How healthcare agencies can tackle fraud, waste, and abuse with RPA
State and local agencies are still feeling the strain of the COVID-19 pandemic on government health services — particularly as it pertains to processing claims.
Though the Coronavirus Aid, Relief, and Economic Security Act — or CARES Act — established a reserve for state, local and tribal governments to pay for testing and treatment of uninsured citizens, it also created payment channels different from normal daily claims. Errors with new coding requirements resulted in a mountain of backlog claims.
That’s why many state health agencies turned their attention to robotic process automation (RPA) tools to help with the growing pile of documents.
RPA automatically flags improperly coded claims, verifies enrollment status and benefits, scans forms, and submits claims to proper payment channels, according to a new report, produced by FedScoop and underwritten by Blue Prism, Bits In Glass, and Red Hat.
Through rapid automation of manual rules-based, back-office administrative processes, RPA unburdens overwhelmed administrative staff in an already strained system. The new report dives deeper into the benefits of RPA technology.