Saturday, 31 December 2011

Individual and Group NPI

Here is the very good article which explains with simple examples when and where to use Individual and Group NPI.
http://www.iridiumsuite.com/npi-and-billing

Friday, 1 July 2011

All My Healthcare Domain stuffs

Looking for best Practice Management software ? Please email at vbsenthilinnet@gmail.com

1.
Medical Billing concepts
2. Health care Introduction documents
3. EMR Appointment Features
4. EMR SOAP Note
5. EMR History of Present Illness
6. EMR Use cases
7. EMR Test visit (Lab) workflow
8. Most commonly Used Lab Test Panels
9. EMR Most Commonly Used Vital Signs
10. Physician Quality Reporting System - PQRS

Healthcare Technical

EDI 5010 Documentation 837 Health care claim : Professional with sample Files
EDI 5010 Documentation 837 Health care claim : Institutional with sample Files
EDI 5010 Documentation 835 Health Care Claim Payment/Advice with sample Files and Parsing Tool
4. EDI 5010 Documentation 270 Health Care Eligibility/Benefit Inquiry
5. EDI 5010 Documentation 271  Health Care Eligibility Benefit Response
6. SQL Server Stored Procedure for EDI 837 P 5010 Version
7. MYSQL  Stored Procedure for EDI 837 P 5010 Version
8. Apply Insurance Payment (EOB Posting) Use cases.
9. Difference Between 837 Institutional and 837 Professional
10. Sample HL7 Files
11. HL7 Parsing
12. My Own HL7 Parser in java
13. MSH Message Header Segment
14. OBX Observation/result Segment


 


Practice Management software (Medical Billing system)

As a developer, i have written PMS software on different computer Languages for more than 5 times. In the year 2003, started writing coding for Practice management System in Microsoft Visual Basic 6, and then Microsoft access for small providers, and then move to VB.Net and now in 2015, written  a complete Practice Management system, purely using Java and other Open source technologies to achieve the same result in WEB.

In 2012,  again I was involved in developing an independent system for PMS using VB6 with SQL server 2005. I really enjoyed myself and love to work/complete that project. One of my best period in my life. But unfortunately,  we could not able to market the product because of VB6 no longer used widely in the industry.

Here are some video demos and screen shots of the PMS software

Video Demo

1. Master Screens



2. Patient Demographics




3. Charge Entry





4. Submit Electronic Claims



5. Reports



Screen shots

1. Practice Management System (PMS) Sample screens Part 1
2. Practice Management System(PMS) Sample Screens Part 2
3. Patient demographics and Patient case screens 
4.
Charge Entry screen design

Wednesday, 27 April 2011

About Me

Summary

A technology driven professional with over 16 years of experience including nearly 9 years in Software Development and Business Analysis. Thorough understanding of the SDLC with proficiency in mapping Business Requirements, Technical Documentation, Application Design, Development, Integration, Testing and Troubleshooting for Information Systems Management. Adept in business process analysis and design, and application based process reengineering.

Well versed with US Healthcare Domain – Electronic Medical Record (EMR) & Medical Billing. Exposure in design, creation, testing and documentation of new and amended programs from supplied specifications in accordance with agreed standards. Deftness in monitoring delivery of high-quality customer experience. Strong communication, interpersonal, analytical & team building skills with proficiency at grasping new concepts quickly and utilizing the same in a productive manner.

Well versed with Health care certification such as CCHIT, Meaningful use Stage 1, Sure scripts e-prescription and HL7 Both inward and outward lab modules.

Core Competencies

Project Management Software Development Business Analysis
Requirement Gathering Technical Support Troubleshooting
Client Servicing Software Testing Gap Analysis
MU Stage I Certification CCHIT Certification E-Prescription Certification

IT Skills

Visual Basic 6.0, VB.NET 2005
Microsoft SQL server 2000/2005/2008
Crystal Report 8.5, 11.5
VBA (Word and Excel macros), Windows NT Service, Web service in VB.NET
Java 1.6
Hibernate 4.x
Spring Security 3.x 
Maven 3
MySQL Server 5.x
Jasper Reports 4.x
Dynamic Reports 3.x
Dynamic Jasper 4.x
MyBatis 3
Zkoss Framework 6.x
and Many more…………
and whatever current and future Technology…… 

Knowledge Purview

  • Sound knowledge in ZKOSS RIA Framework and has been awarded from their team as one of the contributor
  • Possess good knowledge in Latest MVVM Design pattern and created several examples to help developers
  • Well versed with Crystal reports and created numerous of Reports for Practice management application
  • Proficient in the following Modules:
    • HPI, ROS and EXAM Templates
    • Patient Encounter or SOAP
    • Screen based permission user security
    • Sure scripts E-Prescription Certification
    • Lab inward and outward Modules
    • Encounter – Current Medication and Prescription
    • Billing – Charges and Payments
    • EDI 4010 and 5010
    • Billing Reports

Employment Details

Aug’10 – June 2013  e-Cosmos Solutions India Pvt., Bangalore as Senior Business Analyst/Product Owner

Highlights

  • Involved in creating complete documentation for EDI 5010
  • Involved in Meaningful Use stage 1 Certification.
  • Involved in UI Mockup for the web based product.
  • Successfully completed the Independent Practice Management software (PMS)

Jan'05 - Aug'10: Koni Ameri Tech Services India Pvt. Ltd., Chennai

Highlights

  • Conducted interviews with key business users to collect requirement and business process information
  • Coordinated with the developers on resolving the reported bugs and various technical issues
  • Gathered business requirements and wrote Business Requirements Document (BRD) by working with the client IT staff and Project Managers
  • Obtained numerous letters of recommendation, and appreciation from customers and management.
  • Organized various meeting with Billing End users and came up with an Exclusive Tool called MedAZ Billing Tool, which takes care most part of their Follow-up activities
  • Actively involved in database design, user interface design, coding and implementation activities
  • Provided HIPAA integration and applied ANSI ASC X12 standards for 837 (P, I, D), 270/271, 276/277, 278, & 835 transactions
  • Developed HL7 interfaces for Orders (ORMs) and Results (ORUs)
  • Managed responsibilities of Billing Revenue cycle Collection Manager for some time and understood the complete billing process which helps to build an independent system called Billing Tool
  • Functioned as a Subject Matter Expert in US Health care outpatient domain.

Actively involved in:

  • CCHIT 2008 Certification
  • Surescript E-Prescription Certification
  • Integrating Lab services from quest, Lab Corp, etc.

Growth Path:

  1. Jan'05 - Apr'05 Senior Programmer
  2. Apr'05 - Apr'06 Programmer Analyst
  3. Apr'06 - Apr'08 Senior Business Analyst
  4. Apr'08 - Aug'10 Chief Technical Officer

Highlights

  • Organized various meeting with Billing End users and came up with an Exclusive Tool called MedAZ Billing Tool which takes care most part of their Follow-up activities
  • Actively involved in database design, user interface design, coding and implementation activities
  • Successfully completed migration of patient demographics, procedure rates, locations, referring physicians from Lytec/Medisoft/Medical Manager, etc. database to Medaz database

Previous Experience (Non Healthcare Domain Experience)

  1. Mar'02 - Dec'04: Mice Computer Center, Madurai as Senior Programmer
  2. Sep'00 - Feb'02: Soft Solutions Pvt. Ltd., Chennai as Programmer
  3. Dec'99 - Aug'00: Laconic Software India Pvt. Ltd., Dindigul as Programmer
  4. Oct'96 - Nov'99: Lakhotia Computer Center Dindigul as Senior Faculty