Healthcare decision-makers guide for implementing Robotic process automation (RPA) in healthcare revenue management (RCM).

1. RPA
implementation
guide for
healthcare RCM
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2. Introduction
Healthcare decision-making leaders
like CEOs, CTOs, CFOs, and RCM
directors are likely to have an idea
about what robotic process
automation is, the main concern
they are worried about are
questions they have about the
successful implementation of RPA
in revenue cycle management.
There are certain challenges every
hospital or health system faces
during the implementation of RPA,
these challenges can be addressed
before implementation for
successful utilization of RPA bots.
Robotic process automation is transforming the way healthcare organizations
perform their revenue cycle management (RCM) to automate simple repetitive
tasks, tasks that need higher accuracy rates by referring to multiple sources,
guidelines, and regulation documents while improving production, quality, and
the end result saving cost. Here are four main implementation reasons why
RPA can be successful for your organization:
Why implement RPA?
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3. Increased efficiency and productivity – RPA bots do not take breaks or vacations. It performs x5 times
faster than your human staff FTE.
Reduced human errors – RPA bots significantly reduce human errors. Reduced
errors mean reduced re-work tasks and time-saving.
Scalability and Flexibility – RPA workforce are scalable from large to small
depending upon operational needs. RPA bots can be programmed and added
to your operations any time of the year as they need not go through human
resources hiring formalities.
Cost reduction – Increased overall cost saving total cost savings by 50-75%.
RPA bots only cost 20% of human staff (full-time employee) expenses.
Questions that guide you to an appropriate RPA
implementation in RCM
There is no concept of a one-size-fits-all methodology for RPA. Every hospital and health system ought to
think about their unique requirements, existing applications, data, workflows, and RCM processes and
embrace change.
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4. As you think about RPA Implementation, pose these questions to recognize potential open doors that are ideal for incorporating
robotic process automation technology:
Could the RPA process at any point be broken into a set of if/then decisions and RCM operating rules?
Does the cycle require human mediation, as decisive reasoning, to finish?
Is the information present accurate and available to RPA bots?
How much manual workforce time is expected in the ongoing RCM process that could be dispensed with or redeployed
through RPA?
What is the effect from the patients’ point of view? Might it at any point increase or decline patient service fulfillment?
Could the RPA process at any point incorporate an inherent monitoring framework to assist with relieving risk in the
event that a process fails or is delayed? What is the risk factor to the entire hospital or health system if the step fails?
In the event that RPA is a convenient choice, does it give a total solution for automation or are complementary
applications expected as a component of the robotic process automation?
How could the RPA bots be scaled and implemented across the entire hospital or health system to achieve greater
value?
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5. It is a well-known fact that RPA performs well, reduces costs, and increases productivity and quality. But, there are
certain areas you would like to identify for a better implementation of robotic process automation in RCM. Here are the
important guiding points essential for the implementation of RPA in RCM:
Guiding points for RPA implementation in RCM
Understanding the current workflow of RCM
Implementation of RPA needs a thorough analysis of your current RCM processes and workflows in order to. Identify
the problem areas where implementation of RPA will be more effective.
Strategies for feasibility
Usage of both RPA and RCM subject matter experts. They will provide valuable insights in regards to the technical and
practical aspects of implementing RPA in RCM. This allows you to identify the feasible and most cost-effective way where
you can achieve ROI worth utilizing the RPA technology.
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6. The next part is adjusting your current RCM processes. Your organization may have staff working on processes that
need no additional resources after the implementation of RPA. Adjusting your resources according to the changed RCM
processes enables effective human and robot resource utilization.
Adjustment of RCM processes
Obtaining clientele use cases
RPA programmers will have use cases from their previous clients which are true success stories that you can rely upon
when choosing the right RPA vendor. This information is very valuable for determining the capabilities of your RPA
technology providers.
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7. Healthcare organizations like hospitals and health systems with median working margins of 1.6%
should really oversee both income and expenditure factors.
The two greatest expenses for hospitals and health systems are RCM and human resources,
estimated roughly at 60% of the entire operating expenditure.
Indeed, even with the top of the line healthcare RCM tools and EMRs, most hospitals and health
systems still deploy human staff to work across low-value impact tasks and processes (tedious,
repetitive, labor-intensive tasks like manual entry processes)
The major issue is that it prompts higher staffing costs, fewer efficiencies, decreased productivity
and reduced resource capability.
RPA implementation challenges for healthcare organizations in RCM
Solutions to elevate manual labor challenges using RPA
In order to triumph over the stress to improve, healthcare organizations should change their RCM
workflow by incorporating an automated workforce and embracing RPA.
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8. 1
2
More hospitals and healthcare organizations are deciding to implement robotic process automation and
realized the efficiency of using a digitized workforce, utilizing RPA answers for change in front, center,
and back-office operations, empowering their human workforce to concentrate on more value-added and
crucial tasks which only a human can perform. While the essential and quick benefit of utilizing RPA is
cost reduction, it also has a few different advantages that include but is not restricted to:
24/7 365 days round the clock operations
Higher accuracy rates
Increased quality
Less human intervention
Quicker work delivery and turnaround time
Scalability
Flexibility
Reduced compliance risks
Allos human workforce to concentrate on much more complex tasks.
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9. Conclusion
Understanding your RCM process, revenue, current
platforms (EHRs) usage, and a number of human staff all
play an important role in implementing RPA in revenue cycle
management.
These are the factors that determine the useful
implementation of RPA. Unlike other technology, RPA is
tailored to suit your hospital or health system’s current RCM
operations, so reasoning questions and a thorough analysis
of your RCM processes are a must and also a great guide to
starting setting up RPA for the best.
Learn more and raise much more complex questions to our
RPA experts! We are ready for the challenge!
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10. CONTACT US
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Service
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EMAIL ADDRESS
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