Compliance, Billing, and Administration AutomationPurpose
1.2. Achieve compliance with local, state, and federal regulations (e.g., NEMSIS, CMS, NHS).
1.3. Reduce manual entry errors in clinical, operational, and billing data.
1.4. Provide auditable, real-time confirmation of data receipt and approval.
1.5. Streamline reporting on incident responses, patient outcomes, and resource utilization.
Trigger Conditions
2.2. Medical record approved in internal EHR system.
2.3. Billing or administrative audit status changes to “Ready to Report.”
2.4. Scheduled compliance deadline approaches (e.g., monthly/quarterly).
2.5. External request or compliance flag generated.
Platform Variants
3.1. Microsoft Power Automate
• Feature: HTTP action; connect to NEMSIS API endpoint with dynamic content mapping.
3.2. MuleSoft
• Feature: DataWeave transformation; NEMSIS/CMS integration connector; automated scheduled invocations.
3.3. Zapier
• Feature: Webhooks by Zapier; trigger on form completion, POST to required health system.
3.4. Boomi
• Feature: Boomi Process Route with Health Cloud connector to push data on incident approval.
3.5. Workato
• Feature: Workato Recipes (API trigger) to transmit compliant HL7/FHIR packets.
3.6. Integromat (Make)
• Feature: HTTP module & JSON transformer for mapped upload to government endpoint.
3.7. UiPath
• Feature: HTTP Request; orchestrate secure credential use and result verification.
3.8. Apache NiFi
• Feature: InvokeHTTP processor with schema validation for government system.
3.9. Dell EMC xCP
• Feature: Automated post-approval submission from document management trigger.
3.10. Smartsheet
• Feature: Bridge API to send completed rows to CMS via intermediary script.
3.11. ServiceNow
• Feature: Flow Designer integration with government EHR endpoint via REST step.
3.12. Salesforce Health Cloud
• Feature: Apex REST callout after incident record status = “Closed.”
3.13. Athenahealth
• Feature: Custom interface to trigger HL7 submission when encounter is locked.
3.14. Cerner
• Feature: Command-line scripting/API to push patient care reports on event completion.
3.15. Epic EHR
• Feature: Chronicles event handler with FHIR R4 resource push to regulator.
3.16. Google Cloud Functions
• Feature: Event-driven function triggered on file upload to forward JSON/XML.
3.17. AWS Lambda
• Feature: Scheduled execution to aggregate and transmit required data points.
3.18. IBM App Connect
• Feature: Integration flow with mapping and secure RESTful submission.
3.19. Oracle Integration Cloud
• Feature: Configuration for REST Adapter to handle authentication and errors.
3.20. Axway AMPLIFY
• Feature: API Management layer for policy-compliant outbound calls.
Benefits
4.2. Shorten submission time, improving cash flow and compliance audit readiness.
4.3. Enable fast adaptation to new government schema or reporting rules.
4.4. Provide comprehensive logs for traceability and dispute resolution.
4.5. Increase data security and ensure regulatory data retention/scarcity requirements.