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Physical Therapy
Streamline operations, reduce time to complete tasks, and lower labor costs.
Streamline manual processes, managing health records, achieving optimal staffing, easily staying HIPAA-Compliant, and ultimately maximizing revenue has never been more precise. RPA allows Thoughtful to automate functions within any behavioral health software, moving and managing data across routine eligibility verification, insurance payments, appointments, scheduling, claims filings, revenue posting, audits, and compliance.
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Work just became less work.
CentralReach, Kareo, Therap, Simplepractice, AthenaOne, AdvancedMD EHR, Compulink - sound familiar? These are all systems we train our bots to operate in every day. No integrations are required; they work like human co-workers to move data from one system to another. 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
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.
insurance,healthcare, behavioral health, dental, physical therapy,auditing,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
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,medical,insurance,medical billing,accounts receivable,revenue cycle management,patient intake,patient appointments,insurance filing,centralreach,epic,cerner,webpt,nextgen,qgenda,solutionreach,eclinicalworks,kareo,wellsky personal care,meditech expanse,lumary,accupoint,webaba,clinicsource,advancedmd,medez,theralytics,domo,google sheets,waystar
Medical Billing, Zero Pay, Zero Payment, Insurance Payments, Patient Responsibility
CP
Claims Processing
This bot files any claims that are unable to be directly filed through the EHR system.
healthcare, behavioral health, dental, physical therapy,eyecare,insurance filing,revenue cycle management,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
Claims, Primary Claims, Secondary Claims, Primary and Secondary, Health Care, Health Payor, Insurance, Payor, RCM, Revenue Cycle Management
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
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,medical,insurance,medical billing,accounts receivable,revenue cycle management,patient intake,patient appointments,eligibility verification,centralreach,epic,cerner,webpt,nextgen,qgenda,solutionreach,eclinicalworks,kareo,wellsky personal care,meditech expanse,lumary,accupoint,webaba,clinicsource,advancedmd,medez,theralytics,fl medicaid,ga medicaid,ky medicaid,pa medicaid,sc medicaid
ABA, EHR, RCM, Invoicing, Patient Eligibility, Medicaid
PE
Patient Eligibility Verification
On a daily basis, this bot will look at appointments 3 days ahead and verify insurance eligibility for multiple insurances.
healthcare, behavioral health, dental, physical therapy,eyecare,patient appointments,eligibility verification,patient intake,revenue cycle management,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
EyeCare, Compulink, EyeMed, HL7, Eligibility, Verification, Insurance, Authorization, Medicaid
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,medical,insurance,medical billing,accounts receivable,revenue cycle management,patient intake,patient appointments,insurance filing,centralreach,epic,cerner,webpt,nextgen,qgenda,solutionreach,eclinicalworks,kareo,wellsky personal care,meditech expanse,lumary,accupoint,webaba,clinicsource,advancedmd,medez,theralytics,domo,google sheets,waystar
Medical Billing, Zero Pay, Zero Payment, Insurance Payments, Patient Responsibility, Invoices, Statements, Outstanding Balances
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
PC
Primary Claims Filing
Using RPA (robotic process automation) to perform a primary insurance claims filing in CentralReach ABA software can offer a number of advantages. For example, RPA bots can work quickly and accurately, processing claims in a fraction of the time it would take a human to do so. This can help to reduce delays and improve the efficiency of the insurance claims process. RPA bots are also highly reliable, as they do not get tired or make mistakes due to human error. This can help to improve the accuracy of the claims process and reduce the risk of errors or mistakes. In addition, using RPA for primary insurance claims filing can help to free up human staff to focus on more complex or value-added tasks, rather than spending time on routine, repetitive tasks. Overall, the use of RPA for primary insurance claims filing can help to improve the efficiency and accuracy of the process, while also freeing up human staff to focus on more strategic tasks.
healthcare, behavioral health, dental, physical therapy,medical,insurance,medical billing,accounts receivable,revenue cycle management,patient intake,patient appointments,insurance filing,centralreach,epic,cerner,webpt,nextgen,qgenda,solutionreach,eclinicalworks,kareo,wellsky personal care,meditech expanse,lumary,accupoint,webaba,clinicsource,advancedmd,medez,theralytics,domo,google sheets
ABA, RCM, Insurance Processing, Claims Filing, Primary Claim
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
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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!
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