Robotic process automation (RPA) enabled charge capture and entry technology use cases specifically for hospitals and health systems with huge patient volumes.

1. RPA USE CASE FOR
CHARGE CAPTURE AND
ENTRY
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2. Introduction
Capturing patient diagnosis, procedure, and demographic data during every
visit is a crucial step for any healthcare organization to make revenue.
If this process doesn’t contain consistent quality and verified data then the step
to earn revenue for that hospital will be minimal and poor financial
performance is underway. Robotic process automation (RPA) charge capture
and entry technology will ensure the charge capture and entry data are precise
with no margin for error.
Hospitals and health systems are aware of RPA technology implications as a
whole, but there are significant use cases for RPA-enabled charge capture and
entry.
We have consulted with our RCM and RPA experts to derive these use cases
which are helpful for management and decision-making leaders such as CEOs,
CFOs, CTOs, and RCM directors. Let’s explore the RPA use cases for charge
capture and entry.
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3. RPA use case for charge
capture and entry
process
The first and foremost use case is reducing cost and time with RPA
for the charge capture and entry process. It is a well-known fact the
charge capture process is done by physicians, NPs, Or PAs during the
visit. Then they use the manual entry staff to enter the captured data
in the EHR software.
Time and cost-saving
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4. However, hospitals and health systems with huge patient volumes fall back on entering these charges
and the hospital management has to hire more manual entry staff for instance if a hospital has 60
inpatient visits a week and they are monitored by PAs NPs, etc that charges are also to.
Be included on a day-to-day basis which means they utilize 150+ manual work hours to complete it and
the salary for the entry staff FTE would be approximately $100K per month. On the other hand, using RPA
for the charge capture and entry process will reduce the time for those 60 patients by 1 or 2 hours at the
least.
The return of investment for RPA bots to perform charge capture and entry would be a lot quicker
compared to manual workforce staff.
Unattended fully automated RPA bots
Hospitals and health systems usually have manual processes like utilizing superbills and writing down
the diagnosis, prognosis, treatment plans, etc.
This actually creates confusion and the manual entry staff for the captured charges data may be incorrect
and the entry staff cannot bother physicians as they will be busy treating patients and even if their
schedule frees up it takes almost a week’s time for the clarifications to be done and bill the claim
successfully.
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5. Unattended fully
automated RPA bots
Robotic process automation (RPA) for charge capture and entry is very
versatile and adapts to your hospital’s current charge capture and
entry workflow.
It ensures that the captured charges are in an electronic device, so
physicians using a tablet or any mobile device to capture charges can
benefit more from RPA as the bots will automatically guide the
doctor, NP, or PA in the correct diagnosis, procedure, and treatment
plan as they are inbuilt ICD 10, claim edits, CMS coverage
determination access will prevent these healthcare providers to
capture charges easily without errors.
Secondly, during charge entry, there is no need for manual charge
entry because the unattended bot will automatically carry forward
the entry of charges in the EHR as soon as the data has been received
from the charge capture side of the workflow.
This uncomplicates the whole process and accountability of all
charges are logged to compare reimbursement rates, underpayments,
denials, etc. for future audits and reporting purposes.
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6. Multiple applications accessibility
Manual charge capture and entry processes needs support of multiple applications. Most EHR applications do not have the facility of using mobile
charge capture plugins. They need to be manually logged in to capture the charges.
Likewise for manual charge entry processes the entry staff need to access multiple applications to enter one encounters charges properly.
RPA-enabled charge capture and entry system surpasses the manual charge entry and capture processes by using multiple applications at one go
which includes EHR, payer portals, clearing houses etc. Typically an unattended bot with this multiple applications accessible feature will no
longer need manual entry staff to assist, but just to monitor the process and checklist of workflow programmed under the RPA bot.
This is the most impeccable RPA use case for charge entry as using multiple applications at a time might be tedious and possibilities for errors are
low.
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7. Compliance and data security
Patient data and other PHI is 100% involved in the charge capture and entry process. Hospitals and
health systems pay over 1 billion each year as a result of serious HIPAA compliance and PHI breaches.
When implemented, RPA-enabled charge capture and entry technology is capable of securing data
more effectively than entry staff and detailed logs and permission to access records can be controlled
by the RPA bots ensuring 100% compliance and security. Hospitals and health systems facing regular
audits related to these issues must consider implementing RPA and obtain the benefits of a safe and
data secure workflow.
RPA-enabled charge capture and entry technology is being
used by many of our clients with high patient volumes, they
have benefited in cost and time saving, productivity,
quality and efficiency.
They are also surprised by the unattended bot which
performs these tasks 24/7 every day for 365 days making
sure the obtained data are verified and entered without
errors.
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8. If your healthcare organization is facing higher than usual staff
attrition rates, it is better to adapt to RPA sooner. BillingParadise
and its RPA team combined with in-house RCM experts have
devised this technology that is dedicated to hospitals, health
systems and clinical groups.
If you are looking to implement RPA and have questions our RPA
experts are here to help just a click away,
schedule a call and discover more about RPA now!
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9. Contact us
Website : www.billingparadise
Email : inquiries@billingparadise.com
Address : BillingParadise 24x7 INC
53 Emerald Road,
Robbinsville, NJ 08691.
United States.
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