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RPA in Healthcare

Robotic Process Automation (RPA) in Healthcare

Improved Patient Care. Better Data Accuracy. Enhanced Compliance.

RPA Success Stories in Healthcare

95%

Reduction in manual work

90%

Improvement in coding accuracy

85%

Improved process turnaround time

Automating Medical Coding and Billing for Kane Wound Care

Nividous’ AI-powered Bots allowed for frictionless medical data retrieval to complete complex coding that is required to ensure fast, maximum Medicare payment. The Bots enabled the company to file reports directly into the customer’s EMR system within 24 hours thus cutting down on their administrative burden.

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3x

Increase in appointments

37K+

Hours saved for
skilled staff

$16M

Eligible claims processed and reconciled

40%

Improvement in
time to integrate a
new acquisition

9Days

Reduction in Claim
to Cash

An Eyecare Group Revolutionizes its Complete Revenue Cycle Management

With the continual rapid acquisitions, an island of information systems was created, causing several challenges related to claims management across 40+ insurers and other swivel-chair back-office tasks. Nividous platform was deployed as a standardized platform to automate a series of cross-functional operations freeing up skilled staff to focus on more valuable tasks.

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80%

Reduction in
manual work

70%

Reduction in
process handling time

65%

Increase in
productivity

45%

Decrease in
operational cost

A Speciality Healthcare Automates Patient Data Extraction, Review, and Claim Submissions

More than ten employees were required to extract and evaluate patients’ data manually. Due to a high backlog of claims filing, payments were delayed considerably. Nividous Bots with native Artificial Intelligence capabilities were deployed within two weeks to automate end-to-end data extraction, review, and claim submission process.

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100%

Data accuracy

60%

Increased efficiency

70%

Improved data auditability

An Eyecare Group Automates Claims Eligibility Checks and Saves Over 1500 Man-Hours per Month

More than 500 patients arrive daily for scheduled appointments. Each of these patients expects to be well-informed about insurance benefit eligibility. Nividous RPA Bots were deployed to automate the process of checking eligibility across 40+ insurance carriers enabling a significant improvement in speed and accuracy.

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>50%

of Appointments scheduled
through chatbot channel

35%

Savings on FTEs required
in call center

60%

Increased process efficiency
and employee productivity

Voice- and Chat-Enabled Nividous Bots Deliver Enhanced Customer Experience

The customer, a leading eye care chain, was aggressively expanding its reach in the U.S. and found it challenging to keep up with its rapidly growing customer base given limited resources. The Nividous team offered an efficient solution utilizing voice and chat enabled cognitive Nividous Bots to serve the patients in real-time for scheduling appointments and locating stores.

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95%

Manual tasks are automated

100%

Claim data accuracy

>80%

Claim payment cycle efficiency

An Eyecare Group Automates its Insurance Claim Verification and Submission Process

The customer has arrangements with more than 40 insurance carriers offering hundreds of different insurance plans for its wide range of eyecare products and services. Nividous RPA Bots were deployed to automate the entire claim verification and submission process. The Bots can be scheduled to run at specific intervals or can be executed on-demand.

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Benefits of RPA in Healthcare

Healthcare businesses suffer from an overload of data related processes. However, today, it isn't just about being efficient. Improving health, lowering cost, and providing better patient care are the key focus areas. Leverage RPA to improve front-office support, enhance data confidentiality, and connect discrete systems. Cut the process complexity and eliminate redundancies with the use of RPA Bots.

Healthcare Ensure Data Accuracy

Ensure Data Accuracy

RPA Bots can access, process, and retrieve essential patient data from both structured and unstructured sources with a hundred percent accuracy.

Healthcare Increase Support Efficiency

Increase Support Efficiency

Combine a digital workforce with your call center employees to automate repetitive tasks and decrease call resolution time.

Healthcare Analyze Critical Data

Analyze Critical Data

RPA Bots can easily tap into different data sources to prepare and process healthcare data for analysis to improve clinical and financial outcomes.

Webinar

Acuity Eyecare Group Expedites Digital Transformation using Nividous Platform

Discover how Acuity Eyecare Group realized improvements in operational cost, effectiveness in data management between discrete systems, and efficiency in handling change management with the help of Nividous platform.

Watch the on-demand webinar to learn about the use of RPA technology in the healthcare industry.

