Tag Archives: robotics processing automation

Robotic Process Automation and Healthcare Revenue Cycle

Improving Central Business Office (CBO) Efficiency with Robotics Process Automation (RPA)

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IBM describes Robotics Process Automation (RPA) as a form of technology that uses rule-based software to perform business process activities at a high-volume, freeing up human resources to prioritize more complex tasks1. Used in concert with Intelligent Automation (IA), RPA is a sub-discipline of Artificial Intelligence (AI), like Machine Learning (ML).

Although distinct in their capabilities, RPA and AI often work in tandem to complement each other’s strengths2. RPA automates repetitive tasks based on fixed rules and inputs, while AI involves self-learning systems that can analyze data, make decisions and adapt over time.

For those in charge of healthcare business offices and creating revenue cycle efficiencies, RPA can help to eliminate redundant manual data entry whenever possible, freeing up valuable time for more productive, higher value assignments.

Integrating Multiple EMRs and PM Systems

Using RPA within the ReSolve® AI & Workflow Automation platform, larger Physician Groups, MSOs, Hospitals and Health Systems can significantly reduce manual processes by mapping interactions between traditional data entry tasks and their EMR and/or Practice Management (PM) billings applications. ReSolve® is also capable of capturing and splitting payments from co-mingled electronic remittances (ERAs).

The result is a much improved and streamlined remittance capture, reconciliation and payment posting process for all your sources of revenue.

ReSolve® Revenue Cycle Management (RCM) Benefits

RCMS’ ReSolve® provides significant opportunities in the business office for creating permanent revenue cycle improvements, including:

  • Improved accuracy over redundant manual data entry
  • Unattended and attended claims and billing applications
  • Automated repetitive tasks in conjunction with AI and machine learning
  • A more productive staff, focused on high-value work
  • Ability to move data across multiple HIT and Accounting applications
  • Connecting disparate systems where APIs don’t exist
  • Enterprise reconciliation of all revenue with GL integrations
  • Data is efficiently stored for auditing and regulatory requirements
  • RPA processes can adjust and scale to changes in underlying systems

About RCMS

RCMS brings decades of healthcare business office experience to improve your revenue cycle. We can provide a wide range of Technology Solutions that provide for workflow automation and increased data quality. Contact RCMS about Robotics Processing Automation (RPA) for your central business office or shared service centers.

Editors Note: An earlier version of this article first appeared on RCMSLLC.com on July 5, 2022.

Citations

1IMB: What is RPA? | Link: https://www.ibm.com/think/topics/rpa#
2Hyland Software: The Difference Between AI and RPA | Link: https://www.hyland.com/en/resources/terminology/robotic-process-automation/rpa-ai-intelligent-automation

Connecting HIT with Systems Integration

Connecting Disparate Systems to a Single A/R Management Platform

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Systems Integration for Aggregated Environments

Ensuring the smooth flow of claims from the Provider to the Payor, as well as funds from the Payor back to each Hospital or Practice Group, requires several different supporting organizations to receive and share information.

RCMS specializes in the capture and conversion of all data types from disconnected information silos, including HIT, Clearinghouses and Banking systems. This allows us to leverage the most current Robotics Process Automation (RPA) and AI Machine Learning technologies to efficiently verify and/or correct defects that can delay or reduce revenue from being collected. As a result, our ‘connected systems’ approach unlocks the potential of extensive data being generated from all your claims and remittance processes.

Information Sharing and Automation

By capturing information from disparate systems and identifying bottlenecks at the various stages of reimbursement, our ReSolve® A/R Management Platform helps to maximize collections. Automation is achieved through seamless integration of account comments and other financial transactions within the host billing system(s), further promoting information sharing throughout the organization.

ReSolve® worklisting tools provide for definable qualification criteria, customizable sorting and filtering that makes it easier for users to resolve account deficiencies. By being proactive in account follow-up and having tools which present financial and clinical data in a user-friendly solution, your organization’s cost to collect can be significantly improved.

Implementing Permanent Revenue Cycle Improvements

A significant amount of time and attention in revenue cycle management is reactive. Fixing claim errors, looking for missing information and reworking denials that ultimitely lead to delays and lost revenue. With the ReSolve® platform, bottlenecks and errors in processing claims, reconciling payments, and with managing denials can be analyzed and traced to a specific location, department or type of service. By connecting systems and data in an aggregated business environment, we can provide pre-scheduled reports, scorecards and analytical data that helps to identify hidden trends, isolate problem areas and implement changes that lead to permanent revenue cycle improvements.

RCMS Strategies

Our Revenue Cycle Management (RCM) Strategies are a blend of Data Capture, Workflow Design, RPA, AI, Enterprise Content Management (ECM) and Systems Integration — connecting HIT systems, Clearinghouses, Banking partners and other Line of Business (LOB) applications to maximize efficiency. Contact RCMS today to schedule a call.

RPA - Robotics Process Automation from RCMS

Using RPA and Workflow Across Multiple EMR & Billing Systems

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For RCMS clients with multiple EMR and billing systems, the RCMS ReSolve® A/R Management Platform provides the means to consolidate resources and improve business office processes – without having to eliminate hard to displace, vested applications. One of the many technologies we utilize to do this is robotics process automation (RPA).

Using RPA in healthcare business applications can significantly reduce manual, repetitive processes that are prone to human error and waste valuable time. In partnership with your Accounting and IT teams, RCMS can help your organization to develop an RPA plan that explores all areas of the revenue cycle — where repeated processes can be substantially improved.

Below are just a few examples of how RPA can benefit your organization:

  • Improved accuracy over redundant manual data entry
  • Unattended and attended RPA applications
  • Automates repetitive tasks in conjunction with AI and machine learning
  • Allows staff to be more productive and focus on higher-value work
  • Can move data across HIS applications
  • Connects multiple billing systems where APIs don’t exist
  • Data is stored for auditing compliance with regulatory requirements
  • Adjusts and scales to changes in underlying systems

About RCMS

RCMS brings decades of healthcare business office and software development experience to improve your revenue cycle. We specialize in working with IDNs having multiple EHR/EMRs and billing systems. Contact RCMS for an assessment of your business applications and how you can benefit from RPA to improve your operations.