For “CXO AI PlayBook”, Business Insider has mini -state studies on adopting artificial intelligence through industries, companies and technology DNA sizes. We have asked each of the distinctive companies to tell us about the problems you are trying to solve with artificial intelligence, which makes these decisions internally, and their vision to use artificial intelligence in the future.
Omega Healthcare Management Services is a company to manage revenue courses that help more than 350 healthcare institutions, including service providers, motivations and pharmaceutical companies, to manage its financial operations.
This includes medical bills, verification of insurance, groups, clinical documents, and other administrative tasks. The company, which was founded in 2003, is headquartered in Boca Raton, Florida. It also has teams in India, Colombia and the Philippines.
Stop analysis: What is the problem that the company is trying to solve?
Omega Healthcare has more than 30,000 employees who perform a wide range of administrative tasks, including the provision of medical bills and insurance claims, to health care organizations. Every year, they are treated around 250 million digital transactions. These tasks have been traditionally traditionally.
Rajusiva Arunachalam, Vice President of the Company for Technology, said that administrative tasks are worldly and recurrent and take a long time. “We have many people who work in the background of these doctors and service providers who help them in doing their non -clinical job,” he said.
Arunatchem said that Omega Health Kerr wanted to automate bills, insurance demands and other administrative tasks to liberalize employees to deal with the aspects of decision -making, such as the time to reject claims or follow -up late. The goal was to improve their operations and help their customers increase groups, reduce incorrect requests for claim and denial rates, reduce payment times due, and enhance the patient’s participation.
Rajusiva Arunachalam is the vice president of technology in omega health care.
With permission from omega health care
The main employees and partners
Omega health care Share with UIPATHThe institutional automation company and the artificial intelligence software company, about five years ago to automate some of the manual administrative tasks of workers, including invoices, medical coding and correspondence with insurance companies. The UIPATH platform said it was well suitable for the omega health care strategy, which focuses on enhancing automation and the speed of completion of the administrative tasks of customers.
Arunacalam said that Omega Healthcare invented an internal team consisting of developers, business analysts and data scientists. The group focused on finding opportunities to automate the repeated tasks to provide employees’ time while speeding up work to customers.
Amnesty International at work
Omega Healthy UIPATH Document Us UnderstandThe artificial intelligence tool that automatically withdraws data from various customer documents, such as correspondence that can rent accounts, insurance refusal messages, or electronic medical records. Arnashalam said that the artificial intelligence tool extracts data from these documents based on what the Health Care Care is trying to achieve.
For example, if the task aims to submit an insurance claim, the artificial intelligence tool may withdraw relevant data from electronic medical records. Or, if the claim is rejected, it may determine the relevant data from a denial or copy of a call about the case.
Arnashalam of human employees said they review the data extracted from artificial intelligence and use it to make decisions. For example, they may decide that the claim was incorrectly rejected due to the medical coding problem or based on information from a medical record. Employees can also use the tool to follow up with a healthcare company to get more information about a bills error. Then the employees send their decision to the customer.
“Human action is now more knowledgeable, and directed towards decision,” said Arnashalam. But humans and AI “work together in conjunction with what the customer needs.”
Arnashalam said artificial intelligence “could run 24 hours.” Data can also be processed much faster, so fewer employees are needed for this work, which is more expensive for customers.
Arunatchem added that Omega Healthcare has completed the erosion of its administrative duties, such as submitting insurance claims and medical bills, by about 60 % to 70 % of its customers.
Have you succeeded, and how did the leaders know?
Since 2020, Omega Healthcare has processed more than 100 million transactions using UIPATH, said Arunachalam.
Omega Healthcare tracked the time that took it from employees to complete the various administrative tasks manually and compare them with the time they spend after adding the UIPATH tool to measure the effect of technology. Arunacalam said that the company found that automation provides employees more than 15,000 hours per month.
Arunacalam said that Omega Healthcare also reduced the time the workers spend 40 %. He added that automation has also reduced the time of the documents processing by 50 % with the accuracy of the process by 99.5 %.
The company BI told that these improvements have increased cost savings and costs to Omega Healthcare customers, achieving 30 % return on investment since the use of automation working on behalf.
Arunacalam said that Omega Healthcare is working to automate more work, including the publication of payment and the patient’s dates scheduling.
