamlined their claim processing, reducing the cycle from 12 days to 5 days and improved their cash flow.