Review Choice Demonstration Automation

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Review Choice Demonstration (RCD) is a necessary evil for homecare. There, we said it. However, that does not have to translate into "pre-claim review is tedious and an operational bottleneck".

Eliminate data entry errors and the need for investment into staff training to onboard a new compliance-based process. With pre-claim review automation, the transfer of data between your EHR and Palmetto GBA is completely managed without any manual intervention. Saving hundreds of hours every week for patient care.

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Workflow description

Element5's workflow automation solution for the Review Choice Demonstrations helps simplify the claims review process. Automation of the pre-claim review process saves clinical teams several hours spent downloading documentation, entering relevant data, and uploading the data back into the EHR.

Aggregate & upload information to Palmetto GBA

Monitor Palmetto GBA for responses

Extract response and response letters

Upload response into EHR

The automation solution completely removes the need for the manual, repetitive tasks involved in the pre-claim review process. The entire pre-claim review process, from accessing EHR records to uploading them onto Palmetto GBA, extracting responses from Palmetto, and uploading them into the EHRs after applying relevant business rules and audits, automation manages it all.

Pre-claim review automation can help save hours worth of effort on manual data entry tasks that can be better utilized towards business-critical activities.

Benefits and ROI

  • Boost the organization's revenue recognition through swift, timely processing of pre-claim reviews
  • Reduce the burden of a huge load of tedious, mundane, and repetitive tasks with the help of digital assistants
  • Reduce errors, improve error detection & boost cash flow through timely reimbursements
  • Reduce the average handling time of pre-claim reviews
  • Improve staff satisfaction by enabling them to focus on their primary job roles and working on top of their licenses
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Review Choice Demonstration Automation

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The Element5 RPA advantage

Subject Matter Experts who can guide you with the best solution for your problem statement

A platform that is built to ensure that  workflows can be put together really quick

Pre-Built workflows that get your process automated in days

Automation-As-a-Service for you - so you can focus on the other things that matter

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