Miracle Accelerators

The HIPAA 5010 Implementations is not just a change at the EDI Transaction level but it has much deeper impact like the Y2K. Miracle can help through this next evolution and also ensure to become competitive by using our Industry Accelerator Frameworks / Tools and Technologies.

Miracle has strong focus on creating business value that brings in a very domain focused and technically competent workforce. Miracle has working experience on HIPAA since 2000 and familiar with HL7 / NCPDP / HCFA / ICD / NPI Industry Standards. Miracle has large EDI Mapping Factory for accelerated ROI and lowered costs. Miracle services in Health care industry include Miracle framework to enable more efficient and effective care delivery and management and quickly adapt to a changing business environment:

Miracle Framework provides accelerated solutions in:

• HIPAA compliance solutions
• Web based self service enablement for ICD codes
• Reduce the cost of Processing Claim by automating several aspects and also being prepared for the 5010 / ICD 10.
• Provide End to End Reconcilliation / status updates for the Providers at the Claim Level?
• Adapting their environment to support the 5010 HIPAA?
• Implications associated with replacing the ICD-9-CM diagnostic classification system with ICD-10-CM and ICD-10-PCS (Diagnosis and Procedure Coding) for key segments in the health care industry.
• Back End Processing Systems going to be impacted by the ICD10 Upgrade.

Miracle's HIPAA 5010 Framework:

Miracle’s HIPAA Migration Framework is part of Healthcare Frameworks Repository that was built to help our customers to accelerate the 5010 upgrade. The Framework contains many reusable assets for each phase to accelerate the implementation and supports co-existence of 4010 & 5010 gateway to support during transition period. The 5010 upgrade repository (pre-built) which is part of framework supports to handle the changes between 4010 & 5010.

Miracle’s ICD 10 Cross Walk:

The ICD-10 code set implementation is a significant challenge to health care organizations with almost 10 times the number of ICD-9 codes. Miracle’s HIPAA Migration Framework is part of Healthcare Frameworks Repository that was built to help our customers to implement ICD 10 codes. This framework consists of CMS GEMS Cross Walk codes repository that supports multi interface capabilities like JMS, MQ and Web Services.