Optimize Health Care Revenue Cycle Operations with Robotic Process Automation (RPA)
Robotic Process Automation (RPA) has proven to be an important technology for the automation of manual processes. Hospitals are implementing RPA to respond to the challenging environment that currently exists in health care. This advanced technology helps hospitals to streamline operations, reduce the time to complete tasks, improve financial performance, and lower labor costs. It is easily used for common tasks that can be replicated, like queries, cutting and pasting, etc.; however can also be trained to automate more complex task including denials management, authorization management, claim edit resolution, and other processes.
How does it work? It uses custom programmed processes (robots) that have access to applications and data sources, including end-user health information systems, data input screens, and online application programming interfaces. These robots act as a revenue cycle representative who would normally complete these tasks. While other solutions require you to log into their system, Robotic Process Automation bots log into your systems.
Since RPA leverages artificial intelligence, the virtualization technology can be easily scaled and deployed across hospitals and various geographic locations.
The benefits are significant. When RPA is successfully implemented, it can result in:
- Gather information from websites and other applications to integrate information directly into the HIS and submit pre-authorizations
- Clean up eligibility mistakes including Government Managed Care eligibility
- Respond to payor denials by generating online appeals automatically
- Automate steps within manual processes to speed up human staff and improve productivity
- Reduce manual data entry
- Improved efficiency allows for data sharing between third-party processes and tools
- Automate simple billing edit resolution
Organizations that have implemented have reduced costs by 30-70% depending on processes deployed. According to Becker’s Hospital CFO Report, some organizations have increased their team capacity from 35 to 200%, so they can focus on higher priority, problem-solving tasks.
- Understand the benefits of implementing RPA
- Assess whether to build or buy your own RPA platform
- Identify efficiencies from RPA
- Understand how workflow tools and performance analytics can improve the experience with RPA
Andrew Woughter, Senior Vice President of Product Strategy
- What is Robotic Process Automation?
- How has it evolved from basic screen scraping or keystroke emulation?
- How can it be applied to Revenue Cycle Management with several specific use cases where we have already applied RPA?
- Discovering your opportunities for automation.
- Approaches to developing an RPA strategy including build it (DIY) or work with a partner.
- Risks and areas to be aware of before deploying RPA.
- Cost saving examples of deployed RPA
- Artificial Intelligence and its impact on the scope of what RPA can do now and in the future.
Michael Borge, Sr. Director Of Revenue Cycle
- Understanding that beliefs drive our decisions
- Understand the Intent Based Leadership model of David Marquet
- Explore the possibilities of a remote workforce
- Discuss the process of moving a team to work from home
Jackie Chalarca, Director of Revenue Integrity
Moffitt Cancer Center
- Identifying the opportunity – What process can be automated?
- Reviewing and documenting the existing “manual” process
- Quality controls
- Reporting and analytics
- Key performance indicators (KPI)
- Creating the plan to automate the process
- parameters and business rules
- Measurement of success - What % of the manual process can be automated?
- Testing and validation prior to go live
- Selecting the Go live date
- Reporting and Analytics post go live
- KPI – Measure improvement
- Business Impact
- Cost savings
- Revenue optimization
- Value of gained efficiencies: financial, process, culture
Who Should Attend:
- VP, CFO, CEO of Hospitals and Health Systems
Andrew Woughter is the Senior Vice President of Product Strategy at nThrive where he focuses on innovation. He led the introduction and development of Robotic Process Automation as a capability at nThrive. He is a proven revenue cycle executive with 19+ years of experience in healthcare organizations and governmental regulation of health insurance. He has led revenue cycle teams for a broad variety of provider types, and has significant experience working with software and services vendors to improve revenue cycle processes and solutions. He has demonstrated success through strategic vision and innovation and development of custom tools to enhance revenue cycle solutions.
Andrew is a graduate of Bethel University in St. Paul, MN, and lives in Texas with his wife and two sons, ages 4 and 7. He loves taking the family to Disney and seeing the magic on his kids faces.
Andrew Woughter is the Senior Vice President of Product Strategy at nThrive where he focuses on innovation. He led the …
Michael Borge is the Sr. Director of Ambulatory Revenue Cycle/Patient Access for the Banner Medical Groups and University Medical Groups. United States Marine, National Guard Soldier, Certified Cognitive Self-Change instructor with the Oregon Department of Corrections, Artesian Bread Baker, and Pizzaiolo. Current Graduate Student at ASU.
Michael Borge is the Sr. Director of Ambulatory Revenue Cycle/Patient Access for the Banner Medical Groups and University Medical Groups. …
An accomplished professional with 20+ years of healthcare experience in financial analysis, planning, financial modeling and statistical analysis. Excel expert at generating financial reports using various database systems. Expert at data mining and data analytics. Expert knowledge of various healthcare payment methodologies, insurance contracts, cash flow analysis, capital evaluations, budgets and forecasts, operations, strategic market research, product line analysis and cost accounting.
An accomplished professional with 20+ years of healthcare experience in financial analysis, planning, financial modeling and statistical analysis. Excel expert …
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Method Of Presentation:
General knowledge of revenue cycle
NY Category of CLE Credit:
Areas of Professional Practice
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From Patient-to-PaymentSM, nThrive provides all the technology, advisory expertise, services, analytics and education programs health care organizations need to thrive in the communities they serve. nThrive integrates knowledge and expertise of the entire revenue cycle in a way that provides unmatched benefits for health care. nThrive is accountable to health care organizations, not payor or provider owners, ensuring unbiased and focused health solutions that best meet their needs. nThrive empowers health care for every one in every community by transforming financial and operational performance, enabling health care organizations to thrive.
About Moffitt Cancer Center
Moffitt Cancer Center is dedicated to patient care, research and education to advance fight against cancer. As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs more than 6,100, including some of the best and brightest minds from around the world.