Auxiliobits

Challenge

The client had a web portal for different clinics to login and fill in the encounter minutes and readings of RPM reports of patients along with possible ICD/CPT codes. This was followed by logging into different EMRs (by the client’s staff), search for patients and create encounters with CPT codes and minutes for claims submission. These claims were being tracked manually!

Solution

  • Sync 1000+ ICD/CPT codes on daily basis.
  • Scalable solution and supports multiple EMRs.
  • 100% accuracy in fetching data. Human error was eliminated.
  • Improved process efficiency with minimal manual effort and training time.
  • Claim status tracking helped in revenue being streamlined.

Outcomes

  • 95% reduction in processing time
  • 100% accuracy in claims filing
  • Better and Efficient exception handling

About The Case Study

Download this case study to discover how a client manages web portal for the different clinics to login and fill in encounter minutes and readings of RPM reports of patients with possible ICD/CPT codes. By logging into different EMRs, firstly search the patients , then create encounters with CPT codes and minutes for claims submission.

In this case study you will find valuable information including:

  • Client Profile
  • Key Challenges the client faced
  • Auxiliobits’s RPA solution
  • Automation Process Flowchart 
  • Healthcare Portals
  • Outcomes achieved

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    Auxiliobits Helps Global Healthcare Chain in Claims Filing and Status Tracking

    Problem Introduction

    The client had a web portal for different clinics to login and fill in the encounter minutes and readings of RPM reports of patients along with possible ICD/CPT codes. This was followed by logging into different EMRs (by the client’s staff), search for patients and create encounters with CPT codes and minutes for claims submission. These claims were being tracked manually!

    Key Challenges

    • The volume of readings from the patient monitoring devices was growing at a rapid pace and client needed a scalable solution.
    • Based on the clinics, there were a variety of EMR’s (ECW, Practise Fusion, Health Fusion, Greenway and lot more) that needed to be updated for claims data.
    • Readings, minutes, codes on the web portal and clinic’s EMR needed to be in sync.
    • Track claims status for proper insights into rejections and approvals.

    The Solution

    The automation of these processes resulted in the revenue growth

    • Sync 1000+ ICD/CPT codes on daily basis.
    • Scalable solution and supports multiple EMRs.
    • 100% accuracy in fetching data. Human error was eliminated.
    • Improved process efficiency with minimal manual effort and training time.
    • Claim status tracking helped in revenue being streamlined.

    Automation Process Flowchart

    Healthcare Portals

    Human resources re-deployed on more productive and valueadding work

    Effective tracking of the claim amount

    Activity logs for process, risk and compliance processing

    Auxiliobits is a global RPA integrator and a vendor-agnostic Robotic Process Automation and Artificial Intelligence advisory company that helps enterprises leverage the RPA software powered AI robots to automate their business processes. We help small, medium and large enterprises to analyze, structure and deploy a digital workforce and achieve cost efficiency and almost instant Return on Investment (ROI). An enterprise can get its Full-time Equivalent (FTE) of its full-time employees to be more productive instead of doing their repetitive tasks inefficiently.

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