Healthcare Medical Billing Revenue Cycle Management Solution - Bravado Solutions

Ambsi, a U.S.-based healthcare partnered with Bravado Solutions to modernize their outdated legacy billing system by migrating legacy infrastructure to AWS cloud and re-architecting their billing revenue cycle and medical claim management system to address frequent claim denials, delayed reimbursements, and increasing concerns around data security and HIPAA compliance.

key objectives for the project:

• Ensure full HIPAA compliance with robust security, access control, and audit logging
•  Streamline RCM workflows to accelerate reimbursements and reduce denials
• Automate claim validation, processing, and payer integrations
• Consolidate patient data via secure EHR integration
• Improve operational efficiency and analytics

• HIPAA Compliance & Security:
  Comprehensive audit, role-based access, JWT tokens, encrypted backups, and continuous monitoring via AWS CloudWatch.
• Microservices Architecture:
  Scalable architecture using Docker and Kubernetes, with services for billing, payment reconciliation, analytics, and notifications.
• Claim Automation:
  Real-time eligibility checks, ICD/CPT validation, direct payer API submissions, and automated denial workflows.
• Payment Processing:
  Integration with third-party gateways thru Stripe, PayPal, auto-posting of ERAs, and secure patient balance reconciliation.
• EHR & System Integration:
  HL7/FHIR-based APIs enabled secure interoperability with existing EHR systems, minimizing manual data entry.
• Analytics & Dashboards:
  Real-time dashboards for KPIs such as denial trends, revenue performance, and AR aging.
• Notifications:
  AWS SNS-powered updates for billing events and patient reminders.
• CI/CD & DevOps:
  Implemented secure CI/CD pipeline with automated testing and patch deployment.

• 35% reduction in claim denials
• 30% faster reimbursements
• 25% reduction in administrative time
• Fully HIPAA-compliant system validated through audit
• Significantly improved operational efficiency and patient trust