Cognine

Category: Healthcare

Categories
Healthcare

Healthcare Product Engineering

Client focus

Client is a healthcare service provider with a focus on bringing technology into small and midsize providers for digitizing patient visits and health records.

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Providers on the platform
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Medication transactions
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reduction in clicks and keystrokes
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Cloud Native

Challenges

  • Client had a product idea (web and mobile) to manage patient visits, medications and medical records for clinics and hospitals with a unique feature of smart data entry using proprietary state machine in prescriptions.
  • Client wanted to use a single workflow for prescribing all medications
  • Needed an intuitive interface requiring minimal training
  • Client needed additional layers of security to protect the sensitive patient data and medication management programs

Solutions

  • Cognine was involved in every phase of the product development starting from requirements discovery phase to deployment on cloud as the client did not have any technical team.
  • A cloud agnostic, fully scalable microservices based SAAS approach with containerized deployments was proposed and implemented.
  • UI was developed using single page approach
  • A proprietary state machine was designed to cater to the contextual intelligence required for auto suggesting and completing words as per the usage of doctors.
  • Message queues were used to manage notifications and communication between patients and doctors along with external caching services.
  • Features like Two-factor authentication and validation were implemented to enable additional layers of security.

Key Benefits

  • Rapid prototyping and feedback mechanisms from light house customers helped in incorporating some of the good to have features that were not part of initial planning process
  • Web application developed with features to include offline availability of the state machine and the required data to enable a seamless user experience even during the event of internet unavailability.
Categories
Healthcare

RPA solutions for Revenue Cycle Management

Client focus

Client provides practice management services to independent physician-owned practices and small-mid size hospital groups. It offers end-to-end RCM services to manage its revenue cycle operations including patient registration, insurance verification, billing, and medical documentation.

 
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person hours saved
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bots in production
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processes automated

Challenges

  • The client wanted to automate certain processes across pre-authorization and patient medical record submission.
  • The pre-authorization process is highly repetitive and lot of manual effort was needed to get the patient details and check for status of authorization whether it is pending for approval, approved or declined.
  • Patient medical record submission was another painful task that involves a complicated process of getting the patient data from billing system, medical records from providers EHR system and then sending it to the Payer for claim settlement. This is cumbersome process involving multiple interactions with virtual and Citrix environments.

Solutions

  • Cognine has implemented process automation using Blue Prism.
  • The bot automatically logs into the payer portal, feeds in the the patient data to get the latest information of claim status. The bot also extracts the information from hand written documents and feeds in the key information.
  • For the claim submission, the bot interacts with billing system eCinicalWorks, EHR system Cerner over virtual environments and extracts all the necessary information for filing a claim to the payer. From getting the data to updating the status in the billing system and interaction with EHR and printing the documents, the bots works un-interrupted with manual intervention.

Key Benefits

  • Increased task completion rate, reduced error rate and highly efficient operations that cut down manual intervention to near zero which was earlier performed by 2 FTE.
  • Expansion of operations to multiple states and on-boarding more providers became much simpler.