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Reach your goals more efficiently and cost-effectively by automating schedules, appointments, patient records and data entry with Thoughtful.
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Averaged Time Saved / mo.
Averaged Money Saved / mo.
Tasks Automated
Thoughtful can use RPA bots to automatically schedule appointments and shifts for healthcare professionals, pulling data from QGenda's system and ensuring that scheduling is done based on the availability of staff and resources. Another process that can be automated is data validation, where RPA bots can be used to validate the correctness of data entered into the system; this can help to reduce the risk of errors and improve the accuracy of the data. Additionally, Thoughtful can automate sending notifications and alerts, where RPA bots can be configured to monitor the system and automatically send messages to the appropriate parties when certain conditions are met, such as schedule changes or shift swaps. Overall, automating these RPA processes with Thoughtful can save QGenda, customers, time, and resources while improving their data accuracy.
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PP
Charge or Payment Posting
Automating charge or payment posting can offer several benefits. Firstly, automation can increase operational efficiency by reducing the time and effort required to manually process charges or payments to patient accounts. By automating the process, the bot can quickly identify the relevant accounts to post the charges or payments, minimizing errors and speeding up the overall process. Secondly, automation can enhance the accuracy and consistency of financial records by using predefined criteria and rules for charge or payment posting. This can minimize discrepancies caused by manual processing and ensure accurate financial records. Lastly, automation can provide real-time visibility into the financial status of patient accounts, allowing for more effective revenue cycle management. Overall, automating charge or payment posting can save time and resources, while improving accuracy and consistency in financial operations.
behavioral health; healthcare; medical; physical therapy; eyecare; dental; revenue cycle management; all; centralreach; epic; medez; meditech expanse; cerner; kareo; nextgen; qgenda
MC
Medical Coding
Working with Thoughtful can have several advantages when it comes to medical coding. Firstly, it can increase productivity and efficiency by reducing the time and effort required to manually assign medical codes to patient records. Automation can streamline the process by using machine learning algorithms to quickly identify and assign the correct medical codes based on the diagnosis and treatment information provided. Secondly, automation can improve accuracy and reduce errors by minimizing the potential for human error in the coding process. This can lead to better patient outcomes and fewer billing discrepancies. Finally, automation can keep up with the ever-changing medical coding landscape by automatically updating codes as new codes are introduced or old codes are retired. Overall, automating medical coding can help companies save time, reduce errors, and improve patient outcomes.
behavioral health; dental; eyecare; healthcare; medical; physical therapy; revenue cycle management; centralreach; epic; cerner; clinicsource; eclinicalworks; kareo; meditech expanse; medez; qgenda; nextgen
CD
Claims Denials
Automating claims denials can bring several advantages. Firstly, it can increase efficiency by reducing the time and effort required to manually review and deny claims. Automation can streamline the process by quickly identifying errors or discrepancies in claims and generating denial letters, reducing the workload for staff. Secondly, automation can improve accuracy and consistency by using predefined criteria and rules to identify and deny claims. This can reduce errors and discrepancies caused by manual processing, ensuring that claims are processed fairly and consistently. Finally, automation can enhance data analysis by providing insights into the types of claims that are denied and the reasons for denial. This data can be used to improve claim processing and identify patterns or trends that may require further attention. Overall, automating claims denials can help companies save time and resources, while improving accuracy and consistency in their claim processing.
behavioral health; healthcare; medical; physical therapy; insurance; revenue cycle management; claims filing; accounting; centralreach; epic; nextgen; medez; meditech expanse; kareo; qgenda; clinicsource; eclinicalworks
ZP
Zero Pays
Thoughtful provides ERM administrators with a powerful solution for automating the identification of zero pay and updating patient records in the EMR system. The Thoughtful bot can find the EOB and navigate to the patient record, saving time and effort for the administrator. The platform's mapping rules ensure that patient records are updated accurately, reducing the risk of errors and improving the overall efficiency of the process. With real-time tracking and reporting capabilities, administrators can easily see the status of each patient record and follow up as needed. Thoughtful secure platform also ensures that sensitive information is protected and only accessible to authorized personnel. In addition, automating the identification of zero pays with Thoughtful reduces the time spent on manual tasks and improves the accuracy of the patient record, making it a valuable tool for ERM administrators.
