PROJECT | Diagnoses Selection
ROLE | UX/ UI Designer
DURATION | Five Weeks
Description
During a patient visit to a medical office, if insurance is being selected as a method of payment, it is required for a multiple Diagnoses and CPT codes to be selected for the biller to process the claim.
Problem
Given sometimes treatments are done to address multiple diagnoses, current system does not accommodate a selection of multiple diagnoses.
Each diagnosis can’t accommodate for multiple CPTs. For insurance, the practice needs to be able to list down all applicable CPTs for the selected diagnoses. For example: If 15 moles were treated through the treatment, the practice has to go through 3 different CPTs (17000, 17003, 17004) specifically addressing the first mole treated, the 2nd to 14th mole, and the 15th mole (possibly with each of their own modifiers and units).
Research
It was important for me to understand how Diagnoses and CPT codes are being entered in the SMC-1500 form as well as the way it is being done by other medical softwares. I have conducted a comparative analysis research to several billers to come up with the intuitive design for the user while following medical standards.
Solution
Redesign an existing screen for payment to accommodate real world-medical practice.
Allow the user to preselect all the diagnoses for the particular treatment
Once the diagnoses are selected, the user selects the CPT codes and choose preselected diagnoses for the drop down menu
Came out with a few design iteration and ran it by internal billing team to determine the best way handle multiple code selection.
Option A
Option C
Option B
Old Design
New Design
Next Step
Check if this is possible within the desired timeline for the project (without displacing other milestones and priorities. )
Redesign Procedure/Chart Note.
Confirm if this up to standard with a resident CEHRT specialist.
Prototype and test with actual medical practitioners and gather actual feedback.