Creating Better RCM Process Operations by Robotic Process 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
Problems Solutions
Billing-related costs went from 2% to 5% for conventional Medicare and Medicaid to a surprising 17% for commercial payers. Implementing RPA will reduce 60% of billing costs and have manual staff work on more important tasks where human intervention is needed.
According to industry standard numbers by HFMA and MGMA a sizable healthcare facility with 189,000 unentered and failed to capture charges claims in one month can lose 50% in revenue. Robotic process automation for RCM tasks for healthcare organizations with such colossal volume will reduce 50% revenue loss and helps speed up claim reimbursement days.
A hospital with a normal of 75 weekly inpatient encounters would require 325 hours of work, also the effects on RCM KPIs, for example, DNFB and AR days. Robotic process automation technology will save time and decrease costs by cutting short the manual workforce hours to 10 hours, and errors simultaneously.
Other 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%

End to End RCM processes which can be automated

Escalate Receivables

Patient appointment scheduling and registration

Reduce Write Offs

Patient eligibility and benefits verification

Increase Profits

Coding

Proper collection of patient dues upfront

Coding and coding errors resolution


Increase Profits

Charge capture/entry

No more mismatch denials

Payment posting

Efficient Automation Process

Denial management and appeals

Proper collection of patient dues upfront

Patient statements and collections



Hospital CFOs and CTOs determine that RPA is a product that can be bought and used like any other softwares/EHR in the market. RPA in RCM and medical billing process is supposed to be customizable according to the hospital or clinical group's specific requirement or the pre-set workflow.

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

Why is RPA the best choice of Hospitals and Health Systems?

Reducing cost:

Significantly reduces 60% of RCM operational costs. Reduces costs of hiring more resources.

Improves Quality and productivity:

Increased repetitive task productivity compared to the manual workforce. Industry-standard quality when compared to HFMA or MGMA data.



Continuous operations sustenance:

Bots do not fall sick or take days off allowing 365 days of operations. Lesser attrition rates due to staff burnouts.

Upgrading over time and compliance:

New payer guidelines are constantly updated and staff tends to catch up later. Bots comply with HIPAA and other Federal laws as they are programmed with these protocols.

Easy, less hassle and proven RPA solutions for higher patient volume health systems, surgical groups and clinics.

  • Less manual workforce required to register new patients and schedule existing patients appointment data.
  • Allows data to be forwarded to the front office records and doctors device to have better patient engagement.
  • Bots can navigate across multiple facilities and respective scheduling applications they use.
  • RPA bots can act as a patient support and guide them through the registration or scheduling process.
  • Increases productivity by 100%
  • Significantly reduces cost and increased patient volume simultaneously.

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.

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.