End-to-End Revenue Cycle Management Services in Australia

The objective is to develop a separate Claims management system for automating insurance eligibility verification, claims creation, scrubbing, submission, claims remittance and denial management using EDIs. They have a EMR with the patient data, and need a solution to help empower their business performance, productivity and compliance initiatives. they need:
Claims Management: Speed and ease claims and remittance processing with electronic claims submission powered by an extensive connectivity network.
Eligibility Verification: Determine patient coverage at any time in the revenue cycle to help improve the patient experience and reduce claim denials.
Claim Status: Improve claim visibility during payer processing with claim status from EDI transactions and payer portals.

We are developing a comprehensive, NDIS-compliant CRM platform for allied health service provider in Australia, focused on supporting children and young people with disabilities through therapies such as Occupational Therapy, Speech Therapy, Psychology, Physiotherapy, Counselling, and Behaviour Support.

The platform streamlines end-to-end operations including client onboarding, service agreement management, therapist workflows, session scheduling, case notes, and compliance-driven billing. It enables accurate NDIS service code mapping, automated invoicing aligned with different funding types (Self, Plan, and NDIA-managed), and real-time budget tracking to prevent over-claiming and reduce payment errors.

The primary objective of the platform is to transform the neuro clinic’s data into an intelligent, and research-enabling asset by implementing a Clinical Decision Support and Research System (CDSS) that consolidates patient, operational, and financial information into one secure, analytics-driven environment. The solution provides real-time insights for clinical decision-making, research enablement, and revenue visibility, ensuring HIPAA-compliant data governance. It will also streamline operational workflows by automating performance tracking, monitoring patient flow, and improving scheduling efficiency, while strengthening financial management through comprehensive visibility into revenue, billing accuracy, and payer mix analysis. 

AI-powered digital care management platform built to streamline the delivery of aged and disability support services across Australia. Designed for organizations operating under NDIS, My Aged Care, DVA, insurance, Medicare, and private care models, the system automates the full continuum of care—from referral intake and assessments to care planning, staff coordination, service delivery, incident tracking, billing, and audit-ready compliance.

The platform incorporates powerful innovations such as GIS-based staff matching, AI-generated voice-to-text shift notes, automated outcome reporting, remote patient monitoring, and structured chronic/end-of-life care workflows. With full FHIR compatibility, the platform supports secure, interoperable exchange of clinical and administrative data with external systems like GP software, electronic health records, and national repositories—enabling seamless integration with tools such as Cerner, My Health Record.

Built to meet Australia’s regulatory and quality standards, this platform empowers providers to deliver person-centered, scalable, and compliant aged care with modern digital efficiency.

This solution delivers an?all-in-one SaaS platform?enabling Minnesota home healthcare agencies to manage?client care, EVV compliance, caregiver compensation, and Medicaid claim submission?from a single multi-tenant system. 

The MVP integrates: 

• EHR Lite?for clients and caregivers 

• Scheduling & Authorization management 

• EVV tracking with HHAeXchange sync 

• Billing & RCM via Waystar 

• AI-assisted data validation?to prevent claim denials 

The system enables agencies to reduce operational cost, eliminate manual file handoffs, and ensure seamless compliance with?Minnesota DHS 245D requirements.