Moogilu Healthcare
Healthcare Solution
• Healthcare solutions is foundational to
Moogilu
• Concept to Delivery to Hosting and Maintenance
• D...
Healthcare Portal
• Single sign-on Secure access
• Manage Customers (hospitals & schools)
• Manage Patients, Students, Pro...
Healthcare Portal
• Highly Scalable Search Architecture – search anything but limited by
roles and privileges
• Support an...
Healthcare Billing
• Providers can access billing interface as and when needed on Web
– 24x7 support
• Easy to use charge ...
Healthcare Billing
• Background processing of Charges using Claims Engine
• Highly Scalable Claims engine – can convert cl...
Time Survey
• Calendar Interface to Capture Time Survey
• Auto-prompting of description and codes to make Time Survey entr...
Time Survey
• Extensive Search capability to get to the right time survey for
analysts
• Complex state-machine to capture ...
EDI Signaling Architecture
• EDI Signal are used to send Claims to be processed. The Claims
that are processed by Insuranc...
Data Portal Architecture
• Centralized Data Portal to capture data flow through Healthcare
Systems
• Data Captured include...
Healthcare Reporting
• Extensive Reporting – Claims, Time Survey, Reconciliation,
Management, Process
• Highly Scalable Re...
Cloud Hosting and Support
• Scalable Cloud Architecture using Amazon EC2, S3, VPC, and RDS
• Custom plugins for monitoring...
Contact Us
Jagadish@Moogilu.com
Phone: 408 884 0325
Http://www.moogilu.com
Thank You!
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Moogilu healthcare

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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.

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Moogilu healthcare

  1. 1. Moogilu Healthcare
  2. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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
  13. 13. Contact Us Jagadish@Moogilu.com Phone: 408 884 0325 Http://www.moogilu.com
  14. 14. Thank You!

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