The RPA scenes in the healthcare industry can range from auto-generating replies to supporting single-click installation of any complex software system.
By leveraging the best automation techniques, users can now skillfully leverage user-friendly healthcare software solutions. This enables the users to get access to a wide range of healthcare services. Therefore, it is essential to find the right healthcare software development services who can develop amazing healthcare software.
Below is a rundown of the most important RPA applications or use cases in the entire healthcare setup.
1. Claims Processing
Healthcare automation and digitalization have made the processing of health insurance claims easier and error-free. Surprisingly, it only takes 85 seconds for the healthcare workers to check the status of a patient’s health insurance claim. Care1st Health Plan Arizona is one such use case that has reduced the time required to process one claim from 20 seconds to just 3 seconds.
Another example of utilization of RPA healthcare comes from Avera Health. The organization implemented RPA bots to check the users’ account status and notify other Avera managers about incomplete or pending claims. By doing so, they were able to save $2,60,000 in employee costs. As per Mckinsey, RPA in medical claim processing promises a reduction of 30% of claim processing cost.
2. Appointment Scheduling
Before the pandemic struck, almost 88% of appointments were manually booked, thus extending the gap between the actual visit and the initial referral by up to 2 months. As per the US healthcare providers, missed appointments cost them an astounding amount of $150 billion annually.
By implementing RPA medical bots into the patient engagement and appointment scheduling software, hospitals have now eliminated the manual data entry process and improvised the patient no-show rates.
3. Payment Processing
RPA is a kind of business process automation in the healthcare sector that streamlines all the processes by eliminating human intervention. The RPA solution in healthcare billing typically works with medical coding system and claims management. To receive reimbursement from the insurance companies, the healthcare service providers need to find various data, including the disease and drug codes and entries from the patient’s entire medical history.
In addition to automating the healthcare processes like data entry and aggregation, the RPA medical tools offer complete pricing transparency to the patients. For instance, Baylor Scott & White Health (BSWH), a healthcare institute that currently serves 52 hospitals across the US, has recently introduced a claim evaluation mechanism that is driven by Artificial Intelligence and RPA.
With intelligent RPA bots, the hospital now manages to supply 70% of estimates without any human intervention.
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