RPA Use Cases

Medical Billing Sector

RPA can be applied to the parts of the workflow where there are electronic data comparisons. The results would be more accurate and faster.

Electronic Health Records (EHRs) were designed with the best intentions, to provide valuable patient information in digital form, and to make the lives of physicians easier. Unfortunately, 42% of doctors said they have experienced burnout at some point in their careers and a major contributor is the adoption of EHRs. Doctors are spending more time than ever before in front of a computer screen instead of spending their time interacting with patients. RPA bots can fill in EHR fields automatically and duplicate necessary information across different systems. This reduces human error and allows physicians to spend more time with their patients.

RPA can be applied to the processes where there is a heavy human interaction and repeatable tasks are performed. This in turn reduces the wastage of manpower, therefore paving way for the employees to focus on more productive areas.

Automated payment posting can help improve productivity and streamline the manual processes of posting insurance payments. Payment posting is an integral part of revenue cycle management, and if done properly and accurately, will improve cash flow and patient satisfaction.

Electronic Remittance Advice (ERA) is an electronic version of a paper explanation of benefits (EOB) and includes details about the amount billed, the amount being paid by the health plan, and an explanation of any discrepancies between the two. There are many advantages to adopting ERA, one of which is an automated payment posting. ERA is intended to work in unison with the rest of your medical billing technologies without human intervention. This allows for faster account reconciliation, fewer operating costs, and enhanced staff productivity.

RPA can play a significant role in auditing and reconciling. The speed and accuracy of BOTs can not be matched with that manual process as the manual intervention is prone to human errors and delays. RPA can be applied to processes where there is a need for auditing and cross-checking data points across different electronic data formats and reports. The results are significantly accurate.

RPA can be applied to the parts of the workflow where there are electronic data comparisons. The results would be more accurate and faster. Electronic Health Records (EHRs) were designed with the best intentions, to provide valuable patient information in digital form, and to make the lives of physicians easier. Unfortunately, 42% of doctors said they have experienced burnout at some point in their careers and a major contributor is the adoption of EHRs. Doctors are spending more time than ever before in front of a computer screen instead of spending their time interacting with patients. RPA bots can fill in EHR fields automatically and duplicate necessary information across different systems. This reduces human error and allows physicians to spend more time with their patients.

Inputting, processing and adjusting claims takes up a considerable portion of administrators’ time. Claims management is extremely prone to human error, which is typically the cause of initial claim denials. RPA solutions automate many of the tasks associated with claims administration including charge coding, checking against payer rules and submission.