Electronic Visit Verification Process
An electronic visit verification system requires tracking a variety of information, including the type of service performed, the location of the service, the medical notes generated, the location and date of the service, who provided the service, who received it, and when the service began and ended. Caregivers often miss to clock in/clock out and enter the service provided to patients, and with missing information, it gets challenging for home care providers to create billing and initiate payments.
Here, instead of the administrative team following up with caregivers and patients, the AI bot can connect with them via SMS/Call to record input and update the system. This helps homecare agencies improve compliance, get paid and improve the cash flow cycle.
Don’t let an incident make a greater impact than your response. In the case of emergency patient referral, home care providers must be on their toes to reduce the time spent on administrative tasks and offer faster patient care. Right from patient data extraction and entry, referral form processing, and appointment scheduling, there is a lot of work the homecare team has to handle manually.
Here RPA and AI chatbots can be used to extract the patient data record and help home care providers to further execute the patient referral form. Also, once all the verification is done using the EHR system, home care providers can share all the patient details to caregivers and offer on-time patient care.
Revenue Cycle Management
At homecare, revenue cycle management is a complex and multifaceted process that involves numerous challenges like medical billing errors, claims rejection, slow reimbursement cycles, inefficient manual processes and a lot more. Performing all these processes manually is time-consuming, and high-volume records make it more challenging.
By employing AI and automation tools, home care providers can offer patients more efficient and trouble-free care, which in turn can lead to quicker revenue generation for the agency. These tools streamline various processes such as pre-claim assessment, pre-visit preparations, insurance verification, and patient record keeping. With medical coding and error-free submission of insurance claims, homecare providers can process incoming payments and manage claim denials on time. Also, this RPA bot analyzes rejections and provides valuable insights through dashboards.
It is another time-consuming process that requires high manual efforts and time from home care teams to proceed with patient intake. From collecting the electronic health record to verifying the insurance details before patient intake, the homecare team has to manage faster to make sure on-time patient care is given. A minor error or delayed patient care can lead to a lower patient care experience.
Here, automation and AI technologies can alleviate the patient care experience by utilizing ready workflow to collect, manage, and process patient information. This entails pre-registration, sending appointment reminders, obtaining consent forms, verifying identity and insurance details, syncing patient data with the Electronic Health Record (EHR) system, gathering medical histories, processing payments, and seamlessly connecting with other systems to facilitate information exchange. The faster the information process, the easier the patient intake.
Medical Record Management
Managing patient medical records can be a complex task, especially when these records exist in various systems and formats. Also, integrating with your existing IT infrastructure eliminates the need for a costly overhaul.
Here, automation and AI can offer medical coding in Electronic Health Records (EHR), ensuring precise OASIS (Outcome and Assessment Information Set) submissions to iQIES (Integrated Quality Improvement and Evaluation System), facilitating timely physician and staff notifications, efficient order processing with built-in quality checks, sending orders for digital signatures, and conducting thorough pre-claim reviews.
By utilizing the automation approach to medical records management, healthcare organizations can enhance their operational efficiency while maintaining data accuracy and compliance. Our solution helps bridge the gap between multiple systems and formats, facilitating smoother healthcare workflows and ultimately improving patient care.
Caregiver Point System
Implementing an automated point system through an AI bot serves as an effective strategy to recognize and incentivize caregivers. This system rewards positive behavior, ultimately contributing to the retention and longevity of caregivers within the organization. This AI bot seamlessly integrates with various data sources, offering live dashboards that enable providers to monitor performance in real time.
The automated point system enhances provider outcomes by improving hiring rates, enhancing reporting capabilities, and facilitating precise tracking of caregiver performance. Additionally, it empowers providers with insights into top-performing caregivers and offers a multitude of other benefits for optimizing caregiver management and overall healthcare service delivery.