Intelligent Anesthesia Billing for Healthcare Revenue Cycle Management

Client

Effective Surgical Outcomes

Industry

Anesthesia Services

Services

Automated Error Handling

Tech

Python

Project Overview:
Greater Anesthesia Solutions

Greater Anesthesia Solutions, a prominent anesthesia services provider, faced numerous challenges in billing against the hospitals they served. This negatively impacted their healthcare revenue cycle management. The challenges in their anesthesia billing operations were caused by incomplete medical records retrieval, inefficient data integration, and no means of error handling.

Folio3 Digital Health helped them mitigate the gaps in billing data, unnecessary bot actions, and a lack of real-time notification when errors occurred which led to improvements in the healthcare revenue cycle management in anesthesia.

Problems in Managing Healthcare Revenue Cycle Management

Greater Anesthesia Solutions faced three significant challenges managing patient safety, ensuring cost-effective procedures, and navigating complex regulatory requirements. Each of these hurdles required strategic planning and innovative solutions to overcome. By addressing these issues, the company aimed to improve operational efficiency and patient outcomes.

Our Solution: Intelligent Data Retrieval & Integration

To streamline healthcare revenue cycle management for Greater Anesthesia Solutions, Folio3 Digital Health implemented advanced backend development strategies and error-handling techniques. Our approach included:

A Central Controller for Bot Operations

A backend Python script that acts as the central controller for bot operations. It identifies missing medical records, automatically notifies bots to fetch the necessary data, and reports results directly to the charge entries.

Data Validation  Logic

This logic validates the data from sources such as HL7, SIU, ADT, ORU feeds, CSV files, and OCR-scraped information. This ensures that the system accurately tracks whether all the details have been collected, hence optimizing unnecessary bot dispatches.

Automated Monitoring Tools

Automated monitoring tools within the script track bot performance, log failures, and provide real-time notifications to billers. This ensures that the billing process can proceed without unnecessary interruptions.

Impact

Don’t Let Data Gaps Disrupt Your Anesthesia Billing

Connect with our experts to ensure your backend operations are optimized for accurate and efficient anesthesia billing. We’ll help you address data issues and streamline your billing processes.

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