Business process automation in healthcare.

What is Business Process Automation? (And How Can Healthcare Facilities Use BPA?)

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HealthWare Systems Blog

What is Business Process Automation?

(And How Can Healthcare Facilities Use BPA?)

Posted on Tuesday, March 17, 2020

Business process automation (BPA) is the digital transformation of organizational workflows. BPA utilizes technology to automate manual, repetitive, routine tasks and to streamline processes. BPA applies business logic to respond to events, make information “actionable,” and anticipate next steps to proactively manage workflow.

Benefits of Business Process Automation

Business process automation enables organizations to assign their valuable time and employees’ skill sets to other objectives while technology takes care of the monotonous, time-consuming, and routine operations for them.

In addition to time, BPA saves organizations money. It is a cost-effective way to increase efficiency and speed up workflow. Plus, digital transformation of business procedures reduces paper usage (making processes more budget and environmentally friendly).

By limiting the opportunity for human error, BPA also improves accuracy and prevents deficiencies.

Business Process Automation in Healthcare

HealthWare SystemsFacilitator is a business process automation platform created specifically for healthcare.

Facilitator can apply BPA to the following areas that affect the healthcare revenue cycle:

Business process automation in healthcare.

Facilitator is a BPA platform built specifically for healthcare.

Pre-Arrival – prevents integrity issues that can result in technical denials or underpayments.

Prior Authorization – automates authorization requests using 278 transactions, web-crawling, fax requests, and payer portals; automatically checks status of pending authorizations; monitors status changes that affect patients’ authorized benefits.

Insurance Verification – verifies insurance in real time; identifies potential restrictions that may impact reimbursement; finds any unreported coverage by searching top regional payers.

Medical Necessity Checking – verifies medical necessity in real time; shares results with referring physician; produces ABN for patient signature; provides automated updates of LCD and NCD rules.

Financial Assistance Screening – determines the likelihood that patients will qualify for financial assistance; manages documentation requirements and selects/completes application forms based on eligibility program(s) pursued.

Appeals Management – routes denial work object to appropriate team member for resolution; generates appeal letter or form specific to payer or denial type; assembles appeals package and submits appeal; eliminates hard copies.

Release of Information – securely captures, gathers, and sends medical records; eliminates hard copies.

Electronic Medical Forms – business rules determine the correct forms needed for every patient’s specific encounter, so employees no longer need to memorize selection criteria; pre-populates forms with patient demographics.

Order/Referral Management – fast-tracks pre-registration by ensuring accurate and complete physician orders are received.

Automated Messaging – reminds patients of upcoming appointments.

And More


Is “BPA” in Your Site’s DNA? 

Business process automation is increasingly necessary for the success of today’s organizations, including those in the healthcare field. Through BPA, hospitals and health systems can streamline workflow while lowering costs, better allocating resources, and increasing accuracy.

Request a live demo to learn more about how you can transform workflow at your healthcare facility using business process automation.


By Stephanie Salmich

What are YOUR New Year’s resolutions for your revenue cycle?

New Year’s Resolutions for Your Revenue Cycle

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HealthWare Systems Blog

New Year’s Resolutions for Your Revenue Cycle

Posted on Wednesday, December 18, 2019

Have you set any New Year’s resolutions for your revenue cycle?

The new year is upon us! The following are a few resolutions you’ll want to consider for improving your revenue cycle, along with the ActiveWARE products that can help you reach these goals.

New Year’s Resolutions for Your Revenue Cycle


Resolution – Financially Clear Patients Prior to Date of Service

Facilitator is a pre-arrival workflow solution that can streamline prior authorizations. And not only does Facilitator automate financial clearance steps, but it also verifies insurance and medical necessity in real time and searches for unreported coverage.

Resolution – Reduce Technical Denials

ActiveDEFENDER monitors the entire patient encounter to prevent errors that lead to reimbursement denials, delays, and underpayments. (Read here how ActiveDEFENDER reduced bad debt by 50% at Bon Secours Charity Health System.)


Resolution – Improve Collections

Facilitator can simplify collections with one-click access to a consolidated view of patient responsibility that includes prior balances (across multiple sites), out-of-pocket costs for the current visit, and qualifying discounts.

