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Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details

Categories

Solutions

Description

Product Description:

Our pre built and custom revenue cycle management bots run the gamut from Pre-Visit to Accounts Receivable and all that's in between. We've automated processes in Epic, eCW, Cerner and so many more! We offer full automation lifecycle services and support. Check out our Revenue Cycle products: https://www.campteksoftware.com/healthcare-revenue-cycle-management/

About CampTek Software:

CampTek Software is a Full-Life-Cycle Intelligent Automation/AI SaaS Provider with proven results implementing and supporting automation solutions through our successful methodology. Our unique hosted model offers many powerful advantages including a shorter time to market, 24/7 support and overall lower cost of entry. Our approach is simple, scalable and repeatable.

CampTek will be with you on every step of your RPA & AI Journey!

Product Description:

There is a different way to work. If you were to reimagine the way you run your business, what would you do differently? What if you could save up to 80% of your operational costs by reimagining the way business outcomes are delivered?

Through the power of automation emerging technologies, we challenge you to think differently about how you work and how you use your people to full effective.

We can help you across the automation journey from thinking through your strategy to implementing and executing robotic process automation, machine learning and other emerging technologies across the enterprise.  

Revenue Cycle Management:

Prior Authorization ​

Insurance Claims - Posting

Patient Payment - Posting

Coordination of Benefits: Primary, Secondary, & Tertiary

Revenue Integrity - Payment Audits (Under & Over)

Provider: Insurance Enrollment

Revenue Integrity - Charge Description Master (CDM) Management

Revenue Integrity - IME or IMR Audits (CMS & Medicare Advantage)

Insurance Claims - Denied & Rejected Follow-Up

About TQA Healthcare - Formerly Element Blue:

TQA Healthcare enables healthcare and life sciences organizations to transform the patient experience and reduce costs through increased personalization, intelligent automation, and AI. 

The practice’s solutions impact patient access, the revenue cycle, order processing, and clinical needs at the most critical stages of the patient journey, resulting in a seamless encounter.

By empowering individuals to actively manage their unique experiences, TQA Healthcare increases the satisfaction of every healthcare consumer: patients, staff, and clinicians.

Houston-based, TQA Healthcare is formerly Element Blue. 

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Use Cases

Description:

Cerner Encounter Payer Validation Case Study

Systems: Cerner
*We've