healthcare; behavioral health; dental; physical therapy; accounts receivable; accupoint; advancedmd; centralreach; cerner; clinicsource; eclinicalworks; epic; kareo; lumary; medez; meditech expanse; nextgen; qgenda; solutionreach; theralytics; waystar; webaba; webpt; wellsky personal care
Medical Billing, Zero Pay, Zero Payment, Insurance Payments, Patient Responsibility
SC
Secondary Claims Filing
Automating Secondary Claims Processing in an EHR can provide several benefits for healthcare providers. By automating this process, providers can improve the accuracy and efficiency of secondary claim submissions, leading to faster reimbursements and improved cash flow. Automated secondary claims processing can also help reduce administrative burdens for healthcare organizations by freeing up staff time that would otherwise be spent on manual processes. Additionally, automating this process can help providers identify potential errors or issues with claims, which can further improve the accuracy and efficiency of the reimbursement process. Ultimately, automating Secondary Claims Processing can lead to improved financial outcomes and reduced administrative costs while enabling healthcare providers to provide better patient care.
It's important to note that the exact steps a bot might take can vary depending on the specific electronic prescribing and medication management software and the healthcare provider's workflows. Additionally, while the bot can perform many medication management tasks, some actions may require human intervention and oversight, especially in complex cases.
healthcare; behavioral health; dental; physical therapy; eyecare; medical; accounts receivable; revenue cycle management; claims filing; centralreach; epic; cerner; webpt; nextgen; qgenda; solutionreach; eclinicalworks; kareo; wellsky personal care; meditech expanse; lumary; accupoint; webaba; clinicsource; advancedmd; medez; theralytics; waystar
ABA, RCM, Insurance Processing, Claims Filing, Secondary Claim
PC
Primary Claims Filing
Automating Primary Claims Filing within an EHR offers several benefits for healthcare providers. By automating this process, providers can improve the accuracy and efficiency of claims submissions, minimizing the likelihood of claim rejections and payment delays. Automating claims filing can also help healthcare organizations optimize their revenue cycle by streamlining the claims submission process and reducing administrative burdens. Moreover, automated systems can detect and flag potential issues with claims before submission, decreasing the risk of rejections and delays. Automating Primary Claims Filing can ultimately lead to better financial outcomes, reduced administrative costs, and improved patient care for healthcare organizations.
What Are the Top 5 Industries That Benefit from Primary Claims Automation? Insurance, Hospitals and Clinics, Medical Billing and Coding Services, Government Health Agencies, and Pharmaceutical Companies.
It's important to note that the exact steps a bot might take can vary depending on the specific electronic prescribing and medication management software and the healthcare provider's workflows. Additionally, while the bot can perform many of the medication management tasks, some actions may require human intervention and oversight, especially in complex cases.
healthcare; behavioral health; dental; physical therapy; eyecare; medical; insurance; accounts receivable; revenue cycle management; claims filing; centralreach; epic; cerner; webpt; nextgen; qgenda; solutionreach; eclinicalworks; kareo; wellsky personal care; meditech expanse; lumary; accupoint; webaba; clinicsource; advancedmd; medez; theralytics; eyefinity
ABA, RCM, Insurance Processing, Claims Filing, Primary Claim
RZ
Reconcile Zero Payments
At the end of each month, this bot reconciles Payments and Zero Pays.
healthcare; behavioral health; dental; physical therapy; accounts receivable; centralreach; epic; cerner; webpt; nextgen; qgenda; solutionreach; eclinicalworks; kareo; wellsky personal care; meditech expanse; lumary; accupoint; webaba; clinicsource; advancedmd; medez; theralytics; waystar; lighthouse payments
Medical Billing, Zero Pay, Zero Payment, Insurance Payments, Patient Responsibility, Invoices, Statements, Outstanding Balances
PC
Provider Credentialing
When a new physician, nurse practitioner, or another healthcare provider is hired, this bot moves them through the entire medical credentialing process.
healthcare; behavioral health; dental; physical therapy; provider management; revenue cycle management; centralreach; epic; cerner; webpt; nextgen; qgenda; solutionreach; eclinicalworks; kareo; wellsky personal care; meditech expanse; lumary; accupoint; webaba; clinicsource; advancedmd; medez; theralytics
ABA, EHR, Provider, Credentialing, HR, Human Resources, Practice Management, Onboarding, Insurance
PR
Patient Responsibility Invoicing
After filtering to specific Criteria, this bot creates and emails bulk Patient Responsibility invoices.
