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Web Migration and UX Enhancement of TruBridge Encoder Suite
  1. case
  2. Web Migration and UX Enhancement of TruBridge Encoder Suite

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Web Migration and UX Enhancement of TruBridge Encoder Suite

effectivesoft.com
Medical
Healthcare IT
Insurance

Current Challenges in Medical Coding Processes

Inefficient coding workflows, frequent human errors in diagnosis/treatment code assignment, and high insurance claim denial rates due to coding inaccuracies. Need for cloud migration to enhance accessibility while maintaining HIPAA compliance.

About the Client

Leading provider of medical record encoders and healthcare IT solutions in the U.S.

Key Project Goals

  • Improve medical coding productivity by 30%
  • Reduce coding error rates by 40%
  • Decrease insurance claim denials by 25%
  • Achieve full HIPAA-compliant cloud migration
  • Enhance user experience through modern design systems

Core System Requirements

  • Real-time Medicare Code Editor (MCE) and Outpatient Code Editor (OCE) validation
  • DRG/APC/ASC/EAPG claim grouping and pricing calculation engine
  • Synonym-based code search across international classification systems
  • Embedded HTML components for EHR software integration
  • Proprietary edits validation with finThrive CCE
  • Interactive diagnostic grouping analysis tools
  • Automated reimbursement calculation with audit trails

Technology Stack Requirements

ASP.NET Core
Microsoft Azure cloud platform
Web API
Redis caching
DevExpress UI components

System Integration Needs

  • Electronic Health Record (EHR) systems
  • HIPAA-compliant cloud storage
  • Medical necessity validation engines
  • Third-party billing systems

Non-Functional Requirements

  • 99.95% system uptime SLA
  • Sub-200ms response time for code validation queries
  • Role-based access control with audit logging
  • Multi-tenancy architecture for cloud deployment
  • Cross-browser compatibility (Chrome, Edge, Firefox)

Expected Business Outcomes

Anticipated 20% reduction in coding process time, 35% decrease in claim denials through automated validation, and 50% improvement in system scalability post-cloud migration. Enhanced regulatory compliance through integrated audit trails and real-time error detection mechanisms.

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