ActiveASSIST can help you better manage your self-pay population and ensure that you as the provider are “payer of last resort” by exhausting all other funding options for patients first (e.g. government-funded programs and charitable sources).

Resolution – Increase Patient Satisfaction

All ActiveWARE products create improvements that increase patient satisfaction. But one factor that especially affects patient satisfaction is patient wait times. ActiveTRACK is proven to increase patient satisfaction by reducing both registration and clinical patient wait times. In fact, ActiveTRACK reduced patient wait times by 75% at an acute care facility in the Chicago Suburbs.

Resolution – Reduce Paper Use and Costs

Our digital transformation solutions greatly reduce paper use and costs. For example, ActiveXCHANGE, our digital order management solution, eliminated 1.3 million pages per year at Advocate Illinois Masonic Medical Center.

There are many cost benefits of electronic healthcare forms as well. With ActiveFORMS, there is no need to pre-print and store forms or waste money destroying old pre-printed versions that can no longer be used due to new updates. Instead, forms are instantly and electronically delivered wherever a patient presents and can be printed on-demand if a physical copy is necessary. And if not, you can go paperless with electronic signature.

Resolution – Perform a Health Plan Audit

An annual health plan audit can help you maintain compliance with payor contracts and ensure your front desk staff are prepared to collect the appropriate co-pay or deductible from each patient. If you’re not already, resolve to conduct a health plan audit at least every year.

What are YOUR New Year’s resolutions for your revenue cycle?

Have you set New Year’s resolutions for your revenue cycle?

 

What are your New Year’s resolutions for your revenue cycle? Chances are, one or more of our ActiveWARE products can help. Contact us today to learn more… and have a Happy New Year!


By Stephanie Salmich

Statistics reveal the need for better interoperability in healthcare.

5 Revealing Statistics Concerning the Need for Better Interoperability in Healthcare

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HealthWare Systems Blog

5 Revealing Statistics Concerning the Need for Better Interoperability in Healthcare

Posted on Wednesday, September 27, 2017

In today’s world, interoperability is more important than ever as patients may see multiple providers or receive care from multiple health systems in order to address a single health issue.  In the interest of increasing patient safety and improving the patient experience, health systems must be able to communicate with one another regarding important patient health information.  Information that one provider sends to another could save a life or, at the very least, take the burden of tracking and providing information off the patient.

Even though the technology exists to meet this need, many hospitals are still struggling with interoperability in healthcare as the following revealing statistics demonstrate.

According to research posted by the Office of the National Coordinator for Health Information Technology concerning non-federal acute care hospitals in the U.S.:

1.  Only 46% of hospitals had required patient information from outside providers or sources available electronically at the point of care.

2. Only 18% of hospitals reported that their providers “often” used electronically received patient health information from outside sources when treating their patients; 35% said they “sometimes” did, 20% said “rarely,” 16% said “never,” and 11% did not know.

The top reasons for rarely or never using electronically received patient health information from outside sources were:  the information is not available in the EHR as part of the clinician’s workflow (53%), it’s difficult to integrate healthcare data in the EHR (45%), the information isn’t always available when needed (40%), and the information is not accessible in a useful format (29%).

3. 55% of hospitals named their exchange partners’ EHR systems’ lack of ability to receive data as a barrier to interoperability.

4. Only 38% of hospitals had the ability to use or integrate healthcare data from outside sources into their own EHRs without manual entry.

5. Only 26% of hospitals conducted all 4 core domains (electronically sending, receiving, finding, and integrating/using key clinical information) of interoperability in healthcare.

The number of hospitals that have achieved interoperability in healthcare is simply too low to guarantee patient safety and the continuity of care that patients deserve.  Improving the patient experience will depend on hospitals’ ability to integrate healthcare data and IT systems with the use of solutions that create complete (sending, receiving, finding, AND integrating/using data), rather than partial, interoperability in healthcare.

Statistics reveal the need for better interoperability in healthcare.

Statistics reveal the need for better interoperability in healthcare.


By Stephanie Salmich