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Streamlined compliance management and automated digital invoicing for contracted healthcare affiliates.

A leading healthcare provider faced a significant challenge in managing the compliance of its contracted healthcare affiliates. JustSolve stepped in to provide a solution that seamlessly integrated with their existing systems, addressing all compliance and optimisation concerns and streamlining business processes to improve efficiency across the board.

Solution

The Solution.

JustSolve developed an integrated portal where healthcare affiliates can easily manage their compliance documentation and bill for services rendered. The provider’s administrators are empowered to efficiently manage these contracted affiliates as well as review submitted compliance documentation and invoices.

Streamline affiliate management.

Objective: To move away from managing the profiles of contracted healthcare affiliates in Microsoft Excel, and instead govern the compliance of affiliates’ employment contracts, malpractice insurance, and council memberships all in one central place.

Digitise paper-based review processes.

Objective: To replace costly paper-based compliance/billing review processes and repetitive back-and-forth email correspondence with a streamlined, efficient and automated submission/review workflow.‍

Seamless internal integrations.

Objective: To strategically integrate with other internal initiatives to provide a consolidated, smart suite of healthcare services to the employees and affiliates of the provider and its customers.

An intuitive web portal where healthcare affiliates of the provider can manage their profile, compliance requirements and invoice for their services at their convenience.

  • A guided process to submit evidence of compliancy reduces the likelihood of an affiliate being deemed ‘Non-Compliant’ for submitting incomplete or incorrect documentation for review.
  • A seamless integration with the provider’s case management tool allows affiliates to invoice for services rendered immediately after a case is closed on the case management portal.
  • A digitised invoice is automatically generated for the affiliate – all they need to do is upload additional supporting documentation as needed, give the details a ‘once-over’ and submit for review, making a previously cumbersome process seamless and efficient.

A central place for Managers and Financial Administrators to manage and review the compliance status, service allocation, performance, and invoices of healthcare affiliates.

  • An interactive dashboard allows admins to manage the compliance and RAG status of affiliates, allowing them to quickly identify affiliates who have fallen out of compliance and performance requirements.
  • A comprehensive compliance review workflow ensures all documents submitted by affiliates are accurately checked against mandatory compliance requirements, reducing the risk of oversight and manual error.
  • A digitised invoicing workflow expedites the invoice approval process through three review stages, eliminating the need for wasteful and time-intensive paper-based billing.

An integrated and auditable configuration panel where critical elements of the system can be flexibly configured by an administrator.

  • Via the configuration panel, a super-admin can configure affiliate types, define specific compliance requirements for each speciality and manage changes to business as usual(BAU) administrative functions whenever required, without the need for developer intervention.
  • Service rates can be flexibly configured with default, speciality-specific and affiliate-specific rate configs. These rates are automatically mapped back to invoicing, ensuring accurate billing and saving time and effort for both the affiliate and the manager.
  • A full audit trail ensures any configuration changes made by an admin are tracked, logged and can be reviewed as necessary.

Complex processes simplified.

Optimising paper and email based processes into intuitive and efficient digital workflows led to a drastic reduction in administrative burden for administrators and finance managers.

An agile administrative team with a highly configurable system.

Administrators have full flexibility to update portal configurations, empowering them to make immediate changes when new business requirements come in, without the need for developer intervention.‍

Recognised by OutSystems as a Quality App with measurable business impact.

The portal was awarded the OutSystems Quality App badge in 2022 with a score of 94% in recognition of its technical excellence, and user-centered approach. In addition we were awarded the 2022 Business Impact Award in recognition of the portal’s impact on the Healthcare industry.

TESTIMONIAL

See How We’ve Transformed Healthcare with Digital Innovation.

Alistair Petersen​

Alistair Petersen​

Head of IT, Life Healthcare​

JustSolve is a professional company that follows agile methodologies in a way that delivers measurable progress, visible value and realised benefits with each sprint. ​​JustSolve made sure that we always had access to highly skilled resources. It came as no surprise that the Provider Portal App was awarded the OutSystems ​Quality App Badge for excellence.

The Right Tools for the job.

OutSystems low-code development platform allowed our team to quickly and easily create the application’s user interface and workflows, which were tailored to the client’s specific compliance needs.

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