Moogilu Offers Comprehensive Healthcare Solution. We have built deep expertise in Healthcare Portals, Reporting, Healthcare Analytics, Claims Engine, Healthcare Compliance/Rules Engine, ICD-9 Coding, ICD-9 to CPT code translation, Healthcare Cloud Architecture, 24x7 IT and Application support.
2. Healthcare Solution
• Healthcare solutions is foundational to
Moogilu
• Concept to Delivery to Hosting and Maintenance
• Design, Software, Product, QA, Data, DBA, IT, Cloud
• Onshore and Offshore Development Services
• Competent Product Managers and Engineers onshore and offshore
• Healthcare Software Solutions Delivery
• Web, iPhone, iPad, Desktop, Android, Windows Mobile, Cloud
3. Healthcare Portal
• Single sign-on Secure access
• Manage Customers (hospitals & schools)
• Manage Patients, Students, Providers, Nurses, Administrators
• Manage CPT Codes and Rates per Client
• Manage ICD-9 Codes and correlate with CPT Codes
• Search patients, customers, providers, CPT/ICD-9 Codes
4. Healthcare Portal
• Highly Scalable Search Architecture – search anything but limited by
roles and privileges
• Support and Chat Integration
• Roles, Privileges, and ACLs
• Applications accessible are based on Roles and Privileges
• Seamless Application Integration to Portal
• Highly Scalable and Fault tolerant
5. Healthcare Billing
• Providers can access billing interface as and when needed on Web
– 24x7 support
• Easy to use charge capture Interface
• Prompts ICD-9 description and completion thereof
• Automatic generation of ICD-9 codes based on description
• Auto-translation of ICD-9 codes to specific CPT code
• CPT rates managed on a per client basis including discounts
6. Healthcare Billing
• Background processing of Charges using Claims Engine
• Highly Scalable Claims engine – can convert claims either
synchronously or batch asynchronously
• Highly Scalable Rules Engine to comply with rules defined for each
of the claims based on Patient and Claims History
• Complex state machine to capture the state of claims
• Ability to save repeating claims so can be invoked at a later time –
speeds up the claims entry process
7. Time Survey
• Calendar Interface to Capture Time Survey
• Auto-prompting of description and codes to make Time Survey entry
easier
• Codes Description to make the usage simpler
• Simple interface to capture descriptions. Sentences auto-generated
to ease the process of Time Survey Capture
• Auto-saving
8. Time Survey
• Extensive Search capability to get to the right time survey for
analysts
• Complex state-machine to capture and manage 10+ states of Time
Survey
• Ease of Access to end users. They only see their Time Survey and
also the prompts to help them complete on time.
• Scalable architecture to list and organize Time Surveys
• Extensive Reporting on Time Surveys
9. EDI Signaling Architecture
• EDI Signal are used to send Claims to be processed. The Claims
that are processed by Insurance/Government are also EDI.
• EDI Architecture that can parse EDI signals using XML Schema
• Ability to Encode Claims into EDI Signals
• Ability to Decode EDI Signals
• Auto-conversion of EDI into more readable XML format for
debugging
10. Data Portal Architecture
• Centralized Data Portal to capture data flow through Healthcare
Systems
• Data Captured include – Billing, Enrollment of new patients,
Enrollment of Providers, EDI Claims Output, EDI Claims Input, Rate
Changes, etc.
• Every data has corresponding plugins so that data can be captured
within the system
• Capture the entire history – who, where, and when
• Data files can be search by attributes
11. Healthcare Reporting
• Extensive Reporting – Claims, Time Survey, Reconciliation,
Management, Process
• Highly Scalable Reporting Architecture – Fail-over Databases, pre-
computed data to speed up calculations, claims, etc.
• POC of big data analytics approach using Hadoop, Hive, and
HBASE
• Reporting Architecture was based on Jasper
• Custom reporting templates and export to Excel and PDF
12. Cloud Hosting and Support
• Scalable Cloud Architecture using Amazon EC2, S3, VPC, and RDS
• Custom plugins for monitoring the entire infrastructure using Nagios
• Automated builds, Load Testing Infrastructure as and when needed
• Runbook to support 24x7 monitoring and management of servers
• 24x7 Application and IT support
• Only 1 outage in 2.5 years