Revenue Cycle
Management For
Healthcare Providers

Our Client

A health and online wellness
company based in the USA.
Alturus* provides a range of
Care Coordination solutions to hospitals and practices
looking to stay connected
with their patients.

Providers and patients can stay connected
through a web portal and mobile application
that allow patients to

Consult with their doctor

Care Management Program

Book in person or virtual visits

View recorded health data

Consult with their doctor

Book in person or virtual visits

Care Management Program

View recorded health data

The Brief

Patients and their families could avail a range of services from their practice over the Alturus powered
solutions.

As the services and offerings diversified – it became increasingly difficult for patients (also the payer) to keep track of invoices individually raised against services availed by them and their family members.

01

The amount that would be billed to them vs their insurance

02

Lack of a consolidated statement

03

Absence of part-payment options for large amounts

04

Need for additional information or contesting the invoice

Factors as above reflected in a trend wherein collections by the practice would be delayed. Additionally, this posed a challenge of scale as more and more platform-based remote offerings such as telemedicine appointments did not require the patient to arrive at the practice and clear their dues in person.

01

Increase transparency
between practice and patients

02

Regularize
collections

03

Simplify
follow-ups

Objective

The MVP (Minimum Viable Product) strategy is an ideal design approach used to create a simple, basic solution in a short time. Being a user-focused design approach, it is built iteratively based on constant feedback.

In this case, the requirement was to create an intuitive Payment Management and Gateway solution that could integrate with the digital and real-world Patient Engagement solutions.

The solution would offer the following benefits to –

The Hospitals & Clinics

  • Track receivables
  • Patient (payer) specific consolidated invoicing
  • Simplified follow-ups
  • Understand service consumption trends

The Patient

  • One place to view all consolidated
    invoice across practices and family members
  • One place to view all consolidated
    invoice across practices and family members
  • Seamless checkout experience

Our Process

Our User Experience Design process for enterprises is designed to ensure that a concept is approached holistically. MVP often aims to solve problems or address needs through solutions that often do not have a competition. It is an opportunity to set a benchmark in the industry.

It is therefore essential for the UX design process to fail fast and gauge the potential response of the users within its iteration sprints to deliver value while being sensitive to the resources and timelines.

Strategy

Data collected by Alturus pointed at a patient’s payment trends, challenges, and needs that shaped the expectations from the solution.

The intended solution is an integration of:

01

Payment Gateway
  • Consistent checkout experience
  • Integration of digital wallet + other
    popular payment methods

02

Digital Wallet

  • Flexible payment solutions

The strategy focused on Current state analysis: Synthesizing data collected via Alturus to build context
and understand –

a. User’s challenges (lack of transparency, inability to pay bills, lack of trust on online payment)

b. Current collection processes and cycles across practices based on their nature and scale

c. Research and analysis of related solutions within and outside of healthcare

Ideate

Brainstorming sessions, sketches, and video recordings of people going about making payments help designers step into the users’ shoes and think of ways in which value can be delivered.

In order to ensure that the solution is flexible, we processed the flows representing the various payment processes. This data was used to map a new journey which could be adopted with minimal disruption to the existing processes.

For example, the journey of a user who is booking an online consultation session and making a prepayment for the same or the journey of an individual paying a consolidated monthly statement received via text reminder.

We grouped the ideas that together could offer a good value proposition and built them into concept directions.

These ideas were developed further to draft interactive prototypes to be reviewed by the business. The approved prototypes were tested with users to be evaluated for their intuitiveness and usability and gain behavioral insights.

Inputs from test sessions with the users make it simple to go back to the drawing board and align the solution to have the right balance to meet the goal and vision of the business and deliver on the needs of the user.

Design

UI Design was built for the prototypes tested with the users and signed off by the business to reflect the workflow, interactions, and micro-interactions.

01

Splash Screen than be modified as
per every providers branding

02

Invoices and statement from various
sources and member at one place
with factional buttons

03

Quick swipe to pay option to avoid all the payment gateway hassles

04

Traditional way to pay or add new credit or debit card along with paypal and other options

05

Downloadable recipt with all the
bill/invoice details for any claim

06

EMI plans option with some suggested
plans and propose a plan action if
the plans need to be modified

07

Add Promotional card related to
client’s current transaction

01


Splash Screen than be modified as
per every providers branding

02


Invoices and statement from various sources and member at one place with factional buttons

03


Quick swipe to pay option to avoid all the payment gateway hassles

04


Traditional way to pay or add new credit or debit card along with paypal and other options

05


Downloadable receipt with all the
bill/invoice details for any claim

06


EMI plans option with some suggested
plans and propose a plan action if
the plans need to be modified

07


Add Promotional card related to
client’s current transaction

Conclusion

The solution resulted in a multitude of advantages for the business. The primary one being that
it streamlined revenue collections and resulted in an increase of 67% over a period of 3 months
– this meant reduced follow-ups and a steady flow of payments being made. It helped create
shorter billing cycles that were monitored well.

Another big win was that it led to a decline in the number of billing queries that their
customer service team had to handle. The solution created also enhanced the level of
simplification and transparency in billing which was appreciated by the patients.