Medicare Payment Process Automation | AutomationEdge

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The medicare payment process is notoriously complex and time-consuming, presenting a significant challenge for healthcare providers. Managing a high volume of medical payments, especially Medicare payment reports, can be overwhelming. On average, healthcare providers receive more than 500 Medicare payment reports daily, each requiring meticulous processing. Extracting records from multiple systems, transferring claims payments accurately, and calculating insurance rollout periods are just a few of the hurdles that healthcare providers face in this intricate process.

Fortunately, automation has emerged as a valuable ally for healthcare providers seeking to overcome these challenges. By implementing an RPA (Robotic Process Automation) bot, healthcare providers can drastically streamline the Medicare payment process. The RPA bot is designed to automate several critical steps in this process.

Upon activation, the AutomationEdge RPA bot downloads weekly Medicare payment reports, extracting and validating data. It also checks the posting date of the primary plan payment. If the primary plan payment posting date exceeds 45 days from the current date, the bot reallocates responsibility to the secondary payer. In cases where the secondary payer remains unresponsive for over 90 days, the bot transfers responsibility to the patient. If there is no response from either party after 180 days, the bot writes off the balance and generates an audit report.

With the AutomationEdge RPA bot, healthcare providers can efficiently process Medicare payment reports in just 15 seconds, saving 90% of the processing time. This automation solution not only expedites the process but also ensures accuracy and efficiency, enabling healthcare providers to focus on delivering timely patient care and maintaining operational efficiency.

0:00- Introduction to Medicare Payment Process
0:55- Implementation of RPA Bot in Medicare Payments

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