Accounts Receivable Automation

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HERE IS HOW YOU CAN UNDERSTAND

The Benefits of automating your complete RCM processes.

Increase in Productivity.
Increase in Accuracy/Quality.
Operations cost savings.

 

Decrease in Claim Denial Rates.
Decrease in Regulatory Compliance Issues

Automated bots keeps your AR accountability up to date for eliminating payment challenges


  • Create a synchronized bank of data of all collections including net and gross collection ratios.
  • Measure you clean claim rates and keep track of payer end rejection.
  • Automatically Logs AR reports and consolidated importing/exporting of AR data.
  • Bots analyze payer trends and provide updates on top payers unpaid claim activities.
  • Automatically analyzes lost revenue and gives audit reports on a daily, weekly and monthly basis.
  • Allows opportunity to reclaim the investment on the RPa by recovering thousands of dollars.
  • It is well known that accounts receivable over 90+ days must be within 12% according to the MGMA statistical data. Inhouse billers face day to day tasks in filing claims and obtaining patient information and miss to follow up on the unpaid claims.



automated bots


We have 150 certified RPA resources experienced in the platforms below

White paper for RCM Best Practices
Anesthesiology practice case study
Orthopedic case study
Denial management whitepaper

We understand your concern for security and compliance

The RPA clinical data management in your system is 100%HIPAA compliant and is integrated into our RPA systems protocols to ensure your virtual work force remains as secure and compliant as your human one.

Get a 99.9% uptime guarantee, SOC 2 Type 2, ISO 9001, ISO/IEC 27001, and Veracode Verified

It is well known that accounts receivable over 90+ days must be within 12% according to the MGMA statistical data. Inhouse billers face day to day tasks in filing claims and obtaining patient information and miss to follow up on the unpaid claims.

Days in AR:

Automatically populates days in AR and keeps count right after claim has been transmitted. Raises red flags when exceeding the standard 7-15 days reimbursement time period.

Automated claim status checks:

Uses EDi transactions to obtain claim information. Automatically access payer portals if allowed by bots.

Reduced staff burnout:

Performs repetitive AR tasks like correcting charges and filing corrected claims. Increases AR staff productivity by 100%.

Increased quality and TAT:

Inbuild AR quality measure allows staff not to skip manual errors. Quick turnaround time in resolving AR and getting reimbursed.


eClinicalWorks Revenue Cycle Management using Robotic Process Automation

Crystal clear charges and RPA assisted entry process for high accuracy

  • State of the art Optical Recognition Technology (OCR)
  • Best of Natural Language Processing(NLP)
  • State of the art Machine learning
  • Inbuilt NCCI and coding classifications
  • Interoperability between applications
  • Supports both providers and charge entry staff
  • Incorrect capturing of charges and entry of those incorrect charges can cost upto $2000 per patient. Robotic process automation (RPA) charge capture and entry reduces the rate of incorrect data.

Fasten your eligibility and benefits verification process with RPA bots

  • Connected with more than 1500 payers across the country.
  • Bots are able to perform a wide range of searches if the patient information is limited.
  • Creating batch audits for hospitals and health systems with 100s of patient volume a day.
  • Faster eligibility checks within 5 seconds of request.
  • Includes TPAs, IPAs and other liability eligibility verification.
  • Cost friendly and lesser staff utilization for this process by utilizing RPA

Delivering EOB/EOP Electronification with RPA payment posting.

  • State of the art optical recognition technology
  • Best of breed multiple OCR engines
  • State of the art Machine learning
  • Semi-structured form classification
  • AWS services (SQS, S3, etc...)
  • Elastic search (history-based validations)

Leveraging advanced RPA coding technology to produce the most efficient and accurate solution for identifying, documenting, and coding.

  • Supports both ACA Commercial and Medicare Advantage lines services and procedures.
  • Includes both CMS-HCC for Part C and RxHCC for Part D.
  • Configurable 2-stage ICD Parser that looks for all types of medical condition presences ranging from abbreviations to combination.
  • Latest updates from CMS included in the bots RAF databases , including complete ICD-9 and ICD-10 code list.
  • OCR that identifies content from medical records and charts, converting it into XML schemas and enabling which produces results in low TAT.
  • Cost reduction compared with hiring multiple AAPC certified coders.

Upgrade your denial and appeal management team to tackle your claim denial challenges.

  • Denial and Appeal RPA provides process and workflow improved denial management protocols in identifying the root cause of denials and appealing underpaid and denied claims.
  • RPA bots analyze ERAs and apply rules to detect suspected payments and denials in the appropriate team or automated work queues.
  • Reduces manual consolidation of your denial reports when it comes to detecting aging, priorities with dollar values and payers.
  • RPA bots build KPI using data added by HFMA MAP Key provides quantitative management where data is measured and used to drive improvement decisions.
  • RPA bots protocols can be defined to guide each step in the denial/appeals process, eliminate missed appeal deadlines, generate email notifications, and facilitate communication across the hospital or medical group.
  • Cost reduction compared with hiring multiple denial management staff for creating paper work and generating reports for consolidation.

Creating a whole new perspective of managing your pulled up AR by implementing AR RPA.

Effective AR staff utilization.
Reduction of outstanding receivables.
Customized AR reports for internal audits
Increase collection by decreasing operations cost.

Hospitals and Large Health groups need to focus on the core areas of expertise, which is care for patient’s rather than spending thousands of dollars trying to perform manual AR management instead of automating the process.

EHRs we work with

At BillingParadise we know the features and workarounds of your EHR system. All our RCM tools are integrated with the system you use.

Frequently Asked Questions

  • 1.What is Robotic process automation?

  • 2.Is RPA expensive?

  • 3.Can robotic process automation be implemented in all RCM operations?

  • 4.Which revenue cycle process would most benefit from robotic process automation?

  • 5.Does RPA avoid missing data denials in RCM processes?


Why Billing Paradise

80+

Organizations

25+

EHR Software

1

Million claims

20%

Growth Per month

You can bank on us because we are certified by...


We understand that implementation of RPA might be different from each and every practice and their EHR to get comfortable with the RPA we are providing our client half a month trial program where clients can operate these RPA bots and get the workflow setup they need. This allows you to identify the key tasks in which RPA can function and the rest 10-20% can be done by a manual workforce

Act now to obtain this offer.
Talk to our RPA experts to learn more.