Traditionally, Accounts Receivables (A/R) work was a manual process leveraging callers attempting to track down owed monies. But our clients want to receive cash faster, reduce losses, identify and correct issues that delay payments, and move to a more prescriptive denials management process.
Healthcare is undergoing significant change. The shift from fee-for-service (FFS) to value-based healthcare payment models demands out-of-the-box thinking to meet new challenges. Leading organizations are beginning to leverage technology by shifting resources from back office support to patient-facing positions.
Assessing an Outsourcing Option for Robotic Process Automation: Bots, the end-product of Robotic Process Automation (RPA), are currently all the rage in health care. Working without breaks nor needing shift changes, and without requiring sick, personal, or vacation days, bots streamline manual repetitive processes across multiple user interfaces.
An academic hospital system from the East Coast was struggling with their oncology, infusion and interventional radiology (IR) medical coding management. Their incumbent coding vendor had been delivering poor quality and was failing to manage case volume. The group that had acquired the hospital system placed a high emphasis on running lean and efficient operations.
Although health plans annually perform both Risk Adjustment reviews and HEDIS quality abstractions, there is significant duplication of efforts when obtaining the charts needed for both programs because there is often little communication between them. Imagine the frustration at a provider’s office while they fax the same records to the same health plan, but to two different fax numbers.
As business continues to evolve and as mergers and acquisitions increase, the need to rethink operational workflow has never been more apparent. As a labor-intensive industry that is experiencing change almost daily, the healthcare industry is at the forefront of this new frontier.
It’s probably easy to believe that with the technological advances available today, consistent, quality customer service is no longer important to businesses. Everything is automated and it sometimes appears computers and robots can do most any job cheaper, faster and better.
The story of Vee Healthtek and its ability to grow as a Business Process Management solution is reminiscent of the David and Goliath story of Compaq Computers taking on IBM in the 1980’s.
The economics of health care is complex and highly regulated. Health systems, hospitals, physician practices, ACOs and providers of all types find it harder and harder to stay out of the red. Efficiencies must be gained, and healthcare business executives looking to alternative delivery models and cost cutting measures where possible.
