INDUSTRY: Healthcare
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How Accelirate's RPA Automates Document Gathering for Utilization Reviews and Achieves Over 90% On-Time Audit Completion for Leading Audit Firm
40-50%
Reduction in doc gathering time
20-30%
Faster audit completion
90%+
On-time audit rate
10-15%
Increase in audit vol
60%
Employees with reduced workload
Client Overview
XYZ UR Audits is an independent auditing firm specializing in conducting monthly Utilization Reviews (UR) on PQR Patient Accounts as part of their external auditing services. They operate across a network, requiring the submission of multiple documents from various systems to the Medical Records department.
Key Takeaways
- Automated documentation gathering for audits using enhanced RPA.
- Significant time savings for cross-functional teams
- Streamlined processes between hospitals
- Improved response time to auditors
- Enhanced scalability of the solution
XYZ UR Audits faced significant challenges in their monthly Utilization Reviews due to the manual and decentralized process of gathering and submitting required documents. Multiple teams, including Patient Accounting, Medical Records, and Case Management, were involved, often leading to missed deadlines and inefficiencies.
Accelirate, a leading enabler of robotic process automation services, worked with XYZ UR Audits to implement an RPA Automation solution to streamline and optimize their documentation process. This solution was chosen for its ability to automate complex tasks and improve overall process efficiency.
Tackling Audit Complexities and Enhancing Documentation Efficiency with Strategic RPA for Healthcare
The primary challenges faced by the client included managing access limitations to patient data across multiple teams and the decentralized nature of the document-gathering process, which increased the risk of missing audit deadlines. The manual processes were labor-intensive, requiring a turnaround time of about two weeks, and there was a lack of streamlined processes between hospitals.
To address these challenges, Accelirate worked closely with the team and devised a strategic RPA Automation solution to:
01- Automate Document Gathering
- Designed an RPA solution to automate the gathering of patient information and necessary documents.
- Consolidated patient information into a single file for easier sharing with third-party auditors.
02 - Centralize Documentation
- Streamlined the process to reduce the involvement of multiple teams and minimize manual errors.
03 - Improve Coordination
- Enhanced coordination between Patient Accounting, Medical Records, and Case Management teams.
04 - Scalable Solution
- Implemented a scalable solution to ensure consistency and efficiency across all hospitals in the network.
Realizing Efficiency and Cost Savings from RPA Implementation in Audits
Accelirate’s implementation of RPA Automation for conducting utilization reviews significantly enhanced the efficiency of XYZ UR Audits’ revenue cycle management. The unique solution automated the document-gathering process for audits, reducing manual work and saving valuable time for multiple team members. What did it result in?
01 - Labor Reduction
Significantly reduced the manual workload of cross-functional teams.
02 - Time and Cost Savings
Shortened response time to auditors, enabling quicker audit completion.
03 - Enhanced Efficiency
Streamlined processes between hospitals, improving overall operational efficiency.
04 - Scalability
Provided a scalable solution that can be implemented across all hospitals in the network.
05 - Improved Coordination
Enhanced the scope of solution scalability and optimized processes for better coordination.
Optimize Document Processing and Auditing with Accelirate’s RPA Solutions Today!
In this case study, we have seen how Accelirate’s implementation of RPA Automation significantly enhanced the efficiency of XYZ UR Audits’ revenue cycle management. By automating the document processing and gathering process for audits, the RPA Automation solution has considerably reduced manual work, saved time, shortened response time to auditors, and alleviated the workload of cross-functional teams. Partnering with a trusted automation service provider like Accelirate can enable your organization to achieve similar success. Contact us today for more details!
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