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Healthcare

Cut costs, improve efficiency & serve patients.

Automation has the potential to revolutionize the healthcare industry, and companies like Thoughtful can play a significant role in making this transformation possible. By automating various aspects of healthcare, including patient record-keeping, scheduling, and billing, healthcare providers can improve the efficiency and accuracy of their services, while also reducing costs and improving patient outcomes.

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automating processes in a checklist

Work just became less work.

Waystar, Central Reach, Cerner - sound familiar? These are all systems we train our bots to operate in every day. No integrations are required; our smart bots work on your software to perform processes for everyday functions like: Medicaid eligibility, patient responsibility, invoicing and statements, insurance coverage, primary claims, and patient scheduling. Thoughtful can automate any online application and most desktop applications as well. It can create folders and update spreadsheets to log the results. It can even send emails, alert teams, or send slack notifications for those patients found to be not eligible. The processes, applications, and possibilities truly are endless.

use cases

These companies have
already seen the benefits of automation

Healthcare

Ally Pediatric

Ally Pediatric Accomplished a 90% Reduction in Their Invoice Processing Time

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Healthcare

Keplr Vision

Keplr Vision Experiences an Impressive 95% Reduction in Processing Time

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Healthcare

MB2 Dental

MB2 Dental Innovates with Bots and Saves 80 Hours Per Month by Automating

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all case studies

Thoughtful is ready to automate your Healthcare processes.

XX

837 & 835

Automation of X12 837 and 835 files, which are the industry standard files used for the electronic submission of healthcare claim and payment information, can bring several benefits to the healthcare industry. Firstly, it can reduce the risk of errors and increase the accuracy of claims submissions. Automated systems can also process claims faster, resulting in quicker payment and reducing the time spent on manual data entry. Moreover, automated systems can provide more detailed and accurate tracking and reporting, making it easier to monitor the progress of claims and identify any potential issues. Additionally, automation can also help improve compliance with regulations and standards, reducing the risk of penalties and fines.Ultimately, the use of automation can help streamline the healthcare claims and payment process, reducing costs and improving efficiency for healthcare providers, payers, and patients.

healthcare; claims filing; advancedmd; kareo

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

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

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

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

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

CC

Clinical Charting

Automating Clinical charting and patient records management with Thoughtful can bring a range of advantages to a dental office. The software can streamline the process of recording patient information, reducing the need for manual data entry and minimizing the risk of errors. It can also help with charting and tracking patient progress, making it easier to identify trends and make data-driven decisions. Additionally, by automating the process of records management,Thoughtful can help dental practices to become more efficient and organized, making it easier to find and retrieve patient information when needed. WithThoughtful, dental office can also securely share patient data with other providers and easily comply with regulations, such as HIPAA.

healthcare; record keeping; records management; eclinicalworks; medez; advancedmd; kareo; cerner

DR

Digital Radiography

Automating Digital radiography and imaging with Thoughtful can bring a range of advantages to a dental office. The software can streamline the capturing and analyzing of X-ray images, reducing the need for manual data entry and minimizing the risk of errors. It can also help with charting and tracking patient progress, making it easier to identify trends and make data-driven decisions. Additionally, by automating the process of radiography and imaging, Thoughtful can help dental practices to become more efficient and organized, making it easier to find and retrieve patient information when needed. With Thoughtful, dental offices can securely share patient data with other providers and efficiently comply with regulations such as HIPAA. Dental offices can also reduce radiation exposure to patients and staff with digital radiography.

healthcare; medical; patient intake; medical billing; advancedmd; carecloud; cerner; kareo; meditech expanse

EP

Electronic Prescribing

Automating electronic prescribing and medication management with Thoughtful can bring a range of advantages to a healthcare provider. The software can streamline prescribing and managing medications, reducing the need for manual data entry and minimizing the risk of errors. It can also help track patient progress and drive patient medication history, making it easier to identify trends and make data-driven decisions. Additionally, by automating prescribing and medication management, Thoughtful can help healthcare providers become more efficient and organized, making it easier to find and retrieve patient information when needed. With Thoughtful, healthcare providers can securely share patient data with other providers and easily comply with HIPAA and other healthcare regulations. The software can also help providers to identify drug interactions and contraindications, reducing the risk of adverse events.

healthcare; behavioral health; medical; records management; record keeping; productivity; advancedmd; carecloud; kareo; meditech expanse; cerner

These are just some of the systems our bots work with...

Solutionreach

Domo

Kareo

KY Medicaid

PA Medicaid

SC Medicaid

CentralReach

GA Medicaid

FL Medicaid

WellSky Personal Care

WebABA

WebPT

QGenda

Waystar

Theralytics

Meditech Expanse

Epic

NextGen

MedEZ

Lumary

eClinicalWorks

Cerner

ClinicSource

CareCloud

AccuPoint

Eyefinity

Payspan

AdvancedMD

March

VBA

InstaMed

NVA

VSP Vision Care

Davis Vision

Superior Vision

Spectera

EyeQuest

EyeMed

EyeCare

Always Care

Compulink Advantage

Therap

And more! Search your application on our use cases page!

Our bots are better, faster, smarter.

Our FREE process evaluation is your first step toward automation.

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Check out our blog

3 Powerful Ways to Automate Medical Billing

Medical billing is a highly competitive space, which means it’s vital to offer patients superior care — including efficient billing and payment processing — to other practices.

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Healthcare

The Most Interesting Ways Robotic Process Automation Benefits RCM

Customers, facilities and eligible providers (EPs) are increasingly turning to streamlined processes to keep costs down while increasing patient care needs. Revenue cycle automation has proven to be the most efficient way to reduce claim backlogs.

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Revenue Cycle Management

The Expiration of Medicaid Eligibility Could Impact 18 Million People. RPA Can Help.

States were required to keep people enrolled in Medicaid throughout the pandemic due to a decision made by the HHS declaring COVID-19 as a Public Health Emergency (PHE). However, PHE is set to end on April 11, 2023.

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