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SaaS Medical Billing Application for Behavioral & Rehabilitation Clinics

Services Covered:

Custom Software Development • Website Development • UI/UX Design
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Industry
Industry

Information Technology

Duration
Durationinfo-circle

26 months

Budget
Budget

50K - 199K

Start Date
Start Date

1 July 2023

Team Size
Team Size

6-10

Engagement Model
Engagement Model

Offshore

Project Capability Score (PCS)

gauge meter
84/100
Strong

Project Capability Score (PCS) estimates how capable Zimo Technologies Pvt. Ltd. is of successfully delivering a project like this, based on its past experience, track record, and ability to handle similar work. Learn more about PCS

Client

Confidential

map United States of America

Project Summary

Zimo Technologies built a custom SaaS web-based medical billing application to streamline revenue cycle management for behavioral and rehabilitation clinics. The solution includes integrations with Change Healthcare and Availity, AWS hosting, documentation, training materials, and ongoing support. Post-deployment AI-driven features and dashboards improved claim accuracy, productivity, and reimbursement speed.

Key Challenges

  • Need to outsource a medical billing application with telemedicine/healthcare experience.
  • Prior system was a patchwork of semi-automated technologies causing operational obstacles.
  • Frequent claim rejections due to erroneous or missing coding.
  • Increased accounts receivable (A/R) days delaying income flow.
  • Manual tracking and correction of claims overburdened staff and was costly and time-consuming.
  • Requirement for auto-claim validation, automated clearinghouse integration, and real-time dashboards.

Project Deliverables

  • Documentation
  • Medical billing application (web-based SaaS)
  • AWS migration and hosting
  • Integration with Change Healthcare and Availity
  • Training material for the billing team
  • Ongoing support and bug fixes

Project Solution

Developed a complete web-based SaaS medical billing solution with super-admin and billing-admin/team access. Deliverables included documentation, designing and developing the medical billing application, AWS migration and hosting, integrations with Change Healthcare and Availity, training materials for the billing team, and ongoing maintenance and enhancements. A 10-member team (PM, BA, developers, designers, QA) executed the project and provided weekly updates.

Project Outcome

  • Claim rate improved to 96% post-AI (from 82%), a 17.7% increase.
  • Claim denial rate reduced to 6%.
  • Staff productivity increased to 64.28% and claims filed per day rose from 70 to 115.
  • Reimbursement days reduced to one week, a 38.09% faster reimbursement.
  • Billing error rate declined from 9% to 3% (66.66% reduction).

Platforms

  • WebWeb
  • SaaSSaaS
  • CloudCloud

Tech Stack

  • Amazon Web Services (AWS)Amazon Web Services (AWS)

Client Endorsement

Overall Review Rating

5star

Timeliness

Cost Rating

Willing to Refer

Quality of Deliverables

Since the new app went live, our claim rate is up 17.7% and our denial rate is down 6%. Staff productivity has risen 64.28%, and billing errors have fallen 66.66%. Zimo Technologies Pvt Ltd did thorough research and wrapped up the project by the agreed deadline.

Kanwarbir Sahota

Medical Billing Application

Note: This endorsement is based on publicly available client feedback from external review sources.