- Appointment scheduling
- Revenue cycle management
- Billing and invoicing
- Clinical documentation
- Audit and compliance reporting
- Prescription management
- Claims management
- Referral management
Appointment scheduling
When used for appointment management, RPA bots process patients’ request forms, suggest available time slots with suitable specialists at nearby locations, book online or in-person consultations, and send patient reminders. Also, bots can automatically adjust healthcare professionals’ schedules based on cancellations or reschedules.
Revenue cycle management
Healthcare providers employ RPA for smooth revenue cycle management (RCM) — from patient registration and insurance verification to payment settlement. RPA bots accurately capture all services provided by healthcare professionals, send follow-ups on unpaid bills, track financial data, and generate reports on the RCM flow.
Billing and invoicing
RPA bots extract patient data from medical records, apply the correct billing codes, and populate patient invoice templates with relevant data. By automating billing and invoicing with RPA, healthcare providers ensure that all provided medical services are accurately billed to the right payers without the risks of human errors.
Clinical documentation
Thanks to NLP, RPA solutions for clinical documentation distill valuable medical information from various sources, such as patient surveys, test results, appointment summaries, clinical document scans, and other relevant data. Then, the bots structure and record the information in EHR and other systems in real time.
Audit and compliance reporting
RPA bots can interpret the compliance or audit report forms using NLP technology. Then, bots pull key information from financial and clinical documents and IT systems, and create detailed reports. Also, RPA is efficient for cross-checking data accuracy and spotting any discrepancies, making sure final reports are spot on.
Prescription management
Instead of spending time filling out prescriptions, healthcare providers can automate the process with RPA. Bots can extract medication details from the EHR, populate prescription forms, and send them to pre-selected pharmacies. RPA bots can also check insurance coverage for prescribed medications and flag potential drug interactions.
Claims management
As claims management is highly standardized, RPA bots can handle the entire process with ease, from claim submission to tracking and reimbursement. The bots fill in claim forms, verify patients’ insurance eligibility, track claim statuses, flag claim issues for review, and submit them to insurers.
Referral management
RPA solutions manage incoming and outgoing referrals from primary care physicians to specialized care providers or diagnostic procedures. The bots generate and submit referral forms, track their approval statuses, and significantly decrease patient waiting times for referrals.
