Hospitals implemented robotic process automation (RPA) for repetitive tasks like patient registration and billing and saw a 70% improvement in resource utilization costs. RPA automated front office tasks to reduce costs from hiring additional staff and handled repetitive processes like data entry and prior authorizations. RPA also improved data security and compliance by monitoring user access and adhering to regulations. RPA allows hospitals to redirect human workers to more valuable tasks while increasing productivity, accuracy, and cost savings compared to human workers facing burnout from repetitive tasks.
2. Here's our advice to
save 70% cost and
improve resource
utilization with RPA
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3. The cost of maintaining the complete RCM
process and the expenses that come along with
updating your hospital every year in terms of
human resources, EMR, and other in-house IT-
related financial burdens. Nowadays hospitals
rely on robotic process automation (RPA) and
reduce the cost of running a fully functional
hospital with a streamlined RCM department.
RPA is now being implemented where human
staff is lacking to achieve production numbers,
quality, and compliance. It is not the fault of
human staff to achieve more productivity or
quality, it is just that human resources tend to
burn out over time when performing repetitive
and tedious tasks that robotic process
automation bots are successful in performing.
INTRODUCTION
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4. The reason why human
workforce cost increased
Post pandemic situation created inflation and an
increase in cost related to the RCM workforce
shortages. In a survey conducted last year (2021) the
cost of qualified RCM experts increased by $24 billion a
year surpassing pre-pandemic situations, which is an 8
percent hike per day compared to 2019 numbers.
However, it is not the answer to eliminate all human
workforce. The answer is implementing robotic process
automation (RPA) where there is an over utilization of
the human workforce by the end result of performing
those tasks that are not up to the expectations as
human error is a key factor in these areas of RCM.
Furthermore, the human workforce tends to wear out
over time from performing manual entry and
verification processes in RCM.
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5. Ways to implement RPA
that will increase improved
resource utilization and
cost-saving
In order for your hospital to properly use the human
workforce and implement RPA in such a way that both
the human workforce and robotic process automation
can co-exist in a harmonious manner and save cost
simultaneously, you would need to understand the
problem areas and how it can be resolved with RPA.
There are multiple RCM processes that do not need a
more human workforce which can be performed by RPA
bots and few processes that purely need a human
workforce. Let us break it down for you:
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6. Front office tasks :
Front office tasks are often tiresome when a front office staff(s) need to perform them. The core responsibility
of any front office staff is to guide patients who are in the hospital looking for care. If the front office staff are
more curious about scheduling appointments and gathering data over phone calls or the EHR system takes
30mins, this will only delay the patient as most front office staff place calls on hold to pay attention to more
pressing matters with the patient during their visit creating a pressured work environment for your front office
staff and resulting your RCM director informing your CFO for additional budget to hire an extra front office staff.
Say your hospital pays $3-$6k a month for front office staff and you would have to hire an extra 2-3 depending
upon patient volumes you will be spending $180k on an average per year for front office manual tasks alone.
Robotic process automation (RPA) enabled front office tasks like patient scheduling, registration,
documenting gathered data, or guiding patients through your website to make payment can be completely
automated and these processes will be done automatically without front office staff intervention.
Implementation cost for this particular RPA will cost an average of 15-20% depending upon the complexity of
your front office processes. This cost is one-time and the cost of maintenance of the RPA bots will be lesser over
time as the RPA bots are adaptive.
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7. Repetitive processes :
Most RCM processes are repetitive, especially for
patients with recurring visits or with chronic
conditions. These repetitive processes include
patient eligibility and benefits verification,
demographic entry, charge capture, prior
authorization, etc. The human workforce in these
processes may range from 10-15 resources
depending upon the patient’s volume. If your
hospital is going to pay $350k per year for these
resources and are getting more human errors as
well, then utilizing human resources for those
repetitive manual entry and verification process ROI
is significantly lower as the denied claims need to be
worked on which cost even more extra.
Robotic process automation (RPA) for these manual repetitive processes only costs half of the expenses anywhere
between $50-$100k as a one-time expense and the monthly maintenance costs of these RPA bots are even less
anywhere around $3-$5k per month.
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8. We all know health information is protected and any breach of PHI is punishable by law according to HIPAA. Clinical
data management such as medical records, patient demographics, etc is constantly at threat of being exposed by
hackers and within the organization itself. Hospitals pay over $10 million dollars every month due to data breaches.
Robotic process automation (RPA) assisted data management and compliance will not only perform the creation
of medical records, patient encounters, and surgical reports on behalf of the physician, it also protects the data
and monitors the users accessing it, and creates security measures and logs for future examination or audits
saving your hospitals millions of dollars in fine and enabling you to get positive reputation, getting feedback from
patients and healthcare authorities.
Data management and compliance :
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9. Overall, when we calculate the human workforce utilization and implementation of RPA in certain RCM processes a
hospital can find up to 70% improved resource utilization cost. Hospitals and health systems are supposed to
oversee their core functions: patient care, managing clinical staff, affording treatment technologies, etc. If a
hospital is going to spend more on the human workforce and does not get ROI for that, it is then certain that they
need to switch to alternative options like robotic process automation (RPA).
RPA technology not only increases productivity, accuracy, and cost savings but also allows you to direct your
human workforce in more high-value functions like analyzing ways to improve RCM processes, reimbursement
rates, patient treatment plans and most of all serve without burning out. Healthcare CFOs, RCM directors, and
other management-level executives who are looking for a positive impact on their hospital’s revenue and would
like to cut costs at the same time are welcome to learn more about our RPA services.
BillingParadise expertise in manual RCM processes combined with RPA technology programming can create RPA
bots suited exactly for our client-specific needs. We are offering demos and discount opportunities to clients with
complex end-to-end RCM automation needs. Schedule a conversation with our RPA experts now!