Fast Payment Processing for Healthcare

Leveraging the power of the ISO 20022 standard, we are allowing providers and payers to work together to make Fast Payment Processing available. Using our underlying technologies of Alchemy, we integrate Invoices (X12, EDI, etc.) with Proof of Service Documentation (CCD, CDA, etc.) to generate a single packaged claim for review and submission. Once authorized, it is released to the financial network and allows for immediate transfer of funds.

Talk to us to learn more about this exiciting new standard and process.

SQL Data Model

The SQL Data Model is a third-normal-form based model, with nearly all tables using large integer Identity based keys, providing performance and referential integrity.  The Data Model began with our Clinical Data Repository (CDR-Web), focusing on the primary portions of a patient record: Demographics, Procedures, Diagnoses, Lab Results and so on.  In CDR-Web’s product evolution, this expanded to include Order Entry, Medications, Pharmacy Order Entry, and Scanned Documents. 

During our partnership with HFHS for EXR/CPNG, our data model was chosen for the basis of the new product, and was enhanced to support Teams, Work Queues, Clinical Documentation, Pathways/Protocols, and much more.  At one point, out of curiosity, one of the HFHS data model team printed the entire logical model. It took up his entire wall.

We continued to expand EXR to be certified as a complete Inpatient and Outpatient EHR, and the Data Model was further enhanced to support some of the feature points, and encryption methods required for certification.

When we created Arcana, we enhanced the Data Model for all of our external sourced data tables and expanded them to fully accept any sourced data. This allows us to accept data from any combination of source systems, and be properly aggregated, preserving the original while at the same time being able to easily map it to any known Point-of-Truth (i.e. CPT, ICD and similar codesets).  With it, Arcana is able to assess patients realtime and have reaction situations for any number of use cases, including aiding in insurance reporting of HEDIS matching patients and their related data points.

SSA E-Disability CCD Exchange 

In a joint partnership with the South East Michigan Health Information Exchange (SEMHIE), we brought our expertise on the CCD format to assist in being the first in the country to complete the Social Security Administration’s (SSA) E-Disability CCD Exchange. In this project, we and our partners, worked with local hospitals, including Henry Ford Health Systems and the Beaumont Health System, to obtain a CCD Summary of Care document from each for a given patient, and then generate a single aggregated CCD to be submitted to the SSA. This endeavor was proposed to reduce the overall approval process from an average of over 450 days of obtaining and reviewing paper charts and billing statements, to approximately 6 hours of requesting and reviewing a single CCD.

Read more about it here.

X2Shell

Code named ”BRANDON” (Batch Runner and Network Diagnositics tool), this is a .Net application engine that allows for building complex command-line executables using simple XML configuration files and leveraging the multiple extensions available, including HTTP, SQL, and simple File based operations, as well as leveraging X2TL and the overall X2A2 architecture.

X2TL

An XML-safe templating language created for manipulating blocks of XML using string-based templates.

X2TL is an XML-safe “mustache” templating language, written in C# .Net. It was written as a software development tool, now being offered open-source. This library has been tested and used in several enterprise production applications. Check out the printable X2TL Language Reference Guide.

Made open source by the author, August 2016 under the MIT License. Now available at: https://github.com/openAirWare/X2TL and https://bitbucket.org/openAirWare/x2tl

PhysBee

Our take on a Universal Health Record (UHR), or more popularly as a Patient Health Record (PHR).

Based on 20 year fortified CDR-Web base data model

Facebook like user-interface for ease-of-access and entry

X2A2

built to replace the outdated Visual Basic (VB6) WebClass Architecture

Tested and Certified by Microsoft as a .Net Application Engine

Ran EXR/CPNG for dozens of interface engines as well as the main web-based application engine.

Read more about it here.

EXR (CPNG)

In 2004, we partnered with the Henry Ford Health System to rewrite their internally built electronic health record application, known as “Care Plus.”  We were at a technological point with CDR-Web, where we also wanted to do a rewrite, utilizing Microsoft’s new .Net technology.  

With this partnership, we worked with their teams plan and facilitate a zero-data-loss migration of 10 years of clinical data, as well as write a new world-class Electronic Medical Record.  The end result was known at HFHS as CPNG or “Care Plus Next Generation” and commercially as RelWare’s EXR.

EXR was Certified for “Complete EHR, Inpatient” and “Modular EHR, Ambulatory” by InfoGard Laboratories EHR Certification Body under Meaningful Use January 2011.

Read more about it here.