Exploring RPA in Healthcare: Use Cases & Benefits in 2023

Provide an Enhanced Patient Experience with Intelligent Automation

• Rapidly Evolved Patient Requirements
  Patients expect 24/7 assistance for their health checks and diagnosis, which paved the way for automation and AI across the organization.
• AI-infused Healthcare
  To emphasize patient choice, healthcare organizations worldwide utilize AI to create a personalized experience.
• Bridging the Healthcare-Technology Gap
  RPA in healthcare and AI have proven to be the sure-shot solution to bridge the technology and healthcare gap.
• Intelligent Apps
  Apps with ML, and NLP can augment human activity to collect insights that lead to better virtual care, homecare and patient care
• Smart Data Management
  Application of RPA in healthcare leads to better management of electronic health records and share data access to patients, providers, and suppliers.
• Internet of Things (IoT)
  IoT leverages human-machine interaction with wireless trackers that help to perform and monitor real-time healthcare operations.

• Cyber Security
  Healthcare data is susceptible to leak or theft. In the US market, over 13 million healthcare or patient records are being stolen and sold every year. Most of these comprise IT incidents involving humans in the security chain. Hence, data privacy and confidentiality is the greatest concern for any healthcare organization.
• Voluminous Data Processing
  Manually decoding and processing data or using various tools to do so is truly cumbersome and time-consuming. Additionally, storing this patient data siloed in legacy systems and extending its access to the respective healthcare professionals is indeed a complex process.
• Curbing Escalating Costs
  Healthcare providers are under the immense pressure of pulling down the cost of the case while increasing the quality and yet boosting revenues. This is the biggest challenge for this industry as they operate in real-time, which rarely allows them to optimize resources.
• Staff Volatility
  According to a Mercer report, within the next five years, the U.S. faces a projected shortage of more than 3.2 million lower-wage healthcare workers such as medical assistants, home health aides, and nursing assistants. This huge gap will lower the quality of healthcare services in the nation.

• Patient Eligibility & Registration
  Automating patient registration with RPA bots can speed up the entire process of registration right from setting up accounts, verifying histories, processing elements, and managing bills.
• Insurance Eligibility Verification
  Get rid of repetitive data entry of filling patient details from insurance card for eligibility verification and automate data extraction and processing to verify relevant insurance plan information and update the same on the EHR portal.
• Patient Scheduling
  RPA bots can be trained to schedule patient appointments with a predefined workflow based on doctor availability, location, and diagnosis. Also, RPA bot offer multi-channel support assistance.
• Electronic Health Record
  Instead of human managing health records, RPA bots can keep track of records received from multiple resources every hour, and download PDFs and other medical details from a number of documents using OCR. Electronic Health Records(EHR) have the potential to change the landscape of the healthcare industry.
• Admission and Discharge Processes
  Streamline admission & discharge process using RPA bot for collecting data, identifying missing test, flag high priority discharge cases, send reminders, create appointment alerts, and sending follow up reminders.
• Employee Onboarding- Offboarding
  Accelerate employee experience using RPA bot for recruitment, hiring process, post joining instruction, data verification, and asset maintenance and easily updating employee and learning management system
• Test Report Management
  Make the test request and report process a lot easier for patient by automating report generation and updating the test reports in EHR and CRM system for easy access
• IT Service Ticket Automation
  Route and resolve service ticket related to data access, test reports, claims and others using RPA and AI in conjunction and offer self-service assistance to customers. Leveraging RPA solutions can create faster resolution, and offer seamless healthcare experience.
• Healthcare Revenue Cycle
  RPA and AI can make data processing all across the organization seamless for eligibility verification, claims initiation, medical coding, claims reconciliation and dispute management. Thus, help in easy management of healthcare revenue and end-to-end workflow
• Caregiver Electronic Visit Verification
  RPA can automate this process by ensuring accurate tracking of in-home patient care visits, and collecting data from virtual devices and the information of service offered.
• Physician Credential Verification
  Automation and RPA tools free up the human force of verifying medical professional’s certifications, documents, personal documents, personal history by verifying the information from public source autonomously.
• Audit Report Management
  Implement RPA to make the audit management process much easier and more convenient by offering real-time dashboard analytics, create a predefined design for audit questions with drag & drop, and capture data with a multichannel approach
• Asset Management
  RPA bots can be easily enrolled in recording newly enrolled devices, allocation/de-allocation of assets, asset return management, and email or alert generation at the time of upgrade or damaged assets, and others.
• Data Analytics
  RPA and AI can integrate data collected across organisation and offer insights in real time for better diagnosis, patient treatment and for further care plan.
• Claims Processing
  Automation and RPA tools help in claim management by autonomously populating insurance fields, applying relevant regular fields, preparing claims documents, and storing data in centralised systems.
• Healthcare Insurance Document Automation
  Utilizing RPA in Healthcare insurance document automation, streamlines insurance-related paperwork by using technology to extract, validate, generate, and process documents. It improves efficiency, reduces errors, and ensures compliance in healthcare insurance operations.

• What is RPA in Healthcare?
  RPA in healthcare includes the use of software robots to mimic the time consuming and repetitive healthcare process like medical record management, patient scheduling, claims processing, employee onboarding and many other. By taking over the manual process, RPA bots give ample time to employees to focus on decision making process.
• How much does Robotic Process Automation cost?
  RPA implementation cost in an organisation very from vendor to vendor. Following factors like complexity of bot, time and effort required for business process analysis, cost of all APIs and apps, and coding required for RPA implementation affect the pricing structure.
• How can we apply RPA in the healthcare industry?
  Healthcare organisations include multiple healthcare process that requires manual effort ranging from data access to processing claims. Also, high volume medical record management and effectively handling healthcare life cycle requires constant focus of employees, Here, RPA in healthcare can be leveraged to automate manual process like data sharing, revenue cycle, and patient scheduling so that healthcare professionals can offer value based care.
• What are the Examples of RPA in healthcare?
  Some examples of RPA in healthcare includes, Electronic Health Record Management, Patient Scheduling, Claims processing, Revenue Cycle, Asset management, Admission & Discharge process and more.

Other Articles in the Series

• Why Should Healthcare Providers Choose Automated Patient Scheduling?
• Why Use Automation in Admission and Discharge Process in Healthcare?
• How Does Automated Patient Referral Process Work?
• Automating Testing Requests and Report Management in Healthcare
• Transform Patient and CareGiver Experience with Electronic Visit Verification Automation (EVV)
• Improving Electronic Health Record Management with Automation
• Role of Automation in Patient Insurance Eligibility Verification Process
• Simplifying Healthcare Insurance Claims Processing with RPA
• What is Medicare Payment Process Automation in Healthcare?
• Accelerating Revenue Cycle Management with AI-Powered Automation