PracticeAdmin’s cloud-based medical billing and practice management software is an effective solution for scheduling patients, performing complex medical billing, and reporting on all the areas of your billing services.
We worked with Practice Admin for several years to build their custom medical billing software from ground up. We worked with earlier technologies like Visual Basic 6.0 and ActiveX to convert their entire suite of software into Microsoft .NET leveraging SQL Server technologies.
- Medical Billing solutions: http://www.practiceadmin.com/our-solutions/
Full-fledged medical billing software used to enter medical claims information, medical practice and associated data, patient demographics and insurance information, patient payments and insurance payments. Had a large option of reports and handled large amounts of database transactions.
- Automated Electronic (EDI) claim files generator
Wrote stand-alone program to automatically create electronic claim files to be transmitted to different medical payers (like Medicare, Medicaid, Blue Cross Blue Shield) based on ANSI/HIPAA standards. Was able to automate the process in spite of the myriad number of business rules associated with each payer.
- Project FiDo
Wrote stand-alone program to automatically download electronic claim files from 3 geographical locations securely by creating VPN connection to each of the locations. Once the files were downloaded they were submitted automatically to the different payers by dialing a modem-based connection and uploading the files via FTP. After the file submission, the program grabs confirmation files from the payers via FTP. The program processes the confirmation files and matching claims are found based on complicated business rules. Finally it updates the statuses of the matching claims. It generates comprehensive email reports of all the activities it does.
- Windows/Web services to sync data for clients
Wrote a set of Windows and web services to synchronize data for key data tables between 3 geographical locations.
- Windows/Web services to import/export Patient data
Wrote a set of Windows and web services to export and import patient demographics and insurance data securely between several different clients
- Appointment Scheduling
Web-based patient appointment scheduling used by medical practices to schedule medical appointments and provider time-offs.
- Web-based administration
Web-based administration forms for admin data entry. Provided single sign on to this system and the PAClaims application. Provided different skinnable versions of the application for different clients
- Patient statements
Fully integrated and automated patient statements, pre-collection and collection agency management
- Interfaces with external partners
Wrote several interfaces for the client to communicate with their external partners using standards like XML, HL7 , web services and ANSI EDI formats. The partners included EMR systems geographically distributed
- Patient Insurance eligibility
Stand alone application for creation of insurance eligibility request (ANSI 270) files as well as parsing of eligibility response (ANSI 271) files. The response obtained from a 271 file was converted into XML and stored in a SQL Server 2008 database, so that it can be consumed by another application
Technologies used : VB.NET, C#.NET, SQL Server 2000/2008, VB 6.0, ASP (for reports), ActiveX, SQL Server 2000, COM+