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
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).
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
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.
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
- 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.
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
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
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.
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