nThrive Webinar Recap: Work Smarter, Faster with Robotic Process Automation

By nThrive | Posted: 09/15/2020

nThrive RPA in health care solutions

Doing more with less has become the new normal for hospitals and health care organizations, with the medical industry as a whole struggling under the weight of today’s economic challenges, much of which stem from the COVID-19 pandemic. Many are turning to Robotic Process Automation (RPA) to offload repetitive tasks traditionally handled by staff, freeing precious resources for higher value work.

In a recent webinar, “Work Smarter and Faster with Robotic Process Automation,” nThrive officially unveiled its Robotic Process Automation health care offering and gave an overview on how hospitals and medical organizations across the country can leverage automation to economize while also improving efficiency during this difficult time.

Watch the nThrive RPA in health care webinar replay HERE.

Opening with an online poll, approximately 40% of attendees said they are using RPA in some capacity across their revenue cycle, with 60% wanting to learn more. As health care comes back from COVID-19 and elective surgeries resume, RPA expert Andrew Woughter challenged the audience to “expect the way we’ve worked to never be the same,” adding that now is the time to “look at RPA and how you can bring it into your operation to improve productivity with your teams.”

What is RPA in Health Care?

First, it is important to clarify what it is not. Different than other “software” that requires a human to log in with a password, RPA software robots or bots are given a password, enabling them to log into systems to perform work humans normally would do. In this way, RPA automates business processes by replicating the actions of a human worker.

Beyond simple screen scraping and keystroke emulation, RPA is also evolving to more sophisticated solutions that interact directly with objects in the user interface of systems, leverage artificial intelligence to enable more robust automation.

What can you do with RPA?

RPA can be leveraged across the revenue cycle, from Patient-to-Payment, including but not limited to:

  • Denials Management requests for medical records
  • Missing Internal Claim Number (ICN) / Document Control Number (CDN) claims
  • Eligibility research
  • Medical Billing edits
  • Prior authorization submission/tracking and more

In a video demonstration, attendees saw an ICN/DCN bot in action, watching it create and pull a worklist out of a medical claims system to search for matches. When a match is found, the bot pulls in specific data elements, detailing these on a daily productivity report. It also updates ICN/DCN claims, clears the edits and gets claims out the door. This continues daily, with users getting a completely new list of claims out the door every day.

Unique nThrive RPA architecture

The nThrive RPA architecture utilizes “micro bots,” which are standardized components that work together to deploy a process. This allows reuse and enables nThrive to maintain components across multiple processes to reduce downtime.

nThrive also leverages artificial intelligence (AI) to create even more sophisticated processes for users, enabling bots to recognize information on insurance cards, for instance.

How to get started on RPA

In a poll, the webinar audience flagged claims, tracking statuses and payor processes as top areas where they need RPA help today, begging the question, “How do I get started?”

nThrive recommends a guided path for your health care organization, working with a vendor that has technical expertise and health care revenue cycle knowledge. Approximately 70% of the work is in identifying processes that will deliver the most value, optimizing and mapping them in advance of an RPA implementation.

Quantifying the labor savings

For hospitals and health care organizations that embark on an RPA implementation, the average labor savings can be dramatic. This can be seen in the following nThrive RPA case studies. For instance, one large, 50+ hospital that deployed bots for adjustment claims (XX7 type bill), eligibility denials and root cause (XX7 claims), eliminated between two and four FTEs per application, resulting in ROIs of as much as 583%! Smaller facilities can also greatly benefit, often eliminating two or more FTEs.

Ready to learn more about how nThrive industry-leading RPA solutions can help your hospital or health care organization and lead to increased revenue cycle success? Visit nthrive.com/contact-us/, click Sales Questions, complete the short form and we’ll be in touch soon. Want more information first? Visit our RPA solutions page HERE and download our overview guide.