Health Care

Miracle Healthcare Practice has evolved over the last 8 Years from staff augmentation to Business Process Re-engineering. Today we have well over 120 Healthcare practice focused IT Consultants with a wealth of information ranging from Medicare / Medicaid Claims processing, HIPAA,NCPDP, HL7 to the latest trends and strategies to help improve the bottom line for our customer.

Today we service a wide range of healthcare customer ranging from Large Payer Organizations to Small Clinics. We do provide strategic Business Consulting services to the following health care Industry Customers:

Payers Hospitals Clinics Physician Practice

Clearing Houses Intermediaries Pharmacies Nursing Facilities

Healthcare Industry Accelerator Frameworks:

We have implemented several clearing houses, portals, HIPAA EDI Implementations and several custom Applications using J2EE and .NET Technologies. Based on all the experience gained by us over the past few years we have built several Accelerator Frameworks for increasing the speed at which business applications can be delivered to the Healthcare Industry. Most of these accelerators are focused on the SOA (Service Oriented Architectures) and Enterprise Bus Concepts with standard enablement techniques for Rapid development using Offsite Factories for Lowered Development Costs.

Some of these Accelerator Frameworks include the following:

• J2EE Accelerator Framework for Healthcare Portals based on Java Server Faces Technology (JSF):


Some of the Portals that we support using this framework are as follows:


• Provider Portals- Claims/Eligibility/Referrals/Authorizations Management
• Broker Portals- Health Plans Configuration,Customizations,Sales & Marketing Functionality
• Member Portals- Claims/Health Check Profile/Appointments/e-Prescriptions
• Physician Portals- ePrescriptions,Proactive HealthCare Monitoring,Drug Substitution,Electronic Health Record(EHR/PHR).
  
  
• BPEL/SOA based Framework for Real-time Claims Processing Framework with Integrated Workflow/Content Management Capabilities
• Provider/Physician Contracts Management System Framework
• Service Oriented Architecture (SOA) based Revenue Cycle Management Framework for Accelerated Billing
• National Provider Index (NPI)/Code Sets Management Framework
• EHR Based Collaborative Healthcare Framework for Reducing the costs across the Supply chain and improving the Quality of care being provided to the Patient/Member

Healthcare Industry Services offered by Miracle:

Miracle has tremendous experience in providing Systems Integration Services in the following areas:

• Architectural Services
• Staff Augmentation
• Custom Application Development
• Application Software Maintenance

  BPM/BAM Workflow Content Management Portals Cobol/Mainframe

  EDI/B2B - HIPAA HL7/HIPAA based Integrations Business Integration/EAI . NET/J2EE eBusiness Testing Services

• Back End Application Development/Customization:

  Facets/Trizetto QMAX AMISYS EDS-Metavance

  MiSys Eclipsys PowerCMS

• KPO - Knowledge Process Outsourcing - The next evolution of BPO (Business Process Outsourcing)
  • Claims Processing/Data Entry
  • Bill Processing/Collection/Payment Processing Services
  • HR Hiring Process Outsourcing
  • IT Vendor Management

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Life sciences

Today Life-sciences are differentiated based on their ability to expedite drug development process and their ability to cut the costs of clinical trials.

Miracle understands criticality of Clinical data management, in a clinical trials process and the need to ensure regulatory compliance and controlling the cost associated with managing the clinical trial data. Miracle therefore brings together its best team to meet Life-Sciences organizations needs in process optimization and business process support services to provide a complete array of solutions and services in clinical data management space.

Our Life Sciences Practice applies considerable industry, business, and technology know-how to help life sciences companies by:

• Optimizing IT governance and application architectures to address critical business issues and meet corporate objectives
• Responding effectively to rising consumerism
• Engaging and educating consumers and customers
• Enabling customer-facing processes with technology to provide a competitive edge
• Supporting automation of clinical trial processes and improving data capture
• Creating a sustainable approach to risk-based compliance management
• Increasing levels of innovation
• Developing collaborative tools and techniques to increase research productivity during drug discovery

Pharmacy Benefits Management (PBM):

MSS is unique in the Health Care/Pharmacy Solutions industry and our Pharmacy Management System automates most pharmacy functions, frees staff time, reduces labor costs and enables you to operate more efficiently. We provide Reliable, Scaleable, and Distributed Solutions to Pharmacy Industry.

Prescription Processing

Processes prescriptions with speed and accuracy and enables you to dispense the drug within a few minutes from the time you have received the order. Workflow allows you to route the order to our Business Services team for

• Order Entry
• Format for Rx Printing
• Pharmacist Review & Verification
• Checks for completeness and accuracy

MAR Entry & Reporting Services

MSS Pharmacy Management System facilitates generation of Medication Administration Record and supports documentation of all medication administration activities.

• Medical Records Entry
• Pharmacist Verification
• Generation of MAR Reports

Billing Management

Our Pharmacy Management System has an integrated powerful Billing Management Solution that streamlines prescription billing procedures and ensures improved collections.

• Claims Submission & Error Processing
• Monitor for timely Payment
• Post Payment

Benefits

• Reduced Processing Time
• Enhanced Quality of Rx Orders & Medical Records
• Decreased Capital Expenditures
  • Costs associated with personnel involved in order entry, medical records entry & billing & collections
• Pharmacies will experience an almost-instant increase in bottom-line profit!

National Council for Prescription Drug Programs, Inc. (NCPDP)

NCPDP creates and promotes standards for the transfer of data to and from the pharmacy services sector of the healthcare industry. The organization provides a forum and support wherein our diverse membership can efficiently and effectively develop and maintain these standards through a consensus building process. NCPDP also offers its members resources, including educational opportunities and database services, to better manage their businesses

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