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Benefits of using RPA to automate your EHR.pdf
1.
2. INTRODUCTION
The Healthcare industry is performing records management, patient data, billing services, and other
sensitive (PHI) data using EHRs. Nowadays EHRs are sophisticated and have thousands of options and
navigation methods to perform a singular function. Most of the medical staff have not even explored
one EHR in its entirety creating loopholes in your hospitals or health system operations. Benefits of
utilizing robotic process automation (RPA) to automate your EHR and perform tasks that require more
manual work hours, faster navigation, and reduced errors, by automating your EHR using RPA enables
you to create self-sustainable automatic benefits of using RPA to automate your EHR.
Robotic process automation (RPA) can be used to automate your EHR to perform both front and
back-end operations of your hospital. Let us explore what RPA can benefit your hospital by
automating these operations for your EHR:
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3. Front-end operations include the aspects of the hospital office where they deal with gathering and
recording patient information before starting the journey of obtaining reimbursement. The major
front-end processes that RPA can automate in your EHR are patient scheduling/registration,
eligibility and benefits verification, medical records management, and prior authorization.
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The benefits of using RPA to automate your EHR for patient scheduling/registration is reducing
patient experience like long hold times and other data-oriented errors like incorrect data capture,
failing to collect insurance ID, etc. Using the RPA bot’s natural language processing (NLP) is much
simpler as the bots will obtain patient data faster with more accuracy and guide the patient
throughout the registration Or scheduling processes.
Front-end operations
Patient scheduling/registration
4. Patient eligibility and benefits
verification
The best benefits that you can get with
automating EHR with RPA are fast and precise
benefits including limitations, patient liability,
covered services, etc. RPA bots are able to
navigate between payer portals or EHR inbuilt
options faster than your staff and record the
information in your EHR with crystal clear
accuracy.
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5. Medical Records Management
Physicians usually use superbills or face sheets where diagnosis and procedure codes are mentioned,
then that data is submitted to the medical records department where most of the documentation
process happens. The benefit of using robotic process automation (RPA) to automate your EHR is
not only quality record documentation using pre-set ICD10, and state and federal guidelines in their
programming but also abiding by the compliance requirements preventing any leakage of PHI
using machine learning (ML) features.
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Medical Records Management
Medical Records Management
Prior authorization
Prior authorization is the most time-consuming and lengthy process in healthcare. It requires
navigating through various web portals and back to the EHR. RPA benefits of automating in your
EHR would give you the supreme advantage of faster prior authorization approval using OCR
engines in the RPA bots.
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Claim entry processes
The benefit of automating your EHR with RPA in claim
entry processes can save you more time and money
because of entry processes such as demographics and
charge entry. Errors widely found in these processes are
the direct reason for not getting paid from the insurance
due to bad clean clam rates and cleaning house
rejections. RPA bots can easily access your EHR and
acknowledge clearinghouse edits and make sure the
clean claim rate is 100%. RPA bots can also access
insurance portals for claim submission as well allowing
your staff to only monitor the work done by the bots.
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Since ICD10 was implemented the code categories
have increased ten thousandfold. Even the top
certified coding specialists may make many errors
as they need to cross-verify patient history, coding
terminology/description, modifiers, etc. The benefits
of using robotic process automation (RPA)
automation for your EHR coding can result in AAPC
standard quality and eliminate any coding mistakes.
The codes are directly captured from the medical
records by the RPA bots and entered into your
coding fields in the EHR under the patient
encounter with their inbuilt ICD10 verification using
NLP engines.
Coding
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EHR’s most effective way of payment
reconciliation is ERA 835 data. However, there
are various other insurance companies that pay
using paper checks, virtual credit card
documents, and convey non-payment
letters/correspondence through the mail. The
benefit of automating this process through RPA
in your EHR will create accountability for each
and every document and payment. OCR
engines make sure that each payment is being
documented and accounted for in the
respective patient account/encounter.
Payment Reconciliation
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As discussed in the above benefit non-payment
documents are mostly conveyed through paper
documents mailed to hospitals and denials
mentioned in ERAs require analysis before
performing the next correct action to get paid for
those claims. The most beneficial one can obtain by
using RPA in their EHR for this process is complete
beforehand analysis before the next action. RPA bots
will categorize, analyze and perform the next action
including appealing where the appeal paperwork is
automatically done by the bots themselves leaving
your staff to monitor and obtain the end results of the
reimbursement.
Denial/appeal management
10. Analytics and reporting
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The chief benefit of using robotic process automation (RPA) to
automate your EHR is analytics and reporting. Even though EHR
applications have inbuilt analytics it is only for certain aspects and
not entirely of the hospital RCM and other processes. RPA bots logs,
record and maintains data that can be programmed to provide
customized reports for external and internal audits, compliance
audits, and audits from IRS. Allowing your staff to maintain a
smooth operation while hospitals not implementing RPA in their
EHRs struggle at the last moment.
11. Analytics and reporting
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Benefits of using RPA to automate your EHR have endless potential.
As a matter of fact that you can get ROI quickly by investing in such a
technology, it is also useful for hospitals and group practices that have
multiple specialties, departments, and governing bodies.
BillingParadise has created such RPA technology that can automate
your EHRs along with other applications like payer portals,
clearinghouse, PDF documents, hospital patient inquiry assistance,
etc. Most of these hospitals and clinical groups have complex
operating methods and the RPA bots are adaptable to them learning
from the ever-changing processes. What is your EHR? Can it benefit
from automating with RPA? Ask these questions to our certified RPA
experts! Schedule a free consultation now!