Robotic Process Automation in healthcare ecosystem: Key Use cases
Care providers and payers are shackled by a myriad of processes and accompanying documents to authorize, deliver, and record healthcare services. From patient health records to care provider information and payment data, the web of processes involved in care delivery and reimbursements quickly breach human interest, resulting in monotonous work for the people involved.
RPA services in healthcare can eliminate the time spent by personnel working on time-intensive, low-value, and rule-based tasks.
In this white paper, we explore the nature of Robotic Process Automation (RPA) and the key areas for care providers and payer organizations to focus on to leverage the power of RPA.
Robotic Process Automation in Healthcare ecosystem, What Is it?
Robotic Process Automation in healthcare is software that can virtually automate manual and repetitive tasks and reduce dependencies on human intelligence. As a result, they can enhance care coordination, facilitate clinical decision-making, and improve patient outcomes.
Evaluating The Opportunities for RPA
Among the many benefits that await care providers and payers, the ability of an RPA bot to accelerate task completion time exponentially without the need for manual interventions is the most promising. We cover the process of evaluating RPA use cases in healthcare and its implementation.
The Areas of Automation
Fasten your seat belt and journey through the focus areas for care providers and payers to automate through RPA. Some of the focus areas are:
For providers:
- Appointment Scheduling: Bots manage appointments based on availability, location, and diagnosis.
- Alerts and Reminders: Bots notify patients about appointments, billing, and other activities.
- RCM Automation: Bots handle insurance verification, billing, and claims submission, reducing errors.
For payers:
- Prior Authorization (PA): Bots process PA requests, digitizing and verifying them.
- Auto Enrolment: Bots handle credentialing and enrollment of physicians.
- Provider Credentialling: Bots verify provider credentials, reducing the time and cost of the process.
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