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Automating the Kentucky Medicaid Verification Process Just Got Easier

Thoughtful can seamlessly automate any software in the process - saving time, money, and resources.

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Averaged Time Saved / mo.


Averaged Money Saved / mo.


Tasks Automated

What Processes can Thoughtful Automate?

Thoughtful can update and automate any process within the KentuckyState Medicaid verification system. These include verifying applicant information and eligibility, processing application submissions and renewals, and determining the appropriate level of coverage and benefits. Automation can per form routine tasks checking for errors and inconsistencies in the application and notify applicants of missing or incorrect information.Additionally, automated systems can track and manage applications' status and generate reports and analytics on program performance. Other processes include the management of provider and payer information and the handling of claims and payments.

Thoughtful brings years of experience in RPA, OCR, and other automation technologies and can automate steps within any Medicaid Process, no matter how complex. Anything a human can do; our bots can do 80% faster and without error. However, what makes Thoughtful valuable is our ability to replicate the entire process, not only a specific part.

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Data Entry

By automating data entry tasks, organizations can experience an efficient and streamlined process. This not only saves time but allows employees to focus on more complex or valuable tasks. Automation also ensures accuracy and consistency by following pre-established rules and procedures. Furthermore, automation eliminates the risk of errors or mistakes caused by human fatigue or inattention. Overall, automating data entry can significantly improve the efficiency and precision of an organization's processes.

accounting finance, all industries, workday, slack, adp, sap


Patient Invoicing & Statements

At the end of each month, this bot generates and sends invoices for prior month and outstanding balance statements to each account.

healthcare; behavioral health; dental; physical therapy; eyecare; medical; accounts receivable; centralreach; epic; cerner; webpt; nextgen; qgenda; solutionreach; eclinicalworks; kareo; wellsky personal care; meditech expanse; lumary; accupoint; webaba; clinicsource; advancedmd; medez; theralytics; waystar; fl medicaid; ga medicaid; ky medicaid; pa medicaid; sc medicaid; eyefinity

Medical Billing, Zero Pay, Zero Payment, Insurance Payments, Patient Responsibility, Invoices, Statements, Outstanding Balances


Patient Eligibility Verification

Adopting an automated Patient Eligibility Verification system offered by a company such as Thoughtful has numerous benefits for healthcare organizations. The automation reduces the chances of manual errors, saving time and money, and provides real-time verification for quick and accurate determination of a patient's insurance coverage. Automation reduces administrative tasks for staff, allowing them to concentrate on delivering quality patient care. Furthermore, the technology used by Thoughtful offers up-to-date information on a patient's insurance status, reducing the risk of denied claims and enhancing revenue cycle management. In conclusion, automation of Patient Eligibility Verification improves accuracy, efficiency, and financial stability for healthcare organizations.

healthcare; behavioral health; dental; physical therapy; eyecare; medical; revenue cycle management; accupoint; advancedmd; centralreach; cerner; clinicsource; eclinicalworks; epic; kareo; lumary; medez; meditech expanse; nextgen; qgenda; solutionreach; theralytics; waystar; webaba; webpt; wellsky personal care; fl medicaid; ga medicaid; ky medicaid; sc medicaid; pa medicaid; eyefinity

EyeCare, Compulink, EyeMed, HL7, Eligibility, Verification, Insurance, Authorization, Medicaid


Medicaid Eligibility Verification

Verifying Medicaid eligibility can be tedious, costly and error prone. It doesn’t have to be. For mission-driven healthcare organizations, every minute and dollar saved in the back office is a minute and dollar that can instead go towards providing excellent patient care.

Regularly checking Medicaid eligibility, especially for healthcare organizations with a large population of recurring patients, is one of many administrative tasks that keep providers away from their mission-oriented work – caring for patients. The good news: this tedious process no longer requires a human brain to perform. Our bots can be trained to log into any website and any EHR or CRM to identify patients that require an eligibility check, subsequently perform that eligibility check within the State’s Medicaid portals, and then make the corresponding updates in the system of record.

Looking at labor costs alone, hiring a claims analyst to perform this task could cost as much $2.50 per record*. For a bot performing the exact same task, it could cost you less than a dollar per record, and it will be processed in a fraction of the time. And that labor cost isn’t including the high cost of turnover in this industry and the associated productivity dip as new hires are onboarded and trained. A bot only needs to be trained once, and can handle a near infinite workload without ever needing to take a weekend or even a break. Humans are also, well, human. Mistakes in processing claims can be a huge hit to your organization at a time when efficiency is everything. Bot a bot will do exactly what it is trained to do with perfect accuracy - it doesn’t even know how to deviate.

The labor market is tightening across all industries, and the healthcare industry is of course not immune. With the pandemic, national nursing shortage, and more, budgets are tightening to ensure that the top priority – patient care – doesn’t fall victim to the economic dips. On top of that, the federal Public Health Emergency is on it’s way out in 2023, including continuous coverage. To ensure patients continue to receive the care they need, there will be a huge bolus of work to check and recheck their Medicaid eligibility. Now is the time to invest in tools that will help your team improve the efficiency of back office operations, freeing up your team to focus on patient-facing engagement.

Automating your eligibility verification processes with Thoughtful is quick and easy; no technical experience required. You walk us through your unique requirements, and we’ll build a fully custom bot that will start delivering real value within 6-8 weeks. With just a small lift from your team, you’ll start seeing massive cost savings, up to a 10-fold improvement in OpEx, virtually perfect output, and a happier human workforce. Let us do the heavy lifting so you can continue to focus on delivering exceptional patient care.

healthcare; behavioral health; dental; physical therapy; government; accounts receivable; centralreach; epic; cerner; webpt; nextgen; qgenda; solutionreach; eclinicalworks; kareo; wellsky personal care; meditech expanse; lumary; accupoint; webaba; clinicsource; advancedmd; medez; theralytics; sc medicaid; pa medicaid; fl medicaid; ga medicaid; ky medicaid; eyefinity

ABA, EHR, RCM, Invoicing, Patient Eligibility, Medicaid

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What other process automations can we do?

A smart bot can automatically verify the information provided, check for errors and inconsistencies, and notify applicants of any missing or incorrect information. It can also automatically determine the appropriate level of coverage and benefits and update the applicant's status in the system. This automates the process and reduces the need for manual intervention, speeding up the process, and reducing errors and delays.

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