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, 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 Customers 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

  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

Some of our customers include the following: