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Post-Acute Care
Can automation help post-acute organizations reduce claim denials and recognize revenue faster?

Learn how post-acute care organizations are utilizing automation to manage claim denials & recognizing revenue faster, better with minimal investment.

Healthcare claims are put through an inordinate amount of scrutiny before payouts, largely due to the plethora of healthcare regulations and guidelines. Newer compliance-based regulations levied by the Centers for Medicare & Medicaid Services (CMS), Office of the Inspector General, and other auditing entities are making post-acute care organizations jump through hoops to ensure the financial robustness of their operations.

The post-acute care financial landscape was treacherous enough before, and the pandemic has only made it more challenging to navigate for organizations across the nation. With organizations feeling the staffing shortage pinch due to vaccine mandates, burnouts, changing guidelines, and more, administrative tasks requiring manual, tedious labor are accumulating over months at a time. Claim denials and the resulting write-offs are the single most overlooked source of financial vulnerability for organizations both big & small. With the average denial rate across just the skilled nursing industry of 5%, operators stand to lose over $120,000 per facility in just write-offs each year.

The loss of revenue from just delayed or incomplete payments and write-offs are not easy to quantify & qualify and build up over time to plague the operations of post-acute care organizations. This is where technology like automation can aid the situation and help post-acute care organizations to prevent the financial drain from claim denials.


Enacting change through a digital workforce

Workflow automation solutions powered by Artificial Intelligence (AI) & Robotic Process Automation (RPA) are being utilized by early post-acute care adopters to increase reimbursements and reduce the cost to collect across the revenue cycle. Denial management automation is just one part of that ecosystem and can single handedly make a huge difference to the organization's revenue stream.

Trained software robots take care of the identification of denial codes and resolution with little to no manual intervention from the staff. Clinical staff no longer need to scour through pages of the EOB to find the denial codes to begin resolution on the denied claim. The denial automation solution automatically monitors & scans the clearinghouse for denials, importing the denial status, codes, and reason into the EHR. Furthermore, the solution also triggers the workflow for correction, notifying the relevant staff member required to perform the correction. All this before the 835 is even available for download.


Reduce errors, save time, increase revenue - All in a day's work

Quite literally. With vendors like Element5, automation solutions built for post-acute care needs are now more easily accessible for deployment at minimal investment for exceptional, tangible returns. Moreover, the scalable nature of the technology allows post-acute care organizations of all sizes to benefit from it. The assurance of zero errors and a fatigue-free system ensure that denial write-offs can become a thing of the past. No more spending hours trying to find denial codes, no boring data entry tasks, and no lost revenue due to denials. Don't take our word for it, check all of it out in action here.

Element5
Post-Acute Care
Can automation help post-acute organizations reduce claim denials and recognize revenue faster?
Post-Acute Care
Why Census Migration should be automated using AI and RPA

Learn how post-acute care organizations are utilizing automation to simplify Census Migrations to gain time for patient care.

With the pandemic pushing the healthcare industry to the extremes of its capacity, there is now a renewed focus on aiding care delivery with technology. What used to be an industry typically averse to change, post-acute care and its prominent voices are now more actively engaged in discussions to utilize technology towards better care delivery and lowered costs of care.

With the vast amount of administrative encumbrances present across the entire post-acute care industry, Robotic Process Automation (RPA) has emerged as a key to its transformation. The post-acute care industry is booming with a clear shift in care preferences and a need to bolster the healthcare workforce. Providers are looking at ways to improve efficiency in repetitive time-intensive activities such as Census migrations while trying to tackle the never-ending battle against staffing woes.


Out with the manual, in with the automated

Census migrations though tedious and demanding on the staff are crucial to the post-acute care machinery. There can be various reasons for a census migration, be it transfer of data from a legacy EHR, upgrade to a new EHR tool, or merger & acquisitions. If not performed correctly and on time, it can seriously hamper the timely delivery of care, also affecting the operational efficiency of the organization as a whole. 

In census migrations, what matters most is that it is conducted quickly and without any errors. Being a time-intensive activity when performed manually, organizations often need to pull clinical staff away from their care responsibilities to ensure timely completion of the census migration. This means that the activity can potentially affect the care delivery mechanisms within the organization and add to the staff burnouts and high turnover rates.

But now, census migrations can be performed without any need for manual intervention by utilizing workflow automation powered by Artificial Intelligence (AI) & Robotic Process Automation (RPA).


Maximizing efficiency, minimizing costs, perfecting care outcomes

With the ongoing vaccine mandates, constant changes in regulations, and increased staff burnouts, it is high time post-acute care providers see that they cannot afford the burden of additional administrative tasks. Workflow automation-powered post-acute care processes can go a long way in helping channel the time saved performing manual processes towards delivering better care outcomes and making care more affordable for all.

Census migrations are just the tip of the iceberg to top it off with countless more workflows waiting to be automated. By automating census migrations alone, organizations stand to gain so much in the way of time and resources saved, improved staff satisfaction, reduced burnouts and turnover rates, and overall improvement in efficiency across the entire organization. One can only imagine how seamless care delivery would be if all administrative burdens were removed from the shoulders of care teams across post-acute care.

Element5
Post-Acute Care
Why Census Migration should be automated using AI and RPA
Element5 strengthens commitment to security, achieves SOC2 Type 2 Certification

Element5 receives its Service Organization Control (SOC) 2 Type 2 Certification. Learn more about the announcement and what it means for customers.

The workflow automation provider for post-acute care received the validation through rigorous audits, demonstrating commitment to protect customer data.

San Jose, California, October 13, 2021: Element5, an Automation as a Service solution leveraging AI and RPA for post-acute care, today announced that it has received its Service Organization Control (SOC) 2 Type 2 Certification. The audit validated Element5’s operations, which meet the highest industry standard for security and compliance in their information security practices, governance, and policies. 

“When automating, a major concern for post-acute care organizations is the accessibility and security of customer data, as robots perform complex administrative tasks”, said Bhavani Raman, co-founder & COO, Element5. “The SOC2 Type 2 Certification showcases Element5’s commitment to maintaining the highest standards of security while ensuring customers remain hands-off while getting complex and repetitive tasks completed. We’re thrilled to successfully complete the SOC2 Type 2 Audit and receive the certification.” 

The SOC 2 examination demonstrates that an independent accounting and auditing firm has reviewed and examined an organization's infrastructure, software, people, data, policies, procedures, and operations, and tested those controls to ensure that they are operating effectively. Established by the American Institute of Certified Public Accountants (AICPA), it ensures the personal and business assets of existing and potential customers are secure and protected. 

In August 2021, Element5 announced the completion of its Series A round of funding at $15 million. The SOC2 Type 2 certification comes at the heels of rapidly expanding and helping more post-acute care organizations automate their operations, with the confidence and comfort of data privacy and security. 


About Element5

Element5 is simplifying work for post-acute care organizations by offering end-to-end workflow Automation-as-a-Service. Using Artificial Intelligence (AI) and Robotic Process Automation (RPA), Element5 delivers intelligent automation and analytics that help organizations improve operational efficiency, recognize revenue faster and help their resources focus on better patient outcomes. 

By automating complex administrative tasks for post-acute care, Element5 frees healthcare personnel from time-consuming and repetitive processes, empowering teams to do more, by doing less. 

Built by experts with decades of experience in healthcare and post-acute care, Element5 is headquartered in San Jose, California with offices in Chennai, India. You can learn more about Element5 and RPA on www.e5.ai 


Media contact

Abhilash Kumar 

Head of Marketing 

abhilash.k@e5.ai 

Element5 strengthens commitment to security, achieves SOC2 Type 2 Certification
Post-Acute Care
How post-acute care is making OASIS submissions to iQIES less tedious using workflow automation

Learn how post-acute care organizations are utilizing automation for OASIS to iQIES submissions to gain quick operational ROI at a minimal investment.

With a push towards quality & better compliance, there have been multiple upgrades and overhauls the post-acute industry has witnessed in the past few years. Proven technology has played a major role in helping catalyze the same.


Take a look at the recent upgrade made to the OASIS submission by the CMS to enhance user-friendliness. The new CMS data submission system, Internet Quality Improvement & Evaluation System (iQIES), is now internet-based, complete with multiple changes aimed to improve the claims match process and relay of data back to the Home health agency(HHA) EHRs.


Adding to the administrative burden on post-acute care staff

But as with every other compliance-related task in post-acute care, this new change has also added to the administrative burden of care teams at HHAs across the nation. With every change/update, comes a new learning curve for the staff and with the ongoing workforce shortage being aggravated by the pandemic, additional manual, administrative tasks only seemed counterproductive to the welfare of staff amid these trying times.

This is why some organizations have turned to workflow automation for their OASIS submissions to iQIES and are reaping fantastic results from hundreds of hours saved, better patient outcomes, and fewer over-burdened staff. A win-win in everyone's books.


AI & RPA to the rescue

Workflow automation solutions powered by Artificial Intelligence (AI) & Robotic Process Automation (RPA) are enabling post-acute care organizations to tackle the burden of administrative tasks on their care teams. By automating rule-based, repetitive tasks such as all the OASIS submissions to iQIES and downloading the final reports. Everything right from the download of OASIS files from EHR, upload of assessments to iQIES, review of submission history, final validation reports, and the updation of iQIES data onto the EHR can be entirely done with the help of programmed software robots. A zero error, zero fatigue, and zero manual intervention system with insightful reports available at the touch of a button for care staff.


One administrative task less equals hundreds of hours of patient care - with an easily available solution

OASIS submissions to iQIES can be time-consuming, error-prone, and add to the vast administrative burden for clinical teams across home healthcare. Element5's AI & RPA powered workflow automation solution can help remove this burden from the shoulders of care teams and optimize the operational efficiency of organizations by enabling more time for patient care and improved care outcomes. See the automation software in action here.

Element5
Post-Acute Care
How post-acute care is making OASIS submissions to iQIES less tedious using workflow automation
Post-Acute Care
What is Review Choice Demonstration and how to simplify pre-claim review

Review Choice Demonstration (RCD) has turned into a major bone of contention between CMS and home health care advocates in the recent time leading up to its implementation. With COVID putting a dent into the plans made by CMS and missteps on the part of its contractors, there has been no shortage of delays. Even with all of its flaws and the backlash RCD implementation is receiving from home health associations in the five participating states, like the winter, it is coming. This blog helps you understand what Review Choice Demonstration is and how organizations can simplify their pre/post claim review processes with the help of workflow automation solutions powered by Artificial Intelligence & Robotic Process Automation.

Review Choice Demonstration (RCD) has turned into a major bone of contention between CMS and home health care advocates in the recent time leading up to its implementation. With COVID putting a dent into the plans made by CMS and missteps on the part of its contractors, there has been no shortage of delays. Even with all of its flaws and the backlash RCD implementation is receiving from home health associations in the five participating states, like the winter, it is coming. Let’s find out what RCD is all about.


What is Review Choice Demonstration? 

Review Choice Demonstration has been implemented to help ensure that the right payments go through at the right time for all home health services disbursed. The claim reviews will protect Medicare from disbursing improper payments, further reducing the number of Medicare appeals and improve provider compliance with Medicare program requirements.

