Data Verification with Robotic Process Automation (RPA) and Machine Learning
Healthcare claims and other billing documents contain a substantial amount of patient, provider and payor information that can originate from different HIT applications — which then leave room for error. Common issues include duplicate entries, incorrect coding and misspellings. Other errors include incorrect spacing, transposed letters and numbers, or incomplete data. Any inaccuracies in the processing of remittance for payment posting can result in delays, denials and lost revenue.
ReMedics data verification services (aka “data cleansing” or “data scrubbing”) helps to eliminate most of these errors, ultimately lessening the number of rejections or denials that require correction and/or re-submission. With the help of advanced technologies, such as Robotic Process Automation (RPA), we can to identify these errors, normalize the data, apply corrections, and prevent them from occurring again. These “machine learning” capabilities provide for a more accurate and streamlined process to manage revenue. We also match data against corresponding claim feeds (ANSI 837 files) and provide reconciliation to updated check & batch data contained within the ANSI 835 transactions.
Robotic Process Automation (RPA) Features & Benefits
Provided by our technology partner, RCMS LLC, RPA allows for automated decisions to be made based on a series of pre-determined programming rules that learn and improve over time. Below are some a the many benefits that ReMedics provides to our clients in using this form of Artificial Intelligence (AI) technology.
- Improved accuracy over redundant manual data entry
- Repetitive tasks become automated in conjunction with AI and machine learning
- Allows staff to be more productive and focus on customer service, billing & collections
- Can move data across different Practice Management (PM) Systems and billing applications
- Connects disparate systems where APIs don’t exist
- Adjusts and scales with the addition of new business units and PM Systems
Outsourcing a portion of your back-office functions, with data cleansing services, allows for reduced administrative costs that would otherwise be used to correct and resubmit claims. Contact ReMedics to learn how we can improve and streamline your business office.