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Intelligent Automation Services
Healthcare
We specialize in scaling up Intelligent
Automation (IA) capabilities for enterprises,
setting up their Robotic Operating Model,
governance model. We offer strategy setting,
opportunity assessments, business case
definition, end to end delivery and support of
the implementations.
Why Auro
We are a global team and have a lean
people training and onboarding
methodology that has helped us scale in
less than 4 weeks across different Blue
Prism skill sets.
A key differentiation factor for Auro is its IA
consulting offering backed by a proven track
record in delivering large scale enterprise IT
agile solutions.
Specialization Delivery Scale
RPA is the innovative use of software to perform repetitive rule-based knowledge work across an organization as a
substitute for, or aide to human workers.
RPA platform uses the client’s existing user interface and enterprise applications (both in-house and in the cloud)
seamlessly, with the software robot logging into the application (similar to how a user would, albeit in a controlled
environment).
RPA represents a more symbiotic relationship, where the robot tackles the mundane and error-prone tasks that
humans often dislike. This frees up workers to manage more complex exceptions and focus time and value-add
activities.
What is RPA
Does not require back-end
integration or access to client data
through API’s
Is non-intrusive and will function
within the security controls and
restricted access rights
No compromise on security,
resilience, scalability, compliance or
operational governance
Benefits of RPA
Robotic Process Automation delivers efficiency benefits, along with improvements in quality,
scalability and resiliency in a cost-effective manner.
Improved Quality
Higher customer satisfaction
First time right, always
Increased compliance
Refocus staff on customer
service and business
development
Productivity Gain 20% to 30% reductions in
Average Handling Time
Operates 24x7x365 with no
breaks, vacation and do not
depart for jobs with competitors
Cost Benefit
Reduced processing costs
by up to 80%
Short Net Payback period
ranging 1- 3 months with an ROI
of 30% - 200% in the first year
Implementation
Speed
Agile delivery cycle of
creating automated
processes lasting in weeks
Reusable, modular and
configurable object libraries
80%
Which processes are suitable for Robotics?
Rule based Structured Input Digitally triggered
Large volumes Volume spikes
(due to seasonality)
Stable
Highly effective with process that have the following characteristics
High no. of FTE allocated
Also applicable
Processes must have the following characteristics
Primarily rule-based process that has some
human judgement could be a candidate for
assisted robotic process automation
Some human judgement
Robotics Deployed in Healthcare Industry
Membership Services
● Enrollment Processing
● Benefit Coding & Testing
● Agent Licensing
● Premium Billing &
Reconciliation
● Process Optimization
Pharmacy & Intermediaries
● Claims Processing
● Enrollment / Eligibility
● Provider / Payer Enrollment
● EDI Claims Support
● Pharmacy Benefit Coding
Claims & Provider Services
● Front End Processing
● Claims Processing
● Adjustments / COB
Processing
● Provider Data Management
● Credentialing /
Re-credentialing
● Provider Contract
Management
● Network Management
● Fraud and Abuse
Management
● Clinical Review of Claims
● Medical Bill Review
● Pre-Authorization
● ICD-10 Business Services
● Billing
● Accounts Receivable
● Payment Posting &
Reconciliation
● Credit Balance & Refunds
● Teleradiology
Robotics in Healthcare Case Study
NHS Shared Business Services
● Scalable business operation that has grown to support over 300 NHS Trusts
● 96% improvement in staff productivity
● 80% reduction in penalties incurred missing client KPIs
● 30-40% savings in reconciliation processes
● Accurate and consistent month end close completed for all trusts every month
● NHS Shared Business Services (SBS) is able to close 180 sets of accounting books
every month in just four hours
Robotic process automation is a proven technology accepted worldwide and implemented in
the Healthcare Industry to streamline manual, transactional tasks, benefiting internal
personnel and the patients it serves
RPA case study for NHS Scotland – National
Diabetic Retinopathy Screening (DRS) service
Challenges
● NHS Scotland calls over 250,000 patients annually for diabetic retinopathy screening, and this number is
increasing by over 4% each year
● Analysing all of the eye images for these patients and producing the results is an enormous administration task
which has to be completed within tight timeframes, using high quality processes – with no patient details or
results lost in the process
● In 2009, NHS Scotland rolled out a new automated grading system which helped to analyse retinal eye images
for a specific eye pathology associated with retinopathy. Before this system could go live, they needed to
interface the current screening IT system to an automated-grader
● NHS Scotland originally looked at the more traditional IT interfaces to link the 2 systems and decided instead to
try RPA as it enabled them to quickly develop a flexible and scalable solution
Solution
● Process 1 – the robot is required to emulate the role of a human image grader by logging into the IT System,
filtering and sorting a grading task list and then extracting data and images from this list. The extracted
information is then sent via XML to the Auto- filtering and sorting grading task list, data and images are
extracted from this list and then sent via XML to the Auto-grader
● Process 2 – Once the Auto-grader has analysed the images and produced a result, the robot retrieves this and
updates the screening IT system. A number of error checking sub-processes are also run to ensure that the
correct result is matched to the correct patient. To date, NHS Scotland has been able to use 1 robot to
administer both processes.