It can also help prevent all fraud and misuse of Medicare benefits and help educate Home Health Agencies(HHA) about their compliance requirements. Agencies participating in RCD will get to choose from three types of claim review submissions to Palmetto GBA:


1.) Pre-Claim Review

Seeks provisional affirmation of claim coverage before a final claim payment submission. Claims submitted without a Pre-Claim review undergo prepayment review and are subject to a 25% payment reduction.


2.) Post-Payment Review

Seeks review of claims after a claim payment submission, also is the initial default if no selection is made by the HHA. Palmetto GBA, the Medicare Administrative Contractor (MAC), sends Additional Documentation Requests (ADRs) to follow CMS' post-payment review procedures.


3.) Minimal Post-Payment Review

All claims are subject to a 25% reduction in final payment. Claims are excluded from Targeted Probe and Educate reviews but can still be subject to Recovery Audit Contractor Reviews. Once selected, the provider remains active on this choice for the duration of the Demo.

Every six months thereafter, home health agencies demonstrating compliance with Medicare rules through pre-claim or post-claim reviews have additional choices, including relief from most reviews except for a review of a small sample of claims. If an agency maintains a 90% or greater pre-claim review affirmation rate or post-payment review approval rate, it chooses from a different subset of review options, mainly,

1.) Pre-Claim Review

4.) Selective Post-Payment Review -  involves analyzing a random sample of claims

5.) Spot Check Review - Palmetto GBA selects 5% of HHA claims every 6 months for review, sharing Additional Document requests to follow CMS prepayment review procedures.


Why Review Choice Demonstration for Home Health Agencies is proving to be challenging

One might say, it all looks like a neat deal that will help reduce the misuse of Medicare funding, but the rollout of Review Choice Demonstration has been anything but smooth for HHAs. With the pandemic wreaking havoc in the participating states, especially Florida & North Carolina, skyrocketing referral rates, and clinical staff stretched thinner than paper home health agencies are already struggling with huge claims backlogs. Since RCD is another compliance-related process, it comes across as a burden to organizations in these trying times, drawing flak from prominent voices in the homecare industry.

Another major concern for the organizations is that the introduction of the claim review  process will add to the encumbrance of manual, repetitive administrative tasks, which there is no shortage of in the home care industry. The amount of time spent transposing EHR data onto Palmetto GBAs platform to start the claim review process is extremely time-consuming and labor-intensive. Coupled with data transfer between the EHRs and Palmetto GBA, there is ample scope for errors to creep in, both technical and human, and this problem has the perfect solution: Automation.


Simplifying the process for home health agencies participating in the Review Choice Demonstration 

Workflow automation solutions designed to automate the claims review process of Review Choice Demonstration can perform all rule-based documentation for clinical teams. The entire claim review process, right from accessing EHR records to uploading them onto Palmetto, extracting responses from Palmetto, and uploading them into the EHRs after applying relevant business rules and audits, automation can do it all, and more.


How to automate the pre-claim review process

Powered by Artificial Intelligence (AI) & Robotic Process Automation (RPA), workflow automation has been working wonders for its early adopters in the home health industry. It is helping clinical staff save hundreds of hours on mundane administrative work, enabling them to focus on utilizing that time towards better patient and self-care, improving job satisfaction, and thereby decreasing turnovers. While speaking about automation in the same line as job satisfaction might seem counterintuitive to some, there is plenty of research on the link between mundane, repetitive work and low job satisfaction.

Now, before you go, check out a video here to learn exactly automation will simplify your claim reviews for Review Choice Demonstration.

Once you complete watching the video, you might think “this is what our staff does”, and to that, we say, EXACTLY. All actions that you see being performed in the video, were done without any human intervention. Workflow automation can remove the chance of errors in claims and ensure seamless revenue recognition, allowing care staff to disburse the best patient care and the organization to remain compliant with zero operational inefficiencies.

It is a win, win situation for home healthcare, we dare say.

Abhilash Kumar - Head of Marketing at Element5
Post-Acute Care
What is Review Choice Demonstration and how to simplify pre-claim review
Post-Acute Care
Series A: It’s more than just funding, it’s the roadmap to a new future

Today, I am pleased to announce that Element5 has closed its Series A funding of $15M led by Insight partners. Insight Partners is a world-class firm whose past investments include logos such as Shopify, Twitter, Docusign, Alibaba, Trivago, Kinnser, and Netsmart to name a few. More than just the financial investment, Insight Partners will also be a great addition to our strategic roadmap, providing us guidance and traction to expand our market foothold. Their experience working with the nuances of fueling AI & RPA adoption will be a great addition to growing our arsenal of post-acute care clients.

I’m living every CEO’s dream. An incredible team that challenges me at every step, partners who accentuate our offerings and champion us at every touchpoint. And customers. People who have chosen to work with us because they believe, even at the deep end of the ocean, we’re there to guide them to the shores of success. 

Element5 is exactly two summers old. There was no doubt in our minds that there was a huge gap in post-acute care, and addressing it would mean solving scores of problems across departments. In a short time, we’ve seen extensive traction, and all roads have led to this sweet spot. 

Today, I am pleased to announce that Element5 has closed its Series A funding of $15M led by Insight partners. Insight Partners is a world-class firm whose past investments include logos such as Shopify, Twitter, Docusign, Alibaba, Trivago, Kinnser, and Netsmart to name a few. More than just the financial investment, Insight Partners will also be a great addition to our strategic roadmap, providing us guidance and traction to expand our market foothold. Their experience working with the nuances of fueling AI & RPA adoption will be a great addition to growing our arsenal of post-acute care clients.

While RPA is still a nascent technology in healthcare, it has been widely applied across other industries to great success. And all the years working in healthcare made us quickly realize that the post-acute market direly needed tech enablement. We took the opportunity to introduce RPA to post-acute care and showcase how it can help streamline processes, reduce work and most importantly, save time. What really sets Element5 apart is the focus on delivering automation-as-a-service. We’re simplifying the adoption of RPA for post-acute care by delivering pre-built workflows that allow organizations to get started on automation faster, better and stronger. 

We’re in a fantastic position as a disruptor enabler; the opportunity is there, our solution is spot-on, macro-trends are in our favor, and we now have the funding to make a big splash. Together, we’re on the road to changing the way post-acute care teams work. Here’s to a future where workflow automation is ubiquitous across the post-acute care landscape.

This could not be possible without three sets of people.

Our partners, who believe in this mission as much as we do, and provide us the waves as we steer this ship in the right direction.

Customers, who believe in us and the power of RPA. Our true north.
Lastly, the employees of Element5, a dedicated team that reinvigorates me with passion and hope each day. Brilliant minds who inspire the world and make everything possible.

I’m living every CEO’s dream.
Joe Randesi - Co-Founder & CEO
Post-Acute Care
Series A: It’s more than just funding, it’s the roadmap to a new future
Press Releases
Element5 announces the appointment of post-acute care industry leader, Jennifer Maxwell to Board of Directors

Element5, an Automation as a Service solution leveraging AI and RPA for post-acute care, announced the appointment of Jennifer Maxwell to their Board of Directors. Jennifer is currently the co-founder and CEO of Maxwell Healthcare Associates, (MHA) an industry leading consulting firm in post-acute care and Strategic Advisor to Medalogix, a one-of-a-kind data analytics company also in the post-acute care space. With the addition of Jennifer Maxwell to its board of directors, Element5 aims to strengthen its technology leadership and accelerate the adoption of AI (Artificial Intelligence) & RPA (Robotic Process Automation) based solutions across the post-acute care industry.

Jennifer Maxwell serves as the co-founder and co-CEO of Maxwell Healthcare Associates

SAN JOSE, California- July  30, 2021 - Element5, an Automation as a Service solution leveraging AI and RPA for post-acute care, announced the appointment of Jennifer Maxwell to their Board of Directors. Jennifer is currently the co-founder and CEO of Maxwell Healthcare Associates, (MHA) an industry leading consulting firm in post-acute care and Strategic Advisor to Medalogix, a one-of-a-kind data analytics company also in the post-acute care space. With the addition of Jennifer Maxwell to its board of directors, Element5 aims to strengthen its technology leadership and accelerate the adoption of AI (Artificial Intelligence) & RPA (Robotic Process Automation) based solutions across the post-acute care industry. 

“We’re thrilled to add Jennifer Maxwell to our Board of Directors,” commented Joe Randesi, co-founder & CEO of Element5. “Jennifer’s deep expertise in the post-acute care industry has steered organizations like Maxwell Healthcare Associates and Muse Healthcare across new frontiers. Her seasoned insights and experience will be valuable as Element5 pursues our mission to lower the cost of care by removing the burden of labor-intensive, repetitive tasks.”

Jennifer Maxwell has also served as President of Muse Healthcare, Executive Director of the Minnesota Homecare Association and Division Director for Mesa County Department of Human Services. This combined experience over her career has helped clients and organizations to achieve new heights of operational, technological, regulatory and financial efficiencies. 

Speaking on her appointment, Jennifer Maxwell said, “I am excited to join the Element5 board of directors.  I strongly believe in the work that Element5 is doing as they radically change the healthcare industry by optimizing efficiencies and creating better outcomes.  I look forward to working with the team to achieve their next level of success.”

Last year, Element5 announced the closing of its seed round of funding, with a commitment to simplify the adoption of RPA for post-acute care. Element5 delivers end-to-end workflow automation-as-a-service by programming software robots to complete work as if they are humans, leveraging AI and RPA technologies.

About Element5

Element5 is simplifying work for post-acute care organizations by offering end to end workflow Automation-as-a-Service. Using Artificial Intelligence (AI) and Robotic Process Automation (RPA), Element5 delivers intelligent automation and analytics that help organizations improve operational efficiency, recognize revenue faster and help their resources focus on better patient outcomes. 

By automating complex administrative tasks for post-acute care, Element5 frees healthcare personnel from time-consuming and repetitive processes, empowering teams to do more, by doing less. 

Built by experts with decades of experience in healthcare and post acute care, Element5 is headquartered in San Jose, California with offices in Chennai, India. You can learn more about Element5 and RPA on www.e5.ai

Media contact

Abhilash Kumar 

Head of Marketing 

abhilash.k@e5.ai 

Element5
Press Releases
Element5 announces the appointment of post-acute care industry leader, Jennifer Maxwell to Board of Directors
Post-Acute Care
5 Processes RPA can automate for post-acute care

The post-acute care industry is worse off in keeping up with the technology updates, with several organizations using fax machines even today. With administrative overheads that cost both time and resources strewn across the post-acute care landscape, Robotic Process Automation (RPA) is the perfect fit for the industry. With RPA, complex processes that require repetition and several clicks can be performed with no manual intervention, faster and more efficiently. Imagine all the tedious administrative tasks, rule-based documentation required by compliance done while the caregiving staff gets to focus on the patient care experience, working on top of their license. You might wonder, what tasks can RPA automate for a post-acute care organization? Can it only be utilized in one department or more? We can't answer all your questions here. So, we are sharing the five most important processes that RPA can automate for post-acute care organizations.

Why is it that with increasing technology adoption, the barriers to ease of use only seem to be going up? Isn't technology meant to remove these barriers in the first place and make doing work easier?

Take the healthcare industry's example, which has a plethora of technology solutions to choose from. But a poor implementation strategy and understanding has led to less streamlining/reduction of processes and instead created more work for healthcare staff. What's more, the cost of these ill-utilized solutions would fall under administrative costs. Interestingly enough, the administrative bloat in the US healthcare system accounts for over 30% of all healthcare spending.

The post-acute care industry is worse off in keeping up with the technology updates, with several organizations using fax machines even today. With administrative overheads that cost both time and resources strewn across the post-acute care landscape, Robotic Process Automation (RPA) is the perfect fit for the industry. With RPA, complex processes that require repetition and several clicks can be performed with no manual intervention, faster and more efficiently. Imagine all the tedious administrative tasks, rule-based documentation required by compliance done while the caregiving staff gets to focus on the patient care experience, working on top of their license.

However, you might wonder what that entails. What tasks can RPA automate for a post-acute care organization? Can it only be utilized in one department or more? Even within a single process, there are multiple workflows, can they be automated too? We can't answer all your questions here. So, we are sharing the five most important processes that RPA can automate for post-acute care organizations.

1. Intake Automation

The intake management process is critical to any post-acute care organization. It has multiple processes that have the potential to be automated for efficiency from managing bed occupancy optimally, managing referrals, checking eligibility, and more. Here's what you can automate:

  • The multiple daily discharge & referral modules
  • Patient transitions between different service lines
  • Eligibility check to system of record
  • Authorization management to system of record

2. Clinical Automation

Clinical processes in post-acute care bring in massive volumes of data management required by regulations and compliances. They are a critical part of the revenue recognition activities and any error can mean potentially delayed/lost revenue. RPA can take on several of these tasks and perform them quickly, without error and zero fatigue. Here's what you can automate:

  • Scheduling activities across service lines
  • Quality Assurance checks and compliance audits
  • OASIS file submission through iQIES
  • Review Choice Demonstration

3. Medical Records Automation

As more technologies come into the fray, the challenges of integrating with the existing tools, systems of records, and other operations come to the fore. Managing all these integrations can be a tedious process that sometimes adds more work instead of reducing it. RPA without any interoperability limitations can be the perfect solution to handle integrations delivering better operational efficiency and faster outcomes. Here are some integrations that you can automate:

  • Orders/Physician notifications
  • Migration of active census to a new system
  • Clinical & Financial due-diligence audits
  • Certain HR tasks and related activities

4. Revenue Cycle Management (RCM)

The faster revenue can be recognized, the better decisions post-acute care teams can take to facilitate the best patient care experience. With billing in post-acute care requiring authorizations, medical coding, and much more, RCM is a long-drawn process. With several tasks important for processing payments requiring documentation that can take days or even weeks, RPA can help move the process faster, further reducing resource overheads. Here are some workflows that can help you recognize revenue faster:

  • Seamless claims and denials automation
  • Insurance re-verification & pre-billing audits automation
  • Faster data collection for all Accounts Receivable
  • Automated month-end processes, the closing of books, etc.

5. Data Aggregation

Gaining a 360-degree perspective of operations is a challenge across post-acute care. Advanced analytics and insights drawn by bots allow teams to rapidly make decisions that positively impact care quality and business performance. Here's how RPA can help you do more with your data:

  • A unified view into your operations across service lines with quick, detailed report generation
  • Data-driven analytics and visualizations updated by the minute
  • Receive meaningful insights into critical areas needed to evaluate staff



Jaideep Nair - Marketing & Communications at Element5
Post-Acute Care
5 Processes RPA can automate for post-acute care
Post-Acute Care
Three technologies that are changing the landscape of home health organizations in 2021

When we think about 2020, healthcare inevitably comes up. While organizations continue on their mission to manage the pandemic, it’s also time for them to begin thinking about future-proofing themselves to create a more robust system of delivery. This holds especially true for home health organizations that need to actively reorganize themselves for better patient outcomes. But where does this future-proofing journey begin? This blog by Abhilash Kumar, Head of Marketing, Element5 talks about the three key technologies gaining increasing adoption in the post-acute care market, especially home-health.

This blog first appeared in McKnight's Senior Living.

When we think about 2020, healthcare inevitably comes up. While organizations continue on their mission to manage the pandemic, it’s also time for them to begin thinking about future-proofing themselves to create a more robust system of delivery. This holds especially true for home health organizations that need to actively reorganize themselves for better patient outcomes. But where does this future-proofing journey begin?

Healthcare beyond the four walls of the hospital    

Take a moment to assess the scale of the home health industry. In 2019, the Centers for Disease Control and Prevention reported that there were 11,844 home health agencies in the U.S. The U.S. Bureau of Labor Statistics predicts that people in the age bracket of 65 will grow from 43 million in 2012 to over 85 million in 2050. With this growth in the old age population, the demand for home health services is expected to grow as well. By 2025, this market is poised to reach $147.45 billion.

In order to keep up with the magnitude of this growth, there are four key areas that home-based healthcare needs to focus on. Much like healthcare as a whole, home health organizations also need to align themselves largely to the quadruple aim, which refers to better patient experiences, improved care outcomes, lower cost of care and better staff experiences.

There are several technological solutions that cater to the home health market. While organizations have myriad options, here are three technologies that are increasingly gaining adoption in post-acute care and, more specifically, among home health teams.

To read the full blog click here.

Abhilash Kumar - Head of Marketing at Element5
Post-Acute Care
Three technologies that are changing the landscape of home health organizations in 2021
Post-Acute Care
You’ve heard of AI for post-acute care. But have you heard of RPA? The new technology home-health, hospices & others are turning to

Learn how Robotic Process Automation (RPA) can help deliver better patient care, improve job satisfaction and work experience for post-acute care teams while lowering the cost of care.

