SAAS Based Healthcare Revenue Cycle Management
An end-to-end revenue cycle management solution serving the Rehabilitation market (Substance Abuse and Mental Health Treatment Centers) and helping care providers transform the claims process to improve accuracy, boost revenue, and refine working capital utilization.
Built on Java (backend) and Angular/App Script (frontend), this SAAS-based revenue cycle management healthcare application is more than just traditional revenue management. A complete set of features to help ensure VOB (verification of benefits), streamline billings & collections, claims management/claims reprocessing, prevent denials, and automate workflow to improve outcomes. The revenue cycle management software has the capability to address today’s sophisticated requirements of patient care environment, government regulations (like HIPAA compliance), and healthcare finance.
USP - FEATURES
Patient List
Billing Log
Level of Care
Major implementations -
267 Claim Check (ask)
270 Eligibility
277 Claim Status )(return
835 Final Payment Report
837 I Claim Submission (Institutional)
837 P Claim Submission (Professional)
Dashboards
Executive Dashboard
Non-Executive Dashboard
Master Facility Dashboard
Individual Dashboard
Client Onboarding
Verification of Benefits
Coverage
New Authorization
Billing Census
Reports
TECHNICAL IMPLEMENTATIONS -
- Google sign-in using google provided provisions instead of using any third party.
- UI library, because of rich features and functionalities we decided to use the prime NG as UI library.
- Created the generic components for input controls and handled the validations and form controls in a common place.
- Designed the N-level dynamic nav menu based db driven values.
- Designed the dynamic form for the search builder, based on db driven values.
- Planning for managing all the screens dynamically on a single page based on db values.
- Used the following controls of prime ng as of now:-
Multi select
Searchable dropdown
p-menu-bar
p-menu
Datepicker
SAAS Based Platform -
DevOps
Google Cloud
AppScript
GitHub (Directly connected with AZURE)
Web App -
Microservices based architecture
Front end. - Angular / AppScript
GCP (nginx, Docker Image)
Backend - Java
Database - MySQL
Integrations -
Eligible API
Availity
Project Screenshots