Benefits
● NHS Scotland has been able to steadily increase the daily throughput. The robot can now process up to 600
patient episodes per day / over a 7 day working week.
● The RPA solution gives them the flexibility to quickly deploy an additional RPA as their patient numbers
increase, to help manage the workload – at minimal cost.
● The system is now more resilient and it has provided the NHS in Scotland with the operational capability and
agility that they require in order to deliver their service
● Because the robot system is managed at the application level, the robot logs in as a user and this gives NHS
Scotland system management specialist’s full application level access control
● The robot is monitored on throughput and output and because it’s operating as a user, it goes through the
same quality process checks as any normal user would. The robot works alongside people on a daily basis
doing the same work
● Automating some of the processes has helped us with throughput and enabled us to avoid processing
backlogs, keep up with peaks in demand and maintain our quality levels. RPA has also enabled us to minimise
increasing programmes costs as our patient numbers rise, as well as reduce risk.
Thanks!
aurorpa.com

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Auro RPA service offering

  • 2. We specialize in scaling up Intelligent Automation (IA) capabilities for enterprises, setting up their Robotic Operating Model, governance model. We offer strategy setting, opportunity assessments, business case definition, end to end delivery and support of the implementations. Why Auro We are a global team and have a lean people training and onboarding methodology that has helped us scale in less than 4 weeks across different Blue Prism skill sets. A key differentiation factor for Auro is its IA consulting offering backed by a proven track record in delivering large scale enterprise IT agile solutions. Specialization Delivery Scale
  • 3. RPA is the innovative use of software to perform repetitive rule-based knowledge work across an organization as a substitute for, or aide to human workers. RPA platform uses the client’s existing user interface and enterprise applications (both in-house and in the cloud) seamlessly, with the software robot logging into the application (similar to how a user would, albeit in a controlled environment). RPA represents a more symbiotic relationship, where the robot tackles the mundane and error-prone tasks that humans often dislike. This frees up workers to manage more complex exceptions and focus time and value-add activities. What is RPA Does not require back-end integration or access to client data through API’s Is non-intrusive and will function within the security controls and restricted access rights No compromise on security, resilience, scalability, compliance or operational governance
  • 4. Benefits of RPA Robotic Process Automation delivers efficiency benefits, along with improvements in quality, scalability and resiliency in a cost-effective manner. Improved Quality Higher customer satisfaction First time right, always Increased compliance Refocus staff on customer service and business development Productivity Gain 20% to 30% reductions in Average Handling Time Operates 24x7x365 with no breaks, vacation and do not depart for jobs with competitors Cost Benefit Reduced processing costs by up to 80% Short Net Payback period ranging 1- 3 months with an ROI of 30% - 200% in the first year Implementation Speed Agile delivery cycle of creating automated processes lasting in weeks Reusable, modular and configurable object libraries 80%
  • 5. Which processes are suitable for Robotics? Rule based Structured Input Digitally triggered Large volumes Volume spikes (due to seasonality) Stable Highly effective with process that have the following characteristics High no. of FTE allocated Also applicable Processes must have the following characteristics Primarily rule-based process that has some human judgement could be a candidate for assisted robotic process automation Some human judgement