Despite the rise in technology adoption in healthcare, the post-acute care industry has been slow on the uptake. This is in part due to a poor understanding of the technology and a lack of insight into the merits. It is a well-known fact that every dollar spent on operational inefficiencies is a dollar that cannot be spent on care delivery and improving patient outcomes. The post-acute care system in the US is overrun with rule-based, repetitive administrative tasks that take up an inordinate amount of time. These documentation tasks often cut into the hours of the operations teams leading to overburdened staff unable to work at the top of their license. Automation fits in as the perfect answer to this problem.


What is RPA and how can it help

RPA or Robotic Process Automation is a system of recording tasks where machines are instructed to execute rule-based tasks precisely. Robots (or bots) find logical steps and perform repetitive, labor-intensive tasks utilizing the same systems that post-acute teams utilize with no human intervention. RPA, when implemented correctly, comes in as a boon for post-acute care organizations, functioning as a digital assistant that performs all of the tasks just as humans would only faster, more accurately, and efficiently. It allows for the organization's medical teams to focus on business-critical functions and deliver better patient outcomes. RPA, in conjunction with AI, can help automate post-acute care workflows such as intake management, claims and denials, RCM, record management, and a plethora more waiting to be found. In just the intake management process alone, post-acute care teams stand to save hundreds of hours working on tasks such as managing referrals, checking eligibility, audits, and more. These processes can be performed substantially faster and more efficiently through automation. All that time saved can now go towards providing a better, more fulfilling patient care experience.


Is it too early to adopt RPA?

According to market studies, the Robotic Process Automation (RPA) market is expected to reach $5bn by 2024. The healthcare segment is expected to be one of the fastest-growing sectors over this forecast period. Moreover, with more and more provider networks focusing on interoperability as a key requirement while considering their referrals, it has become paramount for post-acute care organizations to focus on upping their technology game. RPA is not a band-aid fix to the situation either since it can be easily scaled along with the organization's tech infrastructure owing to its tech-agnostic nature. RPA is easily implemented with the help of the right partner, at almost zero technology overhead, and exhibits tangible ROI from Day 1.


In conclusion, RPA is a technology that directly aligns with the core values of lowering the cost of care and improving staff experience to build on and go beyond the only bottom line, better patient care. While there are several players in the RPA for the healthcare space, Element5 has built RPA based workflow automation solutions, specifically for post-acute teams. Now all that's left to be seen is how the post-acute care leaders rise to step forth on this evolutionary journey.

Jaideep Nair - Marketing & Communications at Element5
Post-Acute Care
You’ve heard of AI for post-acute care. But have you heard of RPA? The new technology home-health, hospices & others are turning to
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HHCN Voices: Jennifer Maxwell CEO & Co-founder at Maxwell Healthcare Associates

In this VOICES interview, Home Health Care News sits down with Maxwell Healthcare Associates (MHA) CEO and co-founder Jennifer Maxwell to learn why M&A has been on the rise in home health care, predictions for home health M&A in 2021 and why training helps solve staffing challenges. Read on to find out how technology has been key to their growth and how their new partnership with Element5 is helping them leverage RPA and AI to boost their client successes.

Excerpt from the full conversation

One area of the MHA team’s work that is cutting edge is RPA, Robot Process Automation. What does this mean, and how does it affect home-based care providers, including hospices?

Maxwell: RPA is definitely up and coming. We partnered with Element5 to bring much needed automation to the post-acute care industry. What we have seen with those agencies that home-grow their RPA — or piece it together with smaller firms — are a lot of errors and breakdowns in the automation. They are having humans continuously monitor for those breaks, thus negating the whole objective of leveraging RPA.

Element5 has next-level technology that minimizes the need for humans to monitor. We are working closely with them and developing numerous workflows and automations that are extremely detailed and efficient. They are saving time, people and money along with increasing efficiencies within agencies.

We also are utilizing the RPA post-acquisition transactions to automate the technology transfer of data that would typically take numerous consultants and time to complete. For example, if you take a large hospice with a 2000-plus census that has to migrate all those patients over into the new technology, that would typically take weeks to do. We’re talking hundreds and hundreds and hundreds of hours. We’re able to take it down to like four days. Think about the ROI on that acquisition. It is profound. You’re saving time to full transition, decreasing impact on staff and mitigating potential burnout and room for error, to name a few.

We have a great level of confidence with Element5. Our client successes have been multiplying.

Home Health Care News
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HHCN Voices: Jennifer Maxwell CEO & Co-founder at Maxwell Healthcare Associates
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Hospice Leverage Emerging Technologies to Build Efficiency

Hospices are seeking to build new levels of efficiency into their workflows as they contend with COVID-19 headwinds and prepare for participation in value-based payment models. A rising number of providers are turning to emerging technologies to support those efforts including artificial intelligence, telehealth and robotic process automation. Read on to find out how these technologies are helping hospices all over the US supercharge their operational efficiency.

Excerpt from the full article

Another emerging technology that is gaining ground is robotic process automation (RPA). This technology can be configured to perform actions within and between systems. RPA uses robots to automate workflows and manage complex and repetitive tasks involving electronic health records (EHR), payer sites and financial systems. RPA systems can be used to automate certain workflows in patient intake, authorizations and reauthorizations and revenue cycle management.

When double checking a patient’s authorization, for instance, a staff member typically has to login to the EHR and enter information from that system into a payer portal, as well as download required documentation and in turn update the EHR with the authorization data. RPA can automate the data entry process, eliminating several steps, according to Joe Randesi, co-founder & CEO, Element5.

