Sheridan is one of the leading providers of healthcare solutions for anaesthesiology and other specialties to physicians, hospitals and outpatient centers. Physician led and managed, Sheridan provides comprehensive hospital-based clinical and management solutions for anaesthesia outsourcing and other specialty areas including emergency medicine, women's and children's and radiology
Challenges: The manual process of Appeals and Refund resulted in delayed / missing deadlines. Sheridan approached another company to automate the process but the said company could not abide to their delivery promise. With a very limited budget and short timelines, Infologitech took over the task, completed the process automation and Integration with partners to the satisfaction of Sheridan.
Services: Custom Application Development
Solution: Re-Engineering the Payment Posting and Reimbursement modules, Developing Appeals Management and Refund Process, Implementing ICD 10 support, ANSI Management module were some important deliverables which formed the part of the Solution. Infologitech resources from its verticals of project development were pooled in to achieve this. This resulted in timely completion of project and there by improved productivity to the customer.
Results
- Removal of the manual processing of Appeals management and Refund process.
- Reduction in the time taken to file Notice of Appeals
- Reinforcing Leadership’s confidence on IT team by delivering on-time and within budget.
- Resource Optimization by developing customizable Business rules
- Removal of the Payment variances by configuring batch Jobs.
- Remodelling the process to configure payment posters with flexibility to categorize codes.