  • 6. Robotics Deployed in Healthcare Industry Membership Services ● Enrollment Processing ● Benefit Coding & Testing ● Agent Licensing ● Premium Billing & Reconciliation ● Process Optimization Pharmacy & Intermediaries ● Claims Processing ● Enrollment / Eligibility ● Provider / Payer Enrollment ● EDI Claims Support ● Pharmacy Benefit Coding Claims & Provider Services ● Front End Processing ● Claims Processing ● Adjustments / COB Processing ● Provider Data Management ● Credentialing / Re-credentialing ● Provider Contract Management ● Network Management ● Fraud and Abuse Management ● Clinical Review of Claims ● Medical Bill Review ● Pre-Authorization ● ICD-10 Business Services ● Billing ● Accounts Receivable ● Payment Posting & Reconciliation ● Credit Balance & Refunds ● Teleradiology
  • 7. Robotics in Healthcare Case Study NHS Shared Business Services ● Scalable business operation that has grown to support over 300 NHS Trusts ● 96% improvement in staff productivity ● 80% reduction in penalties incurred missing client KPIs ● 30-40% savings in reconciliation processes ● Accurate and consistent month end close completed for all trusts every month ● NHS Shared Business Services (SBS) is able to close 180 sets of accounting books every month in just four hours Robotic process automation is a proven technology accepted worldwide and implemented in the Healthcare Industry to streamline manual, transactional tasks, benefiting internal personnel and the patients it serves
  • 8. RPA case study for NHS Scotland – National Diabetic Retinopathy Screening (DRS) service
  • 9. Challenges ● NHS Scotland calls over 250,000 patients annually for diabetic retinopathy screening, and this number is increasing by over 4% each year ● Analysing all of the eye images for these patients and producing the results is an enormous administration task which has to be completed within tight timeframes, using high quality processes – with no patient details or results lost in the process ● In 2009, NHS Scotland rolled out a new automated grading system which helped to analyse retinal eye images for a specific eye pathology associated with retinopathy. Before this system could go live, they needed to interface the current screening IT system to an automated-grader ● NHS Scotland originally looked at the more traditional IT interfaces to link the 2 systems and decided instead to try RPA as it enabled them to quickly develop a flexible and scalable solution
  • 10. Solution ● Process 1 – the robot is required to emulate the role of a human image grader by logging into the IT System, filtering and sorting a grading task list and then extracting data and images from this list. The extracted information is then sent via XML to the Auto- filtering and sorting grading task list, data and images are extracted from this list and then sent via XML to the Auto-grader ● Process 2 – Once the Auto-grader has analysed the images and produced a result, the robot retrieves this and updates the screening IT system. A number of error checking sub-processes are also run to ensure that the correct result is matched to the correct patient. To date, NHS Scotland has been able to use 1 robot to administer both processes.
  • 11. Benefits ● NHS Scotland has been able to steadily increase the daily throughput. The robot can now process up to 600 patient episodes per day / over a 7 day working week. ● The RPA solution gives them the flexibility to quickly deploy an additional RPA as their patient numbers increase, to help manage the workload – at minimal cost. ● The system is now more resilient and it has provided the NHS in Scotland with the operational capability and agility that they require in order to deliver their service ● Because the robot system is managed at the application level, the robot logs in as a user and this gives NHS Scotland system management specialist’s full application level access control ● The robot is monitored on throughput and output and because it’s operating as a user, it goes through the same quality process checks as any normal user would. The robot works alongside people on a daily basis doing the same work ● Automating some of the processes has helped us with throughput and enabled us to avoid processing backlogs, keep up with peaks in demand and maintain our quality levels. RPA has also enabled us to minimise increasing programmes costs as our patient numbers rise, as well as reduce risk.