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Operations in hospitals including RCM processes, patient data collection, data validation and internal audits efficiency increased by Robotic process automation (RPA).
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Creatingaimproved operatingefficiency inhospitalsand grouppractices usingRPA www.billingparadise.com
HealthcareIndustryandSystems TheHealthcareIndustryisperhapsthebiggestsectorregardingservice,caredelivery,generatingincomeandprovidingemployment. Itfrequentlyincludesnumerousdepartmentsofferingcomplextypesofservices.Consideringtheideaoftheseservices,itbecomes obligatoryforaCOO (ChiefOperationsOfficer) ofahealthcarefacilitytokeeptheoperationsproductiveandtheworkflowwell streamlined. HealthcaresystemsandlargemedicalgroupshavevariousdepartmentswithcomplexoperationsanddirectlyreporttotheCOO. Medicalservicesofeachdepartmentneedtohaveaco-ordinatedandinterconnectedworkflowtofacilitateefficiencyinallservices. OtheroperationalprocessesapartfromclinicalcarelikeRCM,collectionsandpatientappointmentscheduling,inpatientmanagement, creatingpatientcharts/medicalrecordsandprescribingmedications. www.billingparadise.com
TheseactivitiesareeithermanagedmanuallyordigitallywiththeassistanceofanEHRplatform.However,EHRplatformshaveTheseactivitiesareeithermanagedmanuallyordigitallywiththeassistanceofanEHRplatform.However,EHRplatformshave limitationsastheyaretimeintensiveandresourceintensive.Inaddition,manualinputsofdataintheEHRplatformsalongsidethe everydaycoremanualactivitiesmakesitcumbersomeforthepersonnelinvolved.Theefficiencyofinternalworkflowneeds additionalsophisticationtofillthegapsinthedeliveryofqualityservices. WhatisRPA? Thenewagetechnologicalupdatewhichuses softwaretechnologytosophisticateservicesin anytypeofIndustry.Theintenttoincrease qualityservices,standardizeregulartasks,and improveefficiencycanbebetteroptimizedwith theadventofRoboticProcessAutomation. WhyRPA? Anyindustrythrivesonthelinesofaccuracy,reliabilityandconsistency.HealthcareIndustryisnoexceptionandRPAistheanswerfortheHealthcare servicesthatcandealwithmanualworkloadusingsoftwaresusingBots,repetitivetasksandassistinghealthcarefacilitieswithsmoothingout processes,savelaborcosts,gainbetterproficiency,precision,securityandimprovethequalityofpatientcare. www.billingparadise.com
RPAcanprovideeasiercompetitionoflargevolumesofpatientorclinicaldatawitheaseandempowerhealthcareprofessionalsRPAcanprovideeasiercompetitionoflargevolumesofpatientorclinicaldatawitheaseandempowerhealthcareprofessionals toconcentrateonadditionaltimeinservingpatients. HowcanRPAhelp? Letushavealookathowroboticautomationcanbeofaleverageinoperationsandachievingefficiency.Thekeyareasthatcanbeofa greatchallengeincontributingtotheoperationsefficiencyareasfollows: Maintainingpatientdata Allhealthcareprofessionalsarewellawarethatgeneratingnetworkpatientpopulationisakeytosuccessforgettingmorerevenue. However,thisisamisconception.Nomatterhowmanypatientsafacilityhasitallcomestooneareawheretheywillhavetousethe patientnetworktoprovideaccuratemedicalcare. IfamultispecialityhospitalCOOwouldliketoconsolidatepatientdatatheywouldbedoingitmanuallyanditaffectsthecoreareas wheretheyshouldfocusratherthandoingdatamanagement,thisiswhereRPAcanassisthospitalClevelexecutivestosimplifythe process.Forinstance,apatientwalksinforaninternalmedicalissueandthedoctorwouldliketouseasmanyresourcestofindan accuratediagnosisandwouldneedtheassistanceofotherdepartmentsinthishospitalsuchasradiology,labsandotherscreening departments. www.billingparadise.com