“Risk is paramount to participating in value-based payment models. Efficient operations position providers at a stronghold to take on the clinical and financial risks associated with value-based care delivery,” Randesi said. “To improve efficiency, data has played a critical role over the last few years in helping understand bottlenecks. More recently, data-driven decision making has made its way to the hospice and palliative care space.”

To read the full article click here.

Hospice News
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Hospice Leverage Emerging Technologies to Build Efficiency
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How Robot Process Automation (RPA) Helps Connect Disparate Systems and Increase Efficiencies

The use of technology to help organizations produce meaningful work and gain previously unheard efficiencies is the eventual goal of all users of technology. Nowhere is this more needed than in the home health and hospice industry. Cost control is paramount in-home health and hospice when it comes to the foundation of a profitable business that will be able to weather the regulatory storms that seem to hit us every year. The home health and hospice systems are built on who can be the most efficient at the lowest cost and provide the patients with the highest level of care possible. Therefore, it’s is incumbent upon providers to use every available tool to make this seemingly possible task profitable and prosperous for years to come. We would like to introduce you to a tool called Robot Process Automation (RPA) paired with Artificial Intelligence, and MHA currently works with an amazing new provider of this service named Element5.

Excerpt from the full blog

The use of technology to help organizations produce meaningful work and gain previously unheard efficiencies is the eventual goal of all users of technology. Nowhere is this more needed than in the home health and hospice industry.  Cost control is paramount in-home health and hospice when it comes to the foundation of a profitable business that will be able to weather the regulatory storms that seem to hit us every year. The home health and hospice systems are built on who can be the most efficient at the lowest cost and provide the patients with the highest level of care possible.

Therefore, it’s is incumbent upon providers to use every available tool to make this seemingly possible task profitable and prosperous for years to come. We would like to introduce you to a tool called Robot Process Automation (RPA) paired with Artificial Intelligence, and MHA currently works with an amazing new provider of this service named Element5.

To learn more about our partnership and read the full post click here.

Maxwell Healthcare Associate Blog
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How Robot Process Automation (RPA) Helps Connect Disparate Systems and Increase Efficiencies
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4 Benefits of Robotic Process Automation in Home-based Care

An Oxford University study in 2013 told everyone what we’d all been wondering: Will a robot one day take my job? The report — “The Future of Employment: How Susceptible are Jobs to Computerisation?” — offered its ranking of 702 jobs and careers based on how easily they could be automated. Not surprisingly, the home-based care sector fared pretty well, as therapists, social workers, and mental health professionals made up 40% of the top 10 safest jobs. That does not mean that robotics and automation have no place in home-based care. The contrary. Robot process automation, or RPA, is software that uses artificial intelligence and machine learning to automate a variety of menial, repetitive tasks that otherwise fall on clinicians. In home-health and hospice, RPA is hugely beneficial for revenue cycle work, for example.

Excerpt from the full article

An Oxford University study in 2013 told everyone what we’d all been wondering: Will a robot one day take my job? The report — “The Future of Employment: How Susceptible are Jobs to Computerisation?” — offered its ranking of 702 jobs and careers based on how easily they could be automated.

Not surprisingly, the home-based care sector fared pretty well, as therapists, social workers and mental health professionals made up 40% of the top 10 safest jobs.

That does not mean that robotics and automation have no place in home-based care. The contrary. Robot process automation, or RPA, is software that uses artificial intelligence and machine learning to automate a variety of menial, repetitive tasks that otherwise fall on clinicians. In home health and hospice, RPA is hugely beneficial for revenue cycle work, for example.

“RPA takes large, basic, A-to-Z processes that don’t require subjective human decision-making, because it’s been mapped all the way through, and runs these processes without error, 24/7,” says Jennifer Maxwell, CEO and co-founder of Maxwell Healthcare Associates (MHA).

RPA saves home-based care providers both time and money, and is a long-term cost savings tool...

Read the complete article here.

Home Health Care News
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4 Benefits of Robotic Process Automation in Home-based Care
Press Releases
Element5 and LBMC announce strategic partnership to bring greater security to automation for post-acute care

Element5 and LBMC, today, announced a strategic partnership that aims to bring greater enterprise-grade security and healthcare compliance to Element5's existing suite of AI and RPA (Robotic Process Automation) solutions. The strength of this partnership comes at the heels of Element5's rapidly growing portfolio of automation workflows that enable post-acute care organizations to witness tangible ROI by automating their administrative processes. Element5 provides pre-built intelligent automation solutions that allow post-acute care teams to eliminate the need for manual intervention across repetitive workflows. With an added layer of intelligent reporting, teams are able to spend less time on administrative functions and more time delivering better patient outcomes.

The partnership is aimed at strengthening healthcare data compliance and security measures across Element5's workflow automation suite for post-acute care

SAN JOSE, Calif. and NASHVILLE, Tenn., Jan. 26, 2021 / -- Element5 and LBMC, today, announced a strategic partnership that aims to bring greater enterprise-grade security and healthcare compliance to Element5's existing suite of AI and RPA (Robotic Process Automation) solutions. The strength of this partnership comes at the heels of Element5's rapidly growing portfolio of automation workflows that enable post-acute care organizations to witness tangible ROI by automating their administrative processes.

Element5 provides pre-built intelligent automation solutions that allow post-acute care teams to eliminate the need for manual intervention across repetitive workflows. With an added layer of intelligent reporting, teams are able to spend less time on administrative functions and more time delivering better patient outcomes. Element5 will leverage the expertise of LBMC to better manage data, information security and patient privacy in its end-to-end workflow automation solutions.

