RPA Improves RCM and Managed Care Reimbursement for Hospital / Health System

Boston Software Systems has been working with a top academic hospital / health system in a strategic revenue cycle management (RCM) initiative focused on payers to accelerate reimbursement and reduce administrative complexity through optimizing use of data management resources and applying robotic process automation (RPA) software technology.

Located in the Midwest, the academic health system is comprised of 4 hospitals with over 1,600 beds. It annually manages more than 83,000 inpatient admissions, performs 51,000+ surgical procedures and treats 226,000+ ER cases. Due to their size and academic / clinical prominence, they are fortified with an array of medical specialties and offer a range of advanced as well as fundamental patient care. Based on this diversity of expertise and care, they work with a variety of payers which adds additional challenges to revenue cycle management.

Boston Software Systems developed a portfolio of RCM solutions utilizing RPA technology for the customer starting with their largest payer and reimbursement processes; this case study shares details of how RCM was improved not only with their largest payer but others as well.

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