ThepatientdatamustbemanagedacrossallthesedepartmentswhenitcomestotheThepatientdatamustbemanagedacrossallthesedepartmentswhenitcomestothe finalcomponentofthemedicalservice,tobillinsuranceforreimbursement.Acustom madeRPAbotcaneasilylearnthisprocessandintuitivelylearnfromthedoctor’sreferral notesthatthepatientrequiresallthescreeningprocessestofindoutadiagnosis.All collectivedatacapturedfromvariousdepartmentsarerecordedforfuturereference. RPAbotscanevencreatepresetchartsandmedicalreportsreadysothatthelab technicianorradiologistcaneasilyentertheirtestsorx-rayfindingswhichcanthenbe senttothereferreddoctor. RegistrationIssues Registrationdoesnotmeanjustregisteringpatientsonthehospitalorafacility’s databasebyverifyingtheircompletedemographicdata,insuranceinformationetc. Frontofficestaffareusuallyoccupieddealingwithpatient’svisitsandguidance throughthecareprocess.Theylacktimetoverifyeachandeveryinformationthe patientprovides. Sometimespatientstendtooverlooktheiroutdatedinformationandjustprovidethem. ImplementingRPAwillallowahealthcarefacility’sCOOtostreamlinethisprocessby usingbotswhichcancrossverifywiththeirpastvisitsiftheyareanexistingpatientor checkeligibilityandbenefitsusingRPAbotswhicharededicatedonlyforthispatient registrationtasks. www.billingparadise.com
Thiseliminatesprebillingerrorslikeincorrectpatientname,dateofbirth,insuranceplaninformation,COB (primary,secondary insuranceplans) andspecialtyspecificcoverageinformation.ThisallowsallclaimstobecleanclaimsandeasilybypasstheEDIedits. Channelingvariousdepartments Ahealthcarefacilitydoesnotalways containadoctorsoffice,mostspecialty specificlargehealthgroupswhichhave multiplebranchesthroughoutthestateor health systems contain departmentswhichalsoprovideawide rangeofservicesliketherapists,nurse practitioners,ancillarystaffetc. in house Theywillneedinteroperabilitywithautomatedsystemsinplaceforasmoothtransitionofpatientdataacrossthesedepartments.Ithas alwaysbeentheresponsibilityofthepatienttomanuallyprovidethepaperdocumentsgivenbytheirdoctors.RPAbotswhichare dedicatedtocreatingasmartenvironmentbyautomaticallylearningthepatient’sillnessanddirectsthemtotherespective departmentswithlesspaperworkandallowsthemtobemoreengagedwiththetreatmentinturnsavingtimeandreducingthechance ofthemleavingforsecondopinions. COOslookingtomaintainasmoothinterdepartmentalworkflowwouldchooseRPAforbetterresultsinreimbursement. www.billingparadise.com
Reducinghumanerrors Errorsareoneofthekeyfactorsdeterminingtherateofreimbursement receivedbythehospitalorhealthsystem.Accordingtoastudyby HMFAerrorsmadeduringtheappointmentandafterthemedicalcare isaround40% acrossthecountry. EachoftheseprocesseswillresultinlessererrorsandallowtheCOOto conducttrainingoftheemployeeswhichhavescoredhighesterrorsby thereportsprovidedbytheauditbotsanalytics. Lackofstaffing Staffingisaburdenwhenitcomestohealthcareorganizations.Eventhoughtheyhavehiredasuitablestafftherearealwayshigherworkburdens resultinginburnoutoftheemployeesandcausingthemtoleaveyourorganization.Eliminatingrepetitivetaskswithhighervolumeswillallowlesser workburdenandqualityofworkprovidedbyinhousestaff.CostreductionishigherwhenimplementingRPAtoreducestaffingproblems. Ifeachoftheaboveareasareimprovisedtoachievebetteraccuracy,reliabilityandconsistency,smoothandhassle-freeoperationscanyieldgreat resultsformedicalpracticesandhospitals. www.billingparadise.com
