COMPASS
Public Health Package Alignment Guard
Optimize public health scheme reconciliation. Align regional tariff structures. Run 100% locally with zero database integration or live clinical disruptions.
The Business Challenge
Administering institutional care under comprehensive public healthcare frameworks—ranging from national platforms like Ayushman Bharat (AB-PMJAY) and central panels like CGHS to specialized state initiatives such as Aarogyasri—involves navigating highly structured, distinct tariff schedules. Each framework operates with its own specific Schedule of Rates (SoR), versioned Health Benefit Packages (HBP), and unique therapeutic inclusion rules.
The operational bottleneck occurs because these public tariff registries undergo frequent regulatory updates across hundreds of specialized medical procedures. Under the strict cashless mandates governing these public schemes, hospitals cannot bill a patient out-of-pocket for any package shortfalls, room rent variances, or disallowed medical consumables.
If structural formatting variances or documentation gaps occur between internal patient records and external portals at the time of discharge, the resulting claim disallowances must be absorbed entirely by the hospital, placing unnecessary pressure on active administrative cycles.
Cashless Constraints
Unabsorbable Package Variances
Hospitals cannot recover shortfalls from the patient out-of-pocket, making pre-discharge coding precision a critical margin safeguard.
The COMPASS Solution
COMPASS deploys on your secure local server as a supportive, non-intrusive data verification checkpoint.
Operating entirely via automated, high-frequency local file exports from your current Hospital Management System (HMS), the engine requires zero active database integration, code modifications, or live API queries. It runs seamlessly in the background during active billing cycles to protect revenue prior to discharge.
Core Capabilities
Centralized Tariff Protocol Digitization
Automatically ingests and updates unstructured public master registries, including national HBPs, central CGHS schedules, and state-level Aarogyasri guidelines, translating them into a localized digital rule graph.
High-Frequency Ledger Cross-Referencing
Reads standard, local ledger files generated automatically during treatment. Instantly cross-references procedural codes, room limits, and consumable lines against public framework rules.
Pre-Submission Verification Synthesis
Generates an internal, desk-ready Alignment Report prior to transmission to external public clearing portals, highlighting package variances and offering correction pathways before discharge.
Engineered for Strict Institutional Excellence
Administrative Relief
Eliminate the operational strain of manually tracking public pricing tiers against active billing rows.
Variance Visibility
Review automated alignment breakdowns before files enter the external state/national clearing pipelines.
Workflow Preservation
Continue utilizing existing billing software exactly as you do today. COMPASS operates silently in the background.
Ironclad On-Premise Sovereignty
National health identifiers and clinical metrics are highly protected regulatory assets.
- •Operates 100% on-premises behind your network's secure physical firewall.
- •Zero public cloud touchpoints or external database queries.
- •Complete protection of sensitive internal patient volumes and registry tariff models.
- •Guaranteed alignment with localized clinical data residency and compliance structures.
Why COMPASS
"By translating state-level HBPs and central CGHS guidelines into an automated, on-premises rule graph, COMPASS provides billing groups with clear correction paths—protecting net margins before patient discharge."
Request an Institutional Demonstration
Discover how COMPASS deploys seamlessly onto your private system architecture to eliminate public health claim processing variance, optimize DSO thresholds, and safeguard hospital working capital.