医疗行业专栏

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https://www.quora.com/What-are-some-of-the-business-use-cases-of-RPA-in-healthcare-industry

Robotic process automation (RPA) might not be one of the first options discussed when considering the implementation of process automation in the healthcare industry, but it is a place where RPA has the potential for great transformation.

RPA is essential to streamlining back-office processes eliminating paperwork and reducing the amount of time it takes to process files. However, RPA goes far beyond these simple tasks.

It helps healthcare providers not only reduce costs and gain efficiency but also increase the quality of patient care and the amount of time spent with patients.

Best uses for RPA in healthcare

As hospital operates to cut costs, increase efficiency, and provide high-quality care for patients, there are many roles that RPA plays in achieving these goals. Some of them involve:

Revenue cycles:

The utilization of RPA in healthcare has great potential to expand far past back office functions. RPA can significantly help particularly within the revenue cycle and administrative processes. There are multiple changes in code that take place throughout any given billing cycle and RPA can accommodate and adapt to change quickly and easily. By automating time-consuming and repetitive processes as data digitization and accounts payable, RPA can lead to an improvement of billing efficiency and a reduction in write-offs, thereby saving healthcare providers much-needed resources. In addition, RPA is extremely helpful in medical records to provide analysis and data based on a patient’s condition and response. As a result, the utilization of RPA in the healthcare industry is highly advantageous to the financial performance of healthcare providers.

Labor savings:

Utilization of automation to replace manually intensive tasks with machines can be a significant time saver. Rather than a release of staff, RPA elevates them into higher-functioning roles that make use of the clinical expertise they have been trained for. Naturally, the consistent base of care activities found in RPA leads to employees who are more concentrated, fulfilled, and devoted to patient care and their positions. In 2009, a Texas hospital study found that greater automation in the areas of medical records, order entry, and decision support appeared to result in a reduction in deaths, difficulties, and cost. When employees are satisfied with their positions, they tend to keep working and providing care to the increasing amount of patients within the healthcare system.

Patient and health plan management:

Healthcare systems are now geared towards population health, an approach that aims to enhance the health of an entire human population. With this, automation is the only existing way for processes to be addressed on such a massive scale. According to the report of the Institute of Health Technology Transformation, “Automation makes population health management feasible, scalable and sustainable.”

RPA sustains utilization management, care coordination, case management, and remote monitoring of patients within the healthcare system. If patients follow a standardized care path supported by RPA, it is more likely they will stay on track towards predicted outcomes. In addition, healthcare providers can see patients who have deviated from their care plans and intervene as necessary. RPA allows for continued monitoring of patients while delivering continuous high-quality care. Physicians have more time to spend with their patients as RPA helps to control their caseload while freeing up healthcare providers to focus on their work with patients.

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These days, it seems everybody is buzzing about robotics, machine learning, artificial intelligence and other so-called next generation technologies. One area where a number of these technologies are already helping to streamline process and improve operations is in healthcare. In particular, robotic process automation has enabled those in the healthcare field to shift a significant amount of manual, time-intensive and error-prone work from human to machine with incredible results. Robotic process automation isn’t something that’s coming in the near future. It’s already here, and it’s already changing the face of healthcare as we know it.

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One success story for the use of Robotic Process Automation or RPA comes from UiPath. The healthcare provider in question is a Berlin hospital “with nearly 2,000 employees, 70,000 emergency visits and 300,000 outpatient annually”. The main reason for adopting RPA was to gain more control over its operations, which was in turn expected to contribute significantly to the satisfaction of their high number of patients.

To learn more, please visit our Overview of Robotic Process Automation in the Healthcare Industry.

Good automating!

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Here are the top business use cases of RPA in Healthcare

Use cases: Healthcare Payers

Claim verification
Claim exception handling
Fraud and waste and management
Handle claims submission through settlement
Digitally enable provider and member self-service for legacy systems
Renewals
Bid management
State on-boarding
Network management
Co-insurance

Use cases: Healthcare Providers

Revenue cycle
Check eligibility
Submit claims
Billing
Post and reconcile payments
Process charge-offs and refer to third-parties
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