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Change is in the Air: How to Leverage RPA in the Healthcare Industry to Drive Greater Efficiencies & Improve Patient Care

The healthcare industry, especially traditional care providers, are experiencing one of the most disruptive periods in memory. Profitability and revenues are down for many health systems. Giants of other industries (Amazon, Berkshire, Chase) are deciding that they will fix the problems in the system that no one else has seemed to be able to. Traditional forms of treatment are being disrupted by the availability of online care service and the increasing use of healthcare as a commodity in retail settings and other non-traditional care delivery locations.

As with any other business, the healthcare industry finds itself in the constant pursuit of providing more to their constituency while needing to drive down operating costs. Historically, care providers have shown a reticence to invest in technologies that were either not related to treatment and diagnostics or required by payors (electronic claims submission and electronic medical records).

However, many in healthcare are beginning to recognize a greater need to utilize technologies and approaches that have taken over the way other industries do their work. As their patients become more digitally savvy, care providers are increasingly implementing technology solutions that allow for everything from access to a patient’s personal medical information to online scheduling. They are also beginning to look at the technologies that can make their front-, middle-, and back office operations more efficient. Robotic Process Automation (RPA) is becoming a critical component of healthcare’s strategy to meet the challenges of improving operating efficiency, while staying focused on delivery of care.

Back Office Use Cases leveraging RPA

The earliest use cases for RPA in healthcare have come in the back office, where rules-heavy processes in human resources, finance and supply chain are prime candidates for additional automation.

  • Streamline the onboarding process to improve efficiency and accuracy by ensuring that new clinical staff can begin their work on day one without delays in access to systems and facilities.
  • Keep clinicians caring for patients without interruption and risk to facility accreditation by providing quick and complete access to licensure, certification and continuing education information.

Middle Office Use Cases Leveraging RPA

In the middle-office, revenue cycle management (RCM) continues to be a growing area of interest. The entire spectrum of RCM can constitute as many as twenty different distinct activities from patient scheduling to claim submission and reconciliation.

  • Expedite revenue cycle processing by automating parts of the coverage eligibility verification process, claims posting, and claim resubmission.
  • Organizations are considering how RPA can be used in charge capture, coding updates, and insurance data management.

Front Office Opportunities to Leverage RPA

The front-office, or care delivery setting, is still a relatively untapped area of opportunity with significant potential for RPA application.

  • Integration of disparate care management systems, enhancing the case management process or any variety of activities with the goal of assuring that clinicians spend more of their time caring for patients and minimizing administrative work.

The work done in our communities by healthcare organizations is critical and fundamental to our society as a whole. And the disruption that is both underway, and yet to come, to traditional care provision and health system operating models will only continue to evolve to meet the demands of a changing landscape. That’s why their continued investment in technologies like RPA will be vital for their adaption in this dynamic, and growingly more digital, world.

Ready to Learn More? Register Now! Webinar: Automation and Evolution of Healthcare

Learn more about the current and future potential to leverage RPA across the Healthcare industry, including real-world experience and examples as co-presented by leaders from Blue Prism, Symphony Ventures and Dignity Health.

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About A.J. Hanna

A.J. Hanna, Vice President, Client Advocacy at Symphony Ventures, is a pioneer in the Intelligent Automation and RPA industry. In his current role, he offers enterprises practical advice for developing successful digital transformation programs. A.J. has nearly 30 years’ healthcare experience with past roles in operations, insurance claims processing and provider outreach programs working with Ascension Health, Anthem Insurance and others.