Watch On-Demand

RPA Use Cases in Healthcare

While RPA in healthcare helps in automating manual back-office operations such as sorting patients' records, booking an appointment, processing bills and claims and managing inventory, your employees can spend more time on patient care and enhancing the overall patient experience.

Claims Management

RPA Bots can process a high number of claims against different insurers within minutes with a hundred percent accuracy. Bots can also help in keeping patients well-informed about their insurance benefit eligibility.

Patient Assistance

Create a hassle-free experience for patients to book or register their appointment with you. RPA-enabled chatbots can assist your customers 24x7 removing the registration waiting room.

Data Migration

Easily replicate critical data across your discrete systems without keying information. Digital workforce eliminates the risk of human error by accurately automating information transfer and synchronization.

Vendor Management

Automation enables enhanced visibility into your vendor management processes. Analyze data to evaluate vendors and make better decisions. Effectively source and deliver the right health products or services to customers while keeping costs in check.

<img src="https://nividous.com/wp-content/uploads/2019/09/Fraud-Prevention-Ic.png" class="scale-with-grid" alt="Fraud Prevention" width="50" height="50"/>

Fraud Prevention

<img src="https://nividous.com/wp-content/uploads/2019/09/Overpayment-Reconciliation-Ic-v1.png" class="scale-with-grid" alt="Overpayment-Reconciliation-Ic-v1" width="50" height="50"/>

Overpayment Reconciliation

<img src="https://nividous.com/wp-content/uploads/2019/09/Data-Cleansing-v1.png" class="scale-with-grid" alt="Data-Cleansing-v1" width="50" height="50"/>

Data Cleansing

<img src="https://nividous.com/wp-content/uploads/2019/09/Customer-Complaints-v1.png" class="scale-with-grid" alt="Customer-Complaints-v1" width="50" height="50"/>

Customer Complaints

<img src="https://nividous.com/wp-content/uploads/2019/09/Drug-Registration-v1.png" class="scale-with-grid" alt="Drug-Registration-v1" width="50" height="50"/>

Drug Registration

<img src="https://nividous.com/wp-content/uploads/2019/09/Patient-Registration.png" class="scale-with-grid" alt="Patient Registration" width="50" height="50"/>

Patient Registration

<img src="https://nividous.com/wp-content/uploads/2019/09/Reporting.png" class="scale-with-grid" alt="Reporting" width="50" height="50"/>

Reporting

<img src="https://nividous.com/wp-content/uploads/2019/09/Administration-v1.png" class="scale-with-grid" alt="Administration-v1" width="50" height="50"/>

Administration

<img src="https://nividous.com/wp-content/uploads/2019/09/Fraud-Prevention-Ic.png" class="scale-with-grid" alt="Fraud Prevention" width="50" height="50"/>

Fraud Prevention

<img src="https://nividous.com/wp-content/uploads/2019/09/Overpayment-Reconciliation-Ic-v1.png" class="scale-with-grid" alt="Overpayment-Reconciliation-Ic-v1" width="50" height="50"/>

Overpayment Reconciliation

<img src="https://nividous.com/wp-content/uploads/2019/09/Data-Cleansing-v1.png" class="scale-with-grid" alt="Data-Cleansing-v1" width="50" height="50"/>

Data Cleansing

<img src="https://nividous.com/wp-content/uploads/2019/09/Customer-Complaints-v1.png" class="scale-with-grid" alt="Customer-Complaints-v1" width="50" height="50"/>

Customer Complaints

<img src="https://nividous.com/wp-content/uploads/2019/09/Drug-Registration-v1.png" class="scale-with-grid" alt="Drug-Registration-v1" width="50" height="50"/>

Drug Registration

<img src="https://nividous.com/wp-content/uploads/2019/09/Patient-Registration.png" class="scale-with-grid" alt="Patient Registration" width="50" height="50"/>

Patient Registration

<img src="https://nividous.com/wp-content/uploads/2019/09/Reporting.png" class="scale-with-grid" alt="Reporting" width="50" height="50"/>

Reporting

<img src="https://nividous.com/wp-content/uploads/2019/09/Administration-v1.png" class="scale-with-grid" alt="Administration-v1" width="50" height="50"/>

Administration

Guaranteed Production Roll-out of a Trained RPA Bot in 3-4 Weeks

Guaranteed Production Roll-out of a Trained RPA Bot in 3-4 Weeks

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