Driving increased productivity, profitability, and patient support

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.

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.

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.

At the end of each month, this bot reconciles Payments and Zero Pays.

When a new physician, nurse practitioner, or another healthcare provider is hired, this bot moves them through the entire medical credentialing process.

After filtering to specific Criteria, this bot creates and emails bulk Patient Responsibility invoices.

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

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.

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.

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.

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.

After Primary and Secondary insurances have been paid, this bot applies any applicable Patient Responsibility.

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.