Community health system improves patient collections by $1.5M annually with automation

Improve cash flow by eliminating an increasing backlog of claims requiring appeals and rework, and reduce related costs to collect. We implemented robotic process automation (RPA) in just three weeks to reduce time to appeal for disputed claims, eliminate a disputed claims backlog, and ensure an efficient ongoing workflow.
Community health system improves patient collections by $1.5M annually with automation

Goal: Improve cash flow by eliminating increasing backlog of claims requiring appeals and rework and reduce related costs to collect.

Summary: We implemented robotic process automation (RPA) in just three weeks to reduce time to appeal for disputed claims, eliminate a disputed claims backlog and ensure an efficient ongoing workflow.

How we made it happen:

Integration with client electronic health record system. Our software bot collects data from EPIC to automatically draft and submit Medicare claim redeterminations on low-paid claims on a Medicare site.

Automation reduces errors and rework. Streamlined data collection reduces manual intervention and training requirements, eliminating costs while improving accuracy.

Scalable process ensures smooth operations. The RPA works 16 hours per day without sacrificing speed or accuracy.

Outcomes

The partnership delivered measurable financial, operational, and customer engagement results:

$1.5M

patient collections improved annually

$500K

reduction in cost to collect per year

9 to 3 mins

per transaction processing time reduced

300

claim reconsiderations cleared per week

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