Healthcare Billing Automation Using HL7 and Mirth Connect

Client:

The client is a web-based service organization that provides an integrated solution for the documentation, collaboration, reporting, and communication needs of healthcare service providers that supports individuals with developmental disabilities. They are the leader in Web-Based Developmental Disabilities Software for Documentation, Reporting, and Communication in HCBS, Residential, ICFs, and other ID/DD Services.

Challenges:

The Client wanted to design and develop a process to get information from the physician’s order sheet, transform this information and insert this information into client-defined databases after applying various client-defined rules of validation and crosswalks. HL7 Standards were supposed to be followed in building the information exchange processes.

Solution:

Taction Designed and Developed multiple HL7-based channels using Mirth Connect to achieve the needs. We developed transformation logic upon inbound ADT01 and RDE011 HL7 messages using Java, and JavaScript to grab and insert refined quality data in client-defined databases. Based on received messages we also generated daily reports after all processing and mail them to the respective client for further analysis of processed data in an automated manner.

Technology

Mirth Connect Engine, JavaScript, Java, HL7 Messages

Outcome:

With the implementation of Mirth HL7 based customized channels, the tedious manual and paper-based works of message submission, coding, validation, tracking etc. became easier and got to higher accuracy and speed. A basic level of regular maintenance efforts was enough in managing the communication channels up-and-running.