Consider the data and knowledge that Healthcare entities obtain and process regularly. It includes data from various internal and external sources, including laboratory information systems, third-party databases, radiology information systems, clinical applications, insurance databases, scheduling applications, HR applications, and ERPs.
It is also a tedious and complicated task to manage the flow of information through all those networks. Unfortunately, for this labor-intensive mission, most Healthcare organizations rely on Human Intelligence, which increases resource usage and decreases productivity. It is where he sees Robotic Process Automation in Healthcare.
Robotic process automation, or RPA, can virtually automate any routine, manual task that is vital to Healthcare’s functioning and processing. It can promote a new workforce by encouraging smart tools that collect relevant information from various sources, partner networks, EHRs, finance systems, payer portal systems, and accounting systems.
RPA can help the healthcare industry cut costs, reduce error incidence, and increase operational performance. In this article, we will address the reach, use cases, and advantages of Healthcare’s smart automation.
Scope of RPA in Healthcare
Studies report that the healthcare industry spends an estimated $2.1 billion annually on poorly conducted and error-prone manual activities related to data processing by providers alone! Likewise, insurance firms spend $6 million and $24 million per annum anywhere to rectify bad data quality from providers.
The processes that can benefit from RPA in the Healthcare domain are incredibly inefficient, so much so that it has begun to affect every part of the industry. From PDM processes and charges, through customer service and billing. — the manual process has an inefficient operation, errors, and inaccurate transfer of data.
While we can predict the financial losses that arise due to operational inefficiencies when considering the inefficiency caused when these processes are not automated, it is difficult to determine the exact costs. That means the actual value can be much greater than our expectations.
Many research studies have revealed that RPA will automate over 50 percent of the interactions in the following decade. It also ensures that Healthcare and other companies that don’t keep up with changes in the market will inevitably face financial decline. Their customer satisfaction will be diminished, consumer service will be diminished and competitive advantage lost.
Ineffective healthcare programmers also rely on inefficient and ineffective manual activities and processes. RPA or automation of the robotic processes may minimize inefficient processes and tasks by automating complex judgment-based behavior. Furthermore, RPA can deliver smooth execution of front office tasks like:
- Billing and enrollment
- Claims management
- Finance and revenue functions
- Managing data
- Administrative actions
Using Robot Process Automation Use Cases in Health care
Healthcare facilities around the globe conduct various activities such as insurance processing, billing, patient onboarding, report preparation, data management, and drug administration. Unfortunately, all these operations are performed manually, using off-the-shelf tools. This technique is highly time-consuming, repetitive, and vulnerable to error.
Healthcare laws, rules, and protocols also keep changing daily, meaning the system frequently has to adjust and adapt to requirements. However, if healthcare providers fail to do this, the result is typically horrible, often seen as a punishment for enforcement compliance penalties and fines.
RPA in Healthcare or Automation in Healthcare can boost workflows by automating tasks and processes based on guidelines, according to the Institute for Robotic Process Automation (IRPA). The bots used for automation can offer capabilities for storage, data manipulation, process transactions, and device calibration. Overall, healthcare automation can enhance performance and reduce system failures caused by poor functioning and manual operation.
The following is a list of applications where RPA will help a healthcare organization improve operational efficiency and reduce human error possibilities.
1. Appointment Scheduling
Online scheduling of health appointments online is not uncommon for patients, and manually handling it is often not rare for health care providers. Think of all the hard work the supplier has to put in. All are labor-intensive, from gathering confidential patient information to medical specifics and insurance policy numbers.
Also, these appointments are arranged and handled according to the doctor’s availability, and the patient is yet another Hercules activity altogether.
For example, if a patient makes an appointment, hospital personnel must ensure that the physician involved has adequate time to meet the patient’s needs.
The patient will get a notification in advance from the service provider at the time of appointment if the doctor gets engaged with another critical case.
Here the argument is that arranging and handling patient appointments is no cake-walk. It takes a great deal of work from the hospital staff and the back-end team that manages the online booking system.
In healthcare, automation will remove these issues. First, you can begin by automating the patient’s data collection. Use these data and the corresponding doctor’s schedule; the RPA bots will deliver the patient appointment schedules. If the rendezvous has been booked, the bot will record the schedule in the database and delete it that appointment slot. All this done automatically.
If the doctor is busy with something else, the doctor’s schedule needs only to be changed by the staff. The bot would naturally kiss one or more of the same patients, thereby preventing any molestation for the patient.
Read also: How to Build the Best Enterprise Chatbot
2. Account Settings
In an ordinary day, if a healthcare facility receives X number of patients, all of these patients’ bills are supposed to be paid by the hospital employees. It may include consultation with the doctor, examination results, cost of the wardroom, and some other costs borne by the various patients.
If we define X as two, then compiling this information can still be trouble-free. But if X is a significant number, the financials can’t be balanced without making mistakes. These disrupt the operation of different operations until errors find their way through the system.
Here healthcare automation will automate the billing process. Once the structure is configured in the bot, automatic bills will be created in line with the services provided to the customers. The accuracy can increase and significantly decreases human errors. Also, because the system has fewer mistakes, health care providers may be able to eliminate payment delays and financial loopholes.