Themajorfocusareaswhichrequirestreamlinedoperations: Reports & Dashboards SupplyChain DataManagement R&D NewPatientRegistration AppointmentScheduling CareCoordination PaymentPosting AR (AccountsReceivable) PAR (PatientAR) ClaimValidation ClaimLogging ClaimDenials & Appeals AdvantagesofRPAtoincreaseOperationalEfficiency Interoperability – FillsthegapsbetweenexistingsystemssuchasEHR,EMRs,PMS,Patientfinancialsautomation.Accessingdata acrossallplatformsanddepartments. Costreduction – Asignificantreductionincostcomparedtohiringmultiplestaffforoneparticularhighdatavolumeprocesswhich rangesanywherefrom20-60% ofbaselineFTEcost. SuperScalable – Allowspatientstoreturnbackforfollowupvisitswithlesspaperworkandreferotherfriendsorcolleaguestoyour hospitalswhichcreatesinstantramp-upanddowntomeetdemandpeaks/troughs. Qualityandaccuracy – Eliminates80% ofmanualworkerrorsbyauditingandsuggestivepredictionsresultingindoubledigit reductionsinerrorrates. www.billingparadise.com
AdvantagesofRPAtoincreaseOperationalEfficiency Consistency – Uninterruptedbackgroundactivityandmonitoringbybotsallowsidenticalprocesses & taskseliminatingoutput variations. Reliability/Compliance – RPAbotsareavailabledayindayout365days; regularlymaintainedlogstoensurecompliance.Theywill keeptheprocessgoingevenifthedesignatedstaffisnotavailable. IncreasedProductivity – 100% increaseinproductivityasbotsareselflearningandcancreateprotocolstoeffectivelycompletea processandremovesnon-value-addactivitiestofocusonareasthatrequirejudgment. TheseareonlyacoupleofinstancesofhowRPAcandealwithbusinessprocesses,upgradeclinicalworkprocessesandengage medicalservicessupplierstooffercustom-madetherapiesforpatientsandfuelproductivity. Onafinalnote ExecutionofRPAinthemedicalserviceswon’tjustsubstitutenumerousmanualtasksandtediouswork,howeverwilllikewisesupport patchingupthecurrenttasksbringingaboutexpandedusefulnessandproductivity.Bothnowandinthefuture,RPAcanoffer interminableusageprospectsinmedicalservicesassociationsandgiveanupperhandinthecommercialcenter. www.billingparadise.com
OntheoffchancethatyouarehopingtousetheabilitiesofRPAinyourmedicalservices,hospitals,healthsystemsandlabs,thenatthatOntheoffchancethatyouarehopingtousetheabilitiesofRPAinyourmedicalservices,hospitals,healthsystemsandlabs,thenatthat pointpickingtherightaccompliceforRPAimplementationisbasicandprovenusecasesandresultsareavailablethroughoutthe healthcareindustry. AlthoughitmighttakeawhileforyouradministrationandClevelexecutivestomakethedecisionanddeviseaplanwhichwillseta clearworkflow.MinortweakingmustbedoneonaregularbasistoensurethattheRPAbotsareclearwiththeirobjectivesandcanbe providedbyyourRPAsystemsprovidersandwillassistyoualltheway. RPAbotsarecustomizabletoeachhospitalorhealthsystem’sneeds,giventhatmoreandmorehospitalsandlargeclinicalgroupsare turningtowardsautomationforbetteroperationsexecutionandresults.ItistherighttimeforClevelexecutivestoimplementthese solutionsforthebettermentofthestaff,revenueandpatientcare. WehavedevelopedsimilarRPAsystemsacrossawiderangeofhealthcareorganizationswithdifferentspecialitiesenablingthem smoothdaytodayoperations. www.billingparadise.com
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