Improving Financial Performance with Healthcare Claims Automation
The business of automating claims in healthcare is driven by many complex issues, but underlying everything is the capturing, sharing and analyzing of critical information.
Accurate, accessible and reliable data is essential for healthcare and Accountable Care Organizations to be effective. Byte Sized Solutions has the healthcare expertise to recognize opportunities for efficiencies in data and workflow processes, and the technical solutions needed to help your organization make room for improvement to financial performance. Improving healthcare through technology, it’s what we do.
System and Business Automation
Machine learning, Robotic Process Automation (RPA), and AI are the big buzzwords that have followed in the tracks of the “big data” phenomenon. It is the discipline of using programmatic solutions to implement statistical models on data.
Our consultants specialize in identifying cost-saving, user-friendly opportunities that automate manual processes for our healthcare clients. Working with new and mature technologies, the solutions we provide are robust, comprehensive and manageable. Years of experience consistently confirm: fine-tuning business processes with data automation is the best way for an organization to save time and money.
To learn more about our latest automation whitepaper: “How You’re Leaving Money on the Table and What to Do About It”.
Reliably and easily evaluate paid claims on a periodic basis for potential errors in pricing. Our automated system handles payer outreach, creating a cost-effective way to review overpaid claims and recoup misspent funds.
- In the past 12 months, one client has used 100% Audit to identify more than 13,000 overpaid claims—resulting in requests for recovery of more than $3 million.
- Since starting the process in 2010, our client has requested recovery on more than $14 million in overpaid claims.
Match patients to their ideal Primary Care Physician through automated analysis of provider encounter history. With Claims Attribution, ACOs have better visibility into patient care and can better measure PCP performance, resulting in simplified administration and improved patient experience.
- Since 2017 we have matched over 80,000 patients to a PCP for our client.
Easily upload, process, analyze and report on web-based data and operations. We build programs that automate payer claims, integrate CMS data and report on ACO requirements.