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Home ยป 5 Healthcare Case Study: Advance the RPA Industry
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5 Healthcare Case Study: Advance the RPA Industry

adminBy adminApril 11, 2025No Comments5 Mins Read
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Imagine having a large number of virtual employees doing the most boring and repetitive jobs in your healthcare business. That's essentially what robotic process automation is. It's like having an assistant that is very efficient and doesn't tire you out. It takes care of the documents and checks compliance – perfectly, and no tired eyes either.

Healthcare companies are overwhelmed by administrative tasks. According to a McKinsey report, administrative costs are approaching 30% of total healthcare costs. RPA has the ability to reduce such costs by automating patient scheduling and billing. That means satisfying patients and reducing operating costs. Let's take a look at some examples of the real world where RPA has a positive impact.

Max Healthcare claim processing optimization

For Max Healthcare, India's leading hospital chain, handling of claims has been a nightmare drug. Glitches and delays were inevitable, handling many claims per day.

After deploying RPA, claim turnaround times have been reduced by 50%. All settlements and compliance checks were done by bots, releasing some of the workload from human staff. result? Faster, more efficient processes and better cash flow.

Improved appeal process for major US insurance companies

Insurance appeal processing is a labor-intensive activity with extensive documentation reviews and data extraction. Major US health insurance companies have experienced delays and inefficiencies, leading to customer dissatisfaction.

RPA can be used to automate 85% of manual processes. Appeal cases were processed faster and errors were reduced. This has resulted in more satisfied customers. Even the accuracy of data extraction reached up to 99%.

Automating e-invoice audits in Chi Mei Medical Center

A manual invoice audit is like looking for needles in a haystack. Taiwan's Chi Mei Medical Center faces the same problem, with hundreds of invoices being audited.

After RPA was implemented, the software robot automatically downloaded the invoice. They scanned the document for inconsistencies and flagged potential errors. This significantly reduced audit time, allowing the finance team to focus on resolving discrepancies rather than manually reviewing the documents.

Streamline operations with healthcare providers

One US healthcare provider worked with consistent solutions to automate internal workflows. Prior to RPA, employees spent countless hours on iterative tasks such as scheduling and manual data entry.

After implementing RPA, processing time was reduced by 85% and operational costs were reduced by 92%. Employees can now focus on patient care instead of paperwork.

Simplify your management tasks with Laguna Insight

Management work takes time that can be spent on patient care. Laguna Insight used RPA to automate scheduling and compliance reports.

result? The administrative tasks were completed in less time than ever before. Healthcare workers were able to focus on what was most important: patient care.

Cognizant order automation processing

One of the top-rated healthcare payers based in New York had problems managing their purchase orders due to inconsistencies between data and manual processing errors. They worked with Cognizant to implement the RPA solution. New technology has reduced the time required to process credit memos. Healthcare providers can do it faster by reducing the time RPA spends on manual data entry for eight minutes. The RPA system handles a variety of data formats to improve decision-making accuracy.

Jolt's insurance claims process the upgrade

The top-performing American-based hand therapy company with over 200 outpatient clinics wanted to automate the processing of insurance claims and prevent human error. They partnered with Jolt to design nine different automation solutions. Within 12 weeks, they deployed control, monitoring, record checks, performance reporting and management systems. As a result, they confirmed the eligibility of over 5,500 clients and achieved an estimated savings of $570,000 in 2020.

When to apply RPA to healthcare

If your healthcare company is dealing with a large amount of rules-based processes, it's time to consider an RPA. Some of the important signs are:

Regular delays in billing processing. High data entry error rate. Increased administrative costs; Employees take too long to do paperwork rather than care for patients.

RPAs are especially valuable in processes with strict compliance demands, such as claims and insurance handling. If the person is dedicating more time to form than the patient, that's a clear indication that automation can help.

That being said, effective implementation of RPA must be systematic in nature. Healthcare organizations need to determine the scope of automation and work with mature RPA vendors to ensure a seamless transition. What's important is the right choice of the right automation tool. Integrating with existing workflows is important to derive maximum efficiency.

Use cases where RPA won't help your healthcare OPS

The RPA is powerful, but it's not all magic bullets. It does not replace complex human decision-making and tasks that require deep medical expertise.

For example, RPA is useless in:

Diagnosis of disease or interpretation of medical images; personalized patient care requiring human interaction. Unstructured process without clear rules. Unpredictable or dynamic medical procedures.

These fields still require artificial intelligence and human knowledge. RPA is purely rules-based and excels in processes that do not require human judgment. However, human medical professionals cannot be substituted because of decision-making that involves complexity and medical reasoning.

That is why healthcare organizations should view RPA as a way to supplement their employees. Tactically utilised RPA frees up valuable human capital and allows healthcare professionals to focus on delivering exceptional patient care rather than suffering from bureaucratic burdens.

In a nutshell, put it in a nutshell

RPA is transforming healthcare by reducing costs and freeing healthcare professionals from paperwork. If redundant tasks are affecting your business, it's time to think about RPA. With its effectiveness established in real-world applications, automation is no longer an option, but the need for a thriving medical business.

But to succeed, you need to plan well. You need all the training of your employees to choose the right processes for automation, ensure proper integration, and use automation. Organizations that approach RPA strategically not only save money, but also improve the patient experience. Achieve long-term success in an evolving healthcare environment with RPA.



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