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SOLUTION OVERVIEW

Robotic Process
Automation for Healthcare
One of the primary challenges facing healthcare organizations
is managing and processing information spread across many
Success Story
internal and external sources, including clinical applications,
lab information systems, third-party portals, insurance portals, Efficiently verifying health insurance eligibility
radiology information systems, scheduling applications, ERPs A nationwide leader in medical supply distribution was
and HR applications. Integration across these systems is often struggling to verify health insurance eligibility for potential
complex, and most healthcare organizations still often rely customers due to highly manual processes. Millions of
on humans to perform manual labor-intensive tasks to dollars of insurance denials were the result. With RPA, the
process information. medical supply distributor now automates the retrieval of
Finally, there is a solution that automates virtually any manual, client coverage data from insurer web portal sites,
repetitive, task that needs to be applied to content to ensure catching potential eligibility issues early while meeting the
it is accessed and acted on as part of critical healthcare business customer response times mandated by their service level
processes. A new digital workforce made up of intelligent agreement.
software robots is helping healthcare organizations automate RPA helped this company verify thousands of patients’
the flow of information from multiple EHRs, partner ecosystems, insurance eligibility daily while saving $1 million annually.
finance and accounting systems, and payer portals without
complex coding.

There are many applications in which robotic process


automation (RPA) can help healthcare organizations increase Benefits of RPA
operational efficiency, lower costs and limit the possibility
ŠŠ Overcome the challenges with integrating disparate
of human error when processing information including:
systems using robots to automatically acquire and
ŠŠ Physician credentialing integrate data from clinical applications, lab information
ŠŠ Enrollment and patient eligibility systems, third party portals, insurance portals, radiology
information systems, scheduling applications, ERPs
ŠŠ Patient scheduling and HR applications
ŠŠ Coding
ŠŠ Release employees from repetitive tasks so they can
ŠŠ Claims administration apply their skills to scenarios that require a human touch

ŠŠ Clinical documentation ŠŠ Eliminate drain on budget and human resources, infusing


ŠŠ Medicare billing and compliance speed, intelligence, efficiency and quality into your
healthcare processes
ŠŠ Secondary claims management
ŠŠ Automate tasks like eligibility requests to access information
ŠŠ Accounts receivable and denial recovery for better communication to providers and patients
ŠŠ Patient self-pay administration ŠŠ Automate claims status requests and perform reviews
RPA is complementary to existing systems and processes, of claims to deliver better revenue cycle management
enabling healthcare organizations to address gaps in existing
processes where work is still being done manually.
SOLUTION OVERVIEW

Features of Kofax Kapow


ŠŠ Build sophisticated intelligent robots that automate What is Robotic Process Automation?
data-driven process activities, or develop custom solutions RPA enables you to create a digital workforce that
that encompass many robots works side-by-side with your employees to drive greater
ŠŠ Automate extraction and transformation of data from efficiency. RPA eliminates almost any manual process
clinical applications, lab information systems, third party activity or task. Smart software robots comprising
portals, insurance portals, radiology information systems, powerful and dynamic process flows automate the
scheduling applications, ERPs and HR applications tasks that humans would otherwise perform simply
by mimicking what a user would do in an application,
ŠŠ Automatically publish robots with a standard Java,
while complementing other automation platforms.
.NET, SOAP and RESTful interface which can be used
to control robotic processes from external applications The Kofax Kapow™ robotic process automation
and remote systems platform is the fastest and most efficient way to build
intelligent robots that handle processing of information
ŠŠ Automate process activities using intelligent rules-based
from virtually any application or data source, including
robots that interact with enterprise applications like EHR,
websites, portals, desktop applications and enterprise
EMPI, ERP and ECM systems
systems—without any coding.
ŠŠ Adheres to IT standards and provides role-based
Kapow lets you quickly build, deploy and manage
security administration
automated software robots that communicate
bi-directionally across internal enterprise systems and
external sources, without requiring APIs and complex
integration coding. The end result is that healthcare
organizations can automate virtually any front and
back office process by simply deploying intelligent
robots that mimic the actions of the user, while also
applying business logic and rules along the way.

Whether it’s patient enrollment, researching claims denials


or any other manual business activity, by applying RPA to
rules-based, labor intensive and error-prone processes in
healthcare, you can accelerate workflows, improve accuracy
and free internal staff to focus on true process exceptions.

Kapow Design Studio supports rapid, point-and-click creation of intelligent


robotic process automation flows.
For more information on RPA and how intelligent
robots can be utilized, visit:
kofax.com/robotic-process-automation

kofax.com
© 2017 Kofax. Kofax and the Kofax logo are trademarks of Kofax, registered in the United States
and/or other countries. All other trademarks are the property of their respective owners.

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