Automated Revenue Cycle Management for a Technology-enabled Healthcare Services Company
Overview
The company is a leading provider of healthcare services solution in the USA with 25 years of experience in healthcare products. Also an insurance service provider, the Customer chose ACL Digital as a digital practice consultant for implementation of an integrated workflow application to improve revenue cycle management.
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Challenges
Difficulty in verifying health insurance eligibility for potential customers due to a lot of manual processes involved in medical coding and revenue cycle management workflows which led to:
Redundancy of the data
Manual Processing of the data and medical codes tagging
High Probability of human made errors
Solutions
After the pilot run, ACL Digital setup and provided Infrastructure for Automation using RPA Orchestrator, Elasticsearch & Kibana. As part of the solution, ACL Digital:
- Created and Automated system for Medical claim processing with a dashboard report
- Implemented 1 bot for OCR extraction unstructured data
- Setup centralized Hospital management system and automated capture of patient data from different department
- Deployed 10 bots (5 for testing & 5 for production )to run the entire project
Outcomes
- Reduced errors
- Systematic file storage facility
- Easy data extraction through OCR tools
- 98% Reduction in Claim Processing Time
- 97% Accuracy Rate
