Kane Wound Care uses Nividous’ AI-powered RPA Bots for automating its complex medical coding and billing process and achieves a 95% reduction in manual work.

1. Kane Wound Care Automates
Medical Coding and Billing Process
with Nividous’ AI-Powered RPA Bots
+1 (442) 444 2767
contactus@nividous.com
www.nividous.com
Organization
This customer is a group of over 30 physicians, nurse practitioners, and
physician assistants dedicated to the practice of providing wound care
services. They offer their services to patients in their homes and residents in
long-term, subacute facilities and assisted living facilities. They are servicing
approximately a hundred of these facilities throughout New Jersey, New York,
and Pennsylvania, managing 1500 patients weekly.
Processes automated
Medical coding and billing
Industry
Healthcare
“Nividous’ AI-powered RPA Bots
allowed for frictionless medical data
retrieval to complete complex coding
that is required to ensure fast,
maximum Medicare payment. The
automation has also enabled us to file
reports directly into our customer’s
EMR (Electronic Medical Record)
system within 24 hours thus cutting
down on their administrative burden.
With the success of this automation,
we are anticipating a significant
increase in revenues and overall cash
flow for our business.”
Founder & CEO
Kane Wound Care
Challenges
Prompt and correct payment through Medicare is important operational
aspect for all healthcare providers. The process of manually analyzing
clinical documentation—charts and notes—and determining which codes
are relevant to a specific case was highly tedious and time consuming. The
process required dedicated skilled coders to manually deal with over
70,000+ codes that fall under different categories to generate proper
invoices daily. Such complexity and related changes can cause
inaccuracies in medical coding delaying the overall operations and can
also result in improper payments.
This customer wanted to eliminate the potential loss of revenue from
inaccurate coding. Moreover, from a revenue cycle management
perspective, it was crucial that the coding for billing was done quickly and
with one hundred percent accuracy to avoid rejection/non-payment of
claims.
Benefits
Reduction in
manual work
95%
Improvement in
coding accuracy
90%
Improved process
turnaround time
85%
Solution
Nividous’ AI-powered RPA Bots are deployed to code thousands of charts on a weekly basis with ease and efficiency. The
Bots with native machine learning capabilities understand and analyze each patient’s wound documentation to create
billing codes that are then used to create proper invoices. The invoicing/payment process can be accomplished via an
external billing company, dedicated system or can all be taken care of in-house.
This automation has helped in reducing the risk of manual errors, improving overall process efficiency, and allowed
medical personnel to spend more time focusing on patient care and more complex coding scenarios.
For more information on how healthcare
professionals use Nividous platform visit:
https://nividous.com/case-studies#healthcare