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Bots are able to directly pull secondary insurance coverage information. Other coverages such as HMO plans are detected automatically.
 
Patient eligibility errors impact various areas of the payment integrity landscape. Identifying patient coverage before their visit or at the point of service is crucial to reduce operational and frontend bottlenecks. We secure payments for your healthcare organization through our patient eligibility verification system. Our insurance eligibility services are scalable and just the right solution for inpatient and outpatient services.
Our smart automation simplifies, modernizes and quickens workflows. Our software interfaces securely and seamlessly with your EHR system.
User-friendly dashboards and advanced predictive analytics give you a bird’s eye view of eligibility processes enabling stronger decision making.
Powerful API provides customized interface with your EHR.
Verifying patients' eligibility and benefits is a complex repetitive process which is performed almost 365 days a year. Getting accurate information automatically using RPA Bots will reduce tension in your front office.
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
Bots are able to directly pull secondary insurance coverage information. Other coverages such as HMO plans are detected automatically.
Increased repetitive task productivity compared to the manual workforce. Industry-standard quality when compared to HFMA or MGMA data.
Targets your speciality and provides benefits and limitations. Detects non covered services listed under the patients plan.
Other liabilities including IPAs and TPAs are processed automatically. Auto liability and no fault insurance carries including Workman's compensation eligibility automatically selected by the bots.
RPA is the utilization of AI programming to deal with high-volume, repeatable tasks that are expected manual workforce to perform. This robotic process automation can incorporate inquiries, estimations, and support of records and transactions. Further, robotic process automation (RPA)is the utilization of manual staff configurable programming and technology as a "robot" or "bot," to perceive patterns in the performance of tasks performed by manual workforce staff.
It depends upon your current workflow and the number of manual workforces used to perform these tasks. To decide the expense of RPA for your healthcare organization, it's critical to distinguish which tasks would benefit most from RPA bots. The critical point is to identify repetitive, concentrated areas of your workflow inside your work processes that require similar repetition without conscious human intervention. Those areas cost twice the amount when using a manual workforce instead of implementing RPA. Repetitive tasks are the best way to utilize RPA in cost reduction and return on investment.
Yes, almost all parts of RCM operations can be automated and it depends upon the complexity of the tasks performed by these RPA bots. The best processes for implementing robotic process automation are repetitive repetitive high-volume tasks that are based on simple rules. There are tasks like migrating medical records that need much more customization in terms of regulatory compliance. These tasks are complicated but can be done when carefully programmed.
RCM processes that have huge volumes of Manual tasks and intercommunicable processes all function well when implemented RPA. Manual entry processes, verifications, scheduling and registration, prior authorizations, etc are some of the RCM processes which need automation as they are tedious and time-consuming.
Obtaining patient information is crucial to generating revenue for any healthcare organization. It is proven that more denials are in relation to the missing or incorrect patient data such as name, DOB, insurance information, etc. Dangers such as raising denials rates of which 15% is due to missing or invalid data from EDI and payer side. Manual workforce human errors are significantly reduced and increased quality and productivity by 100%.
Billing Paradise has done a phenomenal job on Our Project, We were very sceptical about changing our EMR from Office ally to ECW when we started doing our billing with BillingParadise, but the process was handled carefully without any difficulties for our patients & has Increased our collections. Over all our LAIMA Team is well pleased these past 2 years of doing business with Billing Paradise and you will be too!!."
Our Billing Paradise team feels more like our business partners than just another "outsourced" service. They personally relate any important information quickly and follow up in detail on all aspects of our billing, AR, and credentialing. Implementation of eClinical Works for our new business was flawless. They have expertly dealt with traditionally difficult and specialized US Dept of Labor billing alongside commercial insurance billing. We have had a very positive experience from the very beginning and look forward to many great years to come with them!"
A lot of changes were taking place in our office, so we hired Paradise Billing to do our billing. They have been very efficient in handling our claims. They handled old claims for our office and have been very helpful in getting our old claims paid. Any time we have an issue or denials, Paradise Billing has responded in a timely manner. Our AR's are down and our collections are great. We have team that we work with and have access to them whenever needed. As the billing manager, I am very pleased with Billing Paradise. They have certainly made my job easier. I would certainly recommend them."
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