3. Claims Management
Nearly 91.2 % or 294.6 million Americans are projected to have health insurance coverage or programs. The claims management of this program becomes a Healthcare Provider’s obligation, which involves procedures such as data entry, collection, assessment, and appeal handling. If done manually or using a generic script, the entire process always proves to be highly inefficient and prone to error. Moreover, due to non-compliance with laws, more than 30-40 percent of health insurance requests will be rejected.
It’s not as easy as it sounds to collect the data, store it in the system, and process it without errors. It is challenging to eliminate errors with existing systems or conventional management workflows and or to retain compliance regulations. That is why adequate technical support is needed to ensure better error-free execution and compliance management.
Smart automation can reduce errors here and speed up the operation. The bots can automatically fill fields for insurance claims and apply the applicable regulatory laws on the same. If the claim document has been completed, it is possible to begin claim filing since the preparation of an error-free document makes it easier for the healthcare provider to speed up the claims management.
4. Instructions for Discharging
Typically, they are required to follow post-medication and health care procedures once a patient is released from the hospital following treatment. Sometimes, the patient may not be responsible for taking the post-hospitalization drug.
With RPA in Healthcare, the bots can provide the exact instructions for discharge and post medication. The bots can also be configured to send a notification to alert the patient about schedule, appointments, and tests at the right time. Additionally, patients may contact physicians for more assistance using these bots.
5. Audit Procedures
An audit is a crucial activity in the healthcare industry, which happens from time to time if it is to verify the reliability of patient care or to verify the consistency of the on-site safety procedures.
All these critical aspects are audited on the basis of many goals. Then, reports are produced, and the structure of enforcement is evaluated. It is because system errors can lead to enforcement problems that do not produce an excellent result.
Here too, Healthcare Automation can be used to simplify and streamline the audit process. While the bots cannot perform the entire audit process as human auditors are still doing that, they can assist in data recording and report generation, however. It is one less problem the auditor has to tackle
The hospital staff will take reasonable steps based on these reports, and accordingly, the reports can evolve or change. This automation also helps with the assistance of monitoring technology to identify the source of non-compliance.
6. Healthcare Cycle
The healthcare industry daily gathers vast quantities of data. This data and knowledge are only continuing to grow with the addition of new patients, treatments, and medicines. How does a Healthcare provider handle all this data manually, then?
Imagine a patient returning with an illness he was already treated. The doctor concerned will need the old data which may require hospital staff to rummage through several records and documents to find the same.
Even if this data is stored in some excel sheet in the computer system, it cannot be retrieved manually in a short period. They’re way too thorough in their efforts.
At the time of the patient’s registration, RPA will collect this data directly and store anything specific to that particular patient. Also, the hospital staff would be able to retrieve the necessary data in minutes rather than hours, thereby increasing workflow quality.
Also, Automation in Healthcare bots can provide reports and insights that allow monitoring and treatment of patients ‘ health conditions. They will also encourage individual patients to tailor a treatment plan.
Benefits of RPA in Healthcare
1. Personalized User Experience
Everyone today needs personalized services, fast answers, and a seamless experience. If things aren’t right, these people want to talk to a real person to fix the problems. It is also a daunting job since there are so many backlogs that don’t allow human representatives to reach out to the patient quickly.
Healthcare automation can solve this problem since the bot can perform a task that a human representative accomplishes in more than 10 minutes in 2 minutes. The bots can incorporate any framework to create a single forum for the clients. It ensures clients will obtain details instantly and experience of high quality, by bots.
Employees may use this additional time to carry out more strategic activities such as customizing customer services based on specific specifications etc.
2. Reduced Errors
Human professionals are more likely to make at least ten errors in every 100 moves, according to the Institute for Robotic Process Automation and AI. It is because humans don’t want to do repetitive activities, as it gets tedious over time. But don’t get annoyed by RPA bots. They don’t judge the situation, and therefore feelings don’t affect them. Bots can, therefore reduce errors and increase performance, since they are programmed to obey a particular action precisely.
However, it is essential to remember that there is no exact replacement for Human Intelligence in the data analysis. Only a human expert can perform things like those. Bots are thus used to capture, extract, and process the data, which is then used by humans.
3. Employee Satisfaction
It is widely assumed that robots kill jobs in the real world. But in fact, robots are improving human potential. the repetitive, tedious tasks reduce human employee efficiency. When a bot or RPA takes on this mission in Healthcare, participating in strategic, intelligence-based tasks is made easier for human professionals.
These will also support career development and continuous learning for human professionals.
4. Member Satisfaction
RPA helps streamline most tasks relating to the customer. And in a crisis, bots can manage customer support and assistance to serve a positive experience still when you have to lay-off employees. Hence, automation in Healthcare also increases the quality of services delivered with employee satisfaction.
Automation in Healthcare
Initiate by getting the company to evaluate and recognize where repetitive, monotonous activities hurt. Start by defining the opportunity, then continue to validate the opportunity, develop the model, and finally deploy a pilot. Healthcare professionals are considering software agents as a far more cost-effective alternative for platform accentuation or substitution.
RPA complements current structures, workflows, processes, and procedures in Healthcare. It re-structures lousy workflows and inferior methods of execution through automation. User capabilities often improve as it is accomplished, which leads to improved levels of customer satisfaction.