{"id":10764,"date":"2020-07-27T10:36:30","date_gmt":"2020-07-27T15:36:30","guid":{"rendered":"https:\/\/www.billingparadise.com\/blog\/?p=10764"},"modified":"2026-03-11T07:50:39","modified_gmt":"2026-03-11T12:50:39","slug":"automation-the-health-providers-lifeline","status":"publish","type":"post","link":"https:\/\/www.billingparadise.com\/blog\/automation-the-health-providers-lifeline\/","title":{"rendered":"Automation – The Health Providers Lifeline"},"content":{"rendered":"

The advantages of automation in the medical billing industry are too many, here\u2019s an example of how it helped a hospital double its revenue through automation.<\/span><\/p>\n

An Advisory Board in one of its recent surveys reported that a median hospital lost $3.5 million in uncollectible claims. There has been a sharp increase in the number of claims that providers have been writing-off lately.\u00a0<\/span><\/p>\n

\"\"<\/span><\/p>\n

Statistics indicate that in 2017 there were reportedly 90 percent more cases written-off than in 2011. Most of them due to eligibility related issues.<\/span><\/p>\n

There is an urgent need for providers and payers to sit down together to resolve impending issues. Many questions need to be clarified and understood by claimants.\u00a0\u00a0<\/span><\/p>\n

Does a procedure require prior authorization? Is a claim approved or denied? What is a patient’s eligibility for services? These questions directly affect the revenue stream of providers, and they should be looking for answers.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/section>

[vc_custom_heading text=”Web-bot Technology Replacing Manual Task” font_container=”tag:h2|font_size:22PX|text_align:left” google_fonts=”font_family:Roboto%3A100%2C100italic%2C300%2C300italic%2Cregular%2Citalic%2C500%2C500italic%2C700%2C700italic%2C900%2C900italic|font_style:400%20regular%3A400%3Anormal”]

St. Francis Hospital in Columbus, Georgia<\/a>, was buried in the day-to-day manual processes of dealing with payers.\u00a0 They decided to upgrade to web-bot technology to deal with payers, and things gradually started looking up.\u00a0<\/span><\/p>\n

Before the web-bots, St. Francis’ annual point-of-service collections were close to $1 million in 2012. That figure doubled in 2013, with web-bots in place. It grew to $3 million in 2014, $4.2 million in 2015 and $4.9 million last year.<\/span><\/p>\n

\"\"<\/span><\/p>\n

Recondo Technology that setup the web-bots replaced the manual task of querying payers on a host of claim issues that the hospital usually has.\u00a0<\/span><\/p>\n

Earlier, it took them a while to receive a response from the payers. With automation, the providers receive an instant response. <\/span><\/p>\n<\/div><\/div><\/div><\/div><\/section>

[vc_custom_heading text=”Web Bot Technology to Know Eligibility Criteria” font_container=”tag:h2|font_size:22PX|text_align:left” google_fonts=”font_family:Roboto%3A100%2C100italic%2C300%2C300italic%2Cregular%2Citalic%2C500%2C500italic%2C700%2C700italic%2C900%2C900italic|font_style:400%20regular%3A400%3Anormal”]

Assuming, if the front desk at St. Francis Hospital, for instance, wants to find out from a payer, the eligibility criteria of a patient or his financial responsibility, the web-bot will log into <\/span>the appropriate payer’s website using St. Francis’s login credentials, and instantly pull out the patient\u2019s contract in readable format, to determine his eligibility criteria with coverage details.\u00a0<\/span><\/p>\n

Or, for instance, if St. Francis needs an estimate of a patient’s cost for services, the web-bot compares the patient’s eligibility for services, as reflected in the payer contract, with St. Francis’ chargemaster, and then it creates the estimate.<\/span><\/p>\n

No longer do they have to slog through all the daily stacks; the web-bot solution does much of this interaction with payers instead, at a fraction of the time it used to take manually. So they haven’t had to increase their staff or contract with a third party, one of which they would have had to do at some point without web-bots.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"The advantages of automation in the medical billing industry are too many, here\u2019s an example of how it helped a hospital double its revenue through automation. An Advisory Board in one of its recent surveys reported that a median hospital lost $3.5 million in uncollectible claims. There has been a sharp increase in the number [...]","protected":false},"author":2,"featured_media":10762,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[721,841,717,716],"tags":[],"class_list":["post-10764","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-collections","category-medical-billing","category-most-popular","category-most-recent"],"modified_by":"kiruthika","_links":{"self":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts\/10764","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/comments?post=10764"}],"version-history":[{"count":3,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts\/10764\/revisions"}],"predecessor-version":[{"id":450398,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts\/10764\/revisions\/450398"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/media\/10762"}],"wp:attachment":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/media?parent=10764"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/categories?post=10764"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/tags?post=10764"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}