{"id":13686,"date":"2021-07-20T16:00:48","date_gmt":"2021-07-20T21:00:48","guid":{"rendered":"https:\/\/www.osfhealthcare.org\/blog\/?p=13686"},"modified":"2024-05-28T09:04:28","modified_gmt":"2024-05-28T14:04:28","slug":"automating-processes-in-health-care","status":"publish","type":"post","link":"https:\/\/osf-blog.live.imagescape.com\/blog\/automating-processes-in-health-care\/","title":{"rendered":"Automating processes in health care"},"content":{"rendered":"<p>Whether it\u2019s scheduling a patient for care, collecting medical histories or billing, nearly every aspect of running a health care system is complicated. There are complex rules hospital systems must follow. There are many opportunities for human error. And much of the work that takes place behind the scenes, such as claims monitoring and data entry, is repetitive and time-consuming.<\/p>\n<p>Advanced Analytics, a part of <a href=\"https:\/\/www.osfhealthcare.org\/innovation\/\">OSF Innovation<\/a>, is working with various divisions of <a href=\"https:\/\/www.osfhealthcare.org\/\">OSF HealthCare<\/a> to create software that will automate these processes. Through a combination of digital tools such as Robotic Process Automation (RPA), Artificial Intelligence (AI) and Machine Learning (ML), automation can perform routine actions that don\u2019t require human interaction.<\/p>\n<p>At the same time, <a href=\"https:\/\/www.osfhealthcare.org\/innovation\/case-studies\/advanced-analytics\/\">Advanced Analytics<\/a> is building human-machine partnerships where people and bots can work seamlessly together. The goal is to help the Ministry use its resources more efficiently and expand capacity to support strategic priorities. Automation can also help ensure seamless patient experiences in key processes.<\/p>\n<h2>Revenue Cycle \u2013 a use case<\/h2>\n<p>With the job of billing, checking the status of claims and collecting payments, revenue cycle operations are well suited to benefit from automation technology. The Revenue Cycle division of OSF HealthCare is responsible for capturing, managing and collecting patient service revenue across the Ministry daily.<\/p>\n<p>Many of these responsibilities are overseen by Mission Partners. But the department is working with Advanced Analytics to build automation into many processes to improve efficiency. This includes the practice of managing and resolving credit balances.<\/p>\n<p>\u201cThis means Mission Partners don\u2019t have to manually handle overpaid claims, reducing errors in the process,\u201d said Mike Humphrey, director of Patient Accounts for the Revenue Cycle at OSF HealthCare. \u201cMore importantly, patients aren\u2019t billed for services they\u2019ve already paid for. And where necessary, individuals are getting reimbursed in a timely manner.\u201d<\/p>\n<p>The Credit Balance Resolution system, created by Advanced Analytics, has been live since March and has already produced a significant impact for the system.<\/p>\n<p>\u201cTo date, the Credit Balance Resolution automation we\u2019ve developed and implemented with Mike has created more than $1.6 million in bottom-line impact for the system,\u201d said Chris Franciskovich, director of Advanced Analytics for OSF HealthCare. \u201cThis work is a really great example of the kind of impact automation can rapidly produce for a system like ours.\u201d<\/p>\n<p>Advanced Analytics is also working with the Revenue Cycle department on automating prior authorization status checking from insurance providers on behalf of patients.<\/p>\n<h2>More to come<\/h2>\n<p>Advanced Analytics is building automation services into everyday work, leading to the creation of human-machine partnerships where people and bots can work together seamlessly. The team is currently creating these human-machine partnership solutions for Financial Planning &amp; Analysis, <a href=\"https:\/\/www.osfhealthcare.org\/billing\/\">Accounts Payable<\/a> and <a href=\"https:\/\/www.osfhealthcare.org\/practices\/search\/?adv-practice_type=12\">Home Medical Equipment<\/a>.<\/p>\n<p>Automation is seen as critical in the future state of health care. For OSF, there are about 80 projects in the queue to benefit from the technology.<\/p>\n<p>\u201cUsing automation tools will reduce the heavy workload many of our teams face,\u201d said Chris. \u201cIt also allows us to better leverage the uniquely human capabilities of Mission Partners to be empathetic, compassionate and creative as they work to provide the best service to our patients.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Automation is the future of health care and OSF HealthCare is at the forefront. Advanced Analytics, a part of OSF Innovation, is creating partnerships where people and bots can work together to improve efficiency and patient experiences. <\/p>\n","protected":false},"author":23,"featured_media":13688,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","footnotes":""},"categories":[355],"tags":[1163,925,678,666,480],"coauthors":[682],"class_list":["post-13686","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-innovation","tag-artificial-intelligence","tag-billing-insurance","tag-data","tag-patient-experience","tag-strategic-planning"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Automating processes in health care<\/title>\n<meta name=\"description\" content=\"Advanced Analytics, with OSF Innovation, is working to improve efficiency and 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