Revenue Cycle Management Automation is the implementation of RPA to streamline financial processes in healthcare organizations. At Nalashaa, we pride ourselves on providing comprehensive solutions tailored to your unique needs. Our seasoned team of experts combines their deep knowledge of the US Healthcare industry with state-of-the-art RPA technologies to optimize revenue cycle management. From streamlining claim submission and denial management to reducing payment delays and improving cash flow, our services ensure you achieve maximum revenue potential while minimizing manual errors. Experience the power of automation and unlock unparalleled efficiency with our services.

Challenges of RCM processes

Claim denials

15- 20% submitted claims are declined stemming from authorization issues or charge capture leakage.

Complex interfaces

Stand-alone applications which do not interact well, resulting in numerous manual processes, in turn making tech advancements a priority.

Yesteryear technology

79% of RCM areas such as Revenue Integrity, Physician Documentation, EHR Workflow, Reporting, and Coding are technology intensive, but yet not up-to-date.
Resolve these challenges with RCM Automation

How can RPA help?

Unlocking Efficiency, Maximizing Revenue - RPA Empowering Healthcare Revenue Cycle Management

Review and resolution of duplicate entries

Eliminate manual errors

An extension of the existing adjudicating system with minimal infrastructural changes

Creating an error-free collection protocol

Streamline Revenue Cycle Management with Automation

What Can be Automated in Revenue Cycle Management?

Patient Registration

Automate patient registration processes, including data entry and verification, to ensure accurate and efficient information capture.

Claims Generation and Submission

Simplify claims generation and submission with automated workflows, reducing errors and accelerating reimbursement cycles.

Medical Coding

Automate medical coding to improve accuracy, compliance, and efficiency in assigning diagnostic and procedural codes.

Charge Capture

Streamline charge capture processes by automating the identification and recording of billable services, minimizing revenue leakage.

Patient Payment

Automate patient payment workflows, including invoicing, payment processing, and reconciliation, for faster and more secure transactions.

Denial Handling

Efficiently manage denials by automating the identification, tracking, and resolution of claim denials, reducing revenue loss.

Benefits of automating the Healthcare RCM cycle

Several health plans have implemented revenue cycle automation to extend the functionality of existing adjudication platforms, and increased auto-adjudication by over 10% points.

Here is what they have achieved through an RPA BOT:

Integrated EHR solution

Advanced and efficient coding platform

Reduction in claim denial & claim to payment time

Faster transaction processing and anomaly resolution

Start your RCM Automation Journey today!

Before we help you transform your business with revenue cycle management automation, lets get to know your context better. The form below is the first step to that. Once filled, our team will contact you in half an hour to schedule a discussion.

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Frequently Asked Questions

1. How can revenue cycle management automation benefit my healthcare organization?

Implementing this offers several benefits for healthcare organizations. It accelerates claim processing, reduces denials, minimizes billing errors, enhances cash flow, and improves overall revenue collection. Automating repetitive tasks allows your staff to focus on higher-value activities, leading to increased productivity and customer satisfaction.

2. Will RCM automation solutions integrate with our existing systems?

Yes, they are designed to integrate seamlessly with your existing systems, including electronic health record (EHR) systems, practice management software, and billing platforms. This ensures a smooth transition and allows for efficient data exchange between different systems, eliminating the need for manual data entry.

3. Is RCM automation secure and compliant with healthcare regulations?

Absolutely. RPA solutions in RCM prioritize data security and comply with strict healthcare regulations, such as HIPAA (Health Insurance Portability and Accountability Act). These solutions employ robust encryption methods, access controls, and audit trails to safeguard patient information and maintain compliance with privacy regulations.

4. How long does it take to implement automation?  

The implementation time for revenue cycle management automation can vary depending on the complexity of your existing systems and the specific requirements of your organization. Typically, the implementation process involves assessing your current workflows, customizing the solution to fit your needs, and conducting thorough testing before going live. A reputable vendor will work closely with you to ensure a smooth and timely implementation.

5. Can revenue cycle automation be customized to our unique business processes?

Yes, these solutions can be customized to align with your unique business processes. A reputable vendor will understand your specific requirements and tailor the solution accordingly. Customization options may include adapting workflows, configuring rules and validations, and incorporating your organization's branding elements for a personalized user experience.

6. Will revenue cycle automation reduce the need for manual intervention entirely?

While it significantly reduces manual intervention by automating repetitive tasks, it does not eliminate the need for human involvement entirely. Certain exceptions, complex cases, and customer interactions may still require the expertise of your staff. Automation empowers your team by freeing them from mundane tasks and enabling them to focus on critical decision-making and providing exceptional customer service.

7. How can revenue cycle management automation improve revenue cycle performance?

It improves revenue cycle performance by enhancing efficiency, accuracy, and speed. It reduces the time taken to process claims, accelerates payment collections, minimizes billing errors, and optimizes reimbursement rates. By automating the revenue cycle, organizations can achieve faster revenue recognition, improve cash flow, and maximize overall financial performance."