legal,finance/accounting,all industries,medical billing,accounts receivable,revenue cycle management,centralreach,epic,cerner,webpt,nextgen,qgenda,solutionreach,eclinicalworks,kareo,wellsky personal care,meditech expanse,lumary,accupoint,webaba,clinicsource,advancedmd,medez,theralytics
ABA, EHR, RCM, Invoicing, Patient Responsibility, Bulk Payments
PI
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
PE
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
ME
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
IP
Insurance Payments
Once claims are identified as Paid, the bot will find the EOB/EOP, navigate to the patient record in the EMR system and update the patient ledger.
insurance,healthcare, behavioral health, dental, physical therapy,medical billing,insurance filing,revenue cycle management,therap,always care,compulink advantage,davis vision,eyecare,eyemed,eyequest,march,spectera,superior vision,accupoint,advancedmd,centralreach,cerner,clinicsource,eclinicalworks,epic,kareo,lumary,medez,meditech expanse,nextgen,qgenda,solutionreach,theralytics,waystar,webaba,webpt,wellsky personal care,carecloud
Medical Billing, Zero Pay, Zero Payment, Insurance Payments, Patient Responsibility
CP
Claims Processing
Automating Primary Claims Processing in an EHR has several advantages for healthcare providers, including improved accuracy and efficiency in claims processing. By automating this process, healthcare providers can reduce errors and increase productivity, allowing staff to focus on other essential tasks. Additionally, automated claims processing can help providers reduce the time it takes to receive reimbursement for services rendered, improving cash flow, and ultimately leading to better financial outcomes for the organization. Overall, implementing an automated Primary Claims Processing system can streamline operations, reduce administrative burdens, and ultimately improve patient care and products for the organization.
Claims processing is undergoing a seismic shift due to automation. For example, did you know that McKinsey predicts that by 2025, 25%of insurance and healthcare industry processes will be powered by artificial intelligence, revolutionizing how the industry operates?
Claims processing can help solve one of healthcare providers’ biggest challenges - denied claims. For example, one study found that nearly seven in 10 healthcare providers experienced a jump in denials in 2021.
It's important to note that the exact steps a bot might take can vary depending on the specific electronic prescribing and medication management software and the healthcare provider's workflows. Additionally, while the bot can perform many of the medication management tasks, some actions may require human intervention and oversight, especially in complex cases.
healthcare; behavioral health; dental; physical therapy; eyecare; insurance; insurance filing; revenue cycle management; claims filing; accupoint; advancedmd; centralreach; cerner; clinicsource; eclinicalworks; epic; kareo; lumary; medez; meditech expanse; nextgen; qgenda; solutionreach; theralytics; waystar; webaba; webpt; wellsky personal care
Claims, Primary Claims, Secondary Claims, Primary and Secondary, Health Care, Health Payor, Insurance, Payor, RCM, Revenue Cycle Management
AP
Application of Patient Responsibility
After Primary and Secondary insurances have been paid, this bot applies any applicable Patient Responsibility.
healthcare; behavioral health; dental; physical therapy; accounts receivable; centralreach; epic; cerner; webpt; nextgen; qgenda; solutionreach; eclinicalworks; kareo; wellsky personal care; meditech expanse; lumary; accupoint; webaba; clinicsource; advancedmd; medez; theralytics; waystar
Medical Billing, Zero Pay, Zero Payment, Insurance Payments, Patient Responsibility
AS
Activity Statement Audits
This bot is designed to select random patients for each provider in a specified time period and audit activity statements to make sure they are fully complete and uniform.
healthcare; behavioral health; dental; physical therapy; auditing; accupoint; advancedmd; centralreach; cerner; clinicsource; eclinicalworks; epic; kareo; lumary; medez; meditech expanse; nextgen; qgenda; solutionreach; theralytics; waystar; webaba; webpt; wellsky personal care
Auditing
A bot can be configured to monitor QGenda's system for schedule changes, shift swaps, and other vital events and automatically send notifications to the appropriate parties, such as healthcare professionals, managers, and patients. The messages can be sent via email, SMS, or other platforms such as Slack, Teams, or Zoom. Additionally, Thoughtful can use machine learning algorithms to improve the notification process over time by learning the preferences of healthcare professionals and managers. The best part is, Thoughtful can automate the entire process end-to-end, not just the Qgenda part.
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