Speaking on the partnership, Joe Randesi, co-founder and CEO of Element5 said, "AI and RPA are relatively nascent to the post-acute care industry, but their impact is tremendous. As customers are adopting these new technologies, we are committed to the privacy, safety and security of their data, allowing them to focus better on patient care. We're thrilled to partner with LBMC, who are helping us deliver this vision."
Mark Burnette, Shareholder-in-Charge at LBMC Information Security, said, "Protecting sensitive data is of utmost importance for healthcare organizations, especially when advanced technologies such as AI and RPA are utilized. Element5's partnership with LBMC Information Security is evidence that the company takes its responsibility seriously and intends to lead the post-acute care industry toward secure automated solutions.  We are pleased to be partnered with Element5 in securing healthcare data and processes."

Last year, Element5 announced the closing of its seed round of funding, with a commitment to bring workflow automation solutions to hospice and homecare agencies. In 2020, Element5 also received its SOC2 certification as a part of its continued commitment towards better customer security. Today, organizations across the U.S. are automating a range of labor intensive processes such as quality assurance, authorizations, order management, and revenue cycle management using Element5's AI and RPA based solutions.

ABOUT Element5

Element5 provides intelligent automation solutions for post-acute care. Using Artificial Intelligence (AI) and Robotic Process Automation (RPA), Element5 simplifies the execution of complex processes that incur high costs and are often labor intensive.

Element5 is on a mission to enable clinical and operational teams to focus on better care delivery, by freeing them from encumbrances of administrative tasks. Intelligent bots, pre-built workflows and interoperability with EHR systems enable faster delivery of repetitive processes while minimizing errors.

Built by experts with over a century of collective experience in healthcare and post acute care, Element5 is helping organizations do more, by doing less. Headquartered in San Jose, California with offices in Chennai, you can learn more about Element5 and RPA at www.e5.ai

About LBMC

LBMC is a Forbes 2020 Top Recommended Firm, one of the Southeast's largest accounting and business consulting firms and a top 50 firm in the nation serving approximately 10,000 clients with diverse needs across a spectrum of industries. The LBMC Family of Companies has more than 700 employees, with offices in Chattanooga, Nashville (Brentwood), and Knoxville, TN. Founded in 1984 as a traditional accounting firm, LBMC has expanded its focus to meet a broad range of advisory and business consulting needs for its diverse client base. Today, we've become industry leaders in financial, human resources, technology, information security, and wealth advisory services for businesses and individuals. For more information, visit www.lbmc.com.

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Element5 and LBMC announce strategic partnership to bring greater security to automation for post-acute care
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Element5 Announces the Closing of $2.5M Seed Funding

Element5, the San Jose startup building Homecare's first Automation Hub, has today announced the closing of $2.5 million in seed round funding. Founded in late 2019, Element5 is rethinking the way work gets done by bringing automation-as-a-service solutions to Homecare and Hospice providers. The technology is built on the foundation of artificial intelligence (AI) and robotic process automation (RPA) and delivers end-to-end automation for key workflows. Accompanying each automated workflow are rich, powerful analytics that help clients gain valuable insight into their business.

SAN JOSE, Calif., June 1, 2020 -- Element5, the San Jose startup building Homecare's first Automation Hub, has today announced the closing of $2.5 million in seed round funding.

Founded in late 2019, Element5 is rethinking the way work gets done by bringing automation-as-a-service solutions to Homecare and Hospice providers. The technology is built on the foundation of artificial intelligence (AI) and robotic process automation (RPA) and delivers end-to-end automations for key workflows. Accompanying each automated workflow are rich, powerful analytics that help clients gain valuable insight into their business.

"We're very fortunate to have the support of our investors to help us bring high-impact technology to a space that deserves it," says Joe Randesi, CEO and co-founder of Element5. "Homecare is filled with great technology companies that offer robust, powerful applications. However, there is still a substantial amount of manual processes required to run Homecare operations. This is where we found the capabilities of RPA such a great fit, since it leverages existing systems and can perform actions just like a human. Once clients see automation working in conjunction with their existing software, they quickly realize the ROI and often ask what else is possible."

Randesi and co-founder Eric Gordon, Element5's Chief Revenue Office, have served the Homecare and Hospice market for 12+ years. Gordon says, "We empower our clients to perform at the top of their competency, enabling them to focus on the highest value tasks. With ever-changing industry rules and regulations, the time and energy spent just to stay compliant is enormous and often creates operational bottlenecks. Automating compliance-related workflows will provide our clients with the freedom they need to rethink how work gets done."

Element5 co-founders also include CTO Murali Vivenankandan and COO Bhavani Raman. "I am excited about helping providers adopt cutting-edge technology in a simple, meaningful way," says Vivekanandan. "Combining AI, RPA, and other complementary tools will create powerful solutions that will truly change the way our clients get work done."

About Element5

Element5 provides intelligent automation solutions for post-acute care. Using Artificial Intelligence (AI) and Robotic Process Automation (RPA), Element5 simplifies the execution of complex processes that incur high costs and are often labor intensive.

Element5 is on a mission to enable clinical and operational teams to focus on better care delivery, by freeing them from encumbrances of administrative tasks. Intelligent bots, pre-built workflows and interoperability with EHR systems enable faster delivery of repetitive processes while minimizing errors.

Built by experts with over a century of collective experience in healthcare and post acute care, Element5 is helping organizations do more, by doing less. Headquartered in San Jose, California with offices in Chennai, you can learn more about Element5 and RPA at www.e5.ai or follow us on Twitter, LinkedIn, and Facebook.

Press Releases
Element5 Announces the Closing of $2.5M Seed Funding
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