Mood Health
- Location
- Remote
- URL
- moodhealth.com
-
Chief Technology Officer and Co-Founder
–
Oversaw all technology and product development for a HIPAA-compliant, remote mental health business. Technical portfolio included practice and prescription management SAAS, patient support portal, custom appointment management back-end, HQ and provider hardware, and custom integration with major health insurance companies.
-
Integrated health-insurance billing to vastly increase customer acquisition, customer retention, and revenue
Mood was initially conceived as a private pay service, however this made customer acquisition and retention extremely difficult. Working with a third party API (Candid Health), we were able to launch a full integration with major insurance companies in four months.
Since we owned the patient experience and the patient support side of things, we were able to dial in internal processes for a good patient experience without creating a large burden on support staff.
-
Increased appointment attendance with custom email and SMS reminder system.
Our existing practice management system had only rudimentary logic for appointment reminders. We were able to use a custom back-end to send reminders on a different schedule (based on testing with our patients), as well as to use different channels and messaging, depending on the patient's situation. For example, new patients who didn't engage with reminders resulted in a patient support ticket to trigger a manual contact to make sure the patient understood what was going on.
This reduced our no-show rates significantly. No-shows for first visits are quite expensive since they are long visits and hard to fill at the last minute. Further, some insurances forbid charging missed appointment fees, so we focused on getting patients to their appointments, not using late fees as a revenue source.
-
Increased patient support efficiency and revenue with custom credit card decline resolution and automated patient support outreach.
While we used Stripe to store cards and automate charges for service (or for co-pays), handling declines required a more customized approach. Working with patient support to understand patient behavior, we built a system that balanced automatic retries with patient outreach.
We wanted to ensure no one was cancelled by an automated system without a real person trying to contact them, but we didn't want the billing team to have to manually triage all declines. We ultimately devised a process with some automation and some manual intervention that reduced billing team burden while increasing revenue and avoiding churn.
-
Decreased billing and insurance specialist burden with custom insurance integration logic.
It's extremely difficult to determine if the insurance info someone has provided actually covered the care we provided. Each insurance company works differently, and the system that provides feedback on who is covered for what is not well-documented, nor well-behaved.
Rather than have our insurance specialists call the insurance companies for every new patient before every appointment, we created a system to automate coverage checks and analyze the results for confidence. Some patients were obviously covered, so could proceed to their first appointment with no intervention. Others produced nebulous results requiring manual intervention.
The process we built reduced manual interventions significantly, and surfaced problems (patients who were not covered) quickly to avoid a bad patient experience.
-
HIPAA-compliance achieved early by judicious use of simple controls and processes while allowing the team to remain agile.
Despite our small size, we wanted to set the foundation for good security and privacy practices early on. We engaged with an outside firm to analyze our IT systems and plan out changes to reduce the risks of HIPAA violations.
Much of the work was documenting processes and procedures for existing staff, however our custom IT systems I was building also needed addressing. As a team of one, I automated as much as I could through static analysis and scaffolding scripts, as well as lightweight documentation.
I reviewed our systems quarterly with the COO, and yearly with the CEO. The overall effort was minimal for the impact and risk-reduction we achieved. We avoided onerous approval processes, and flagged solutions that would be affected by scale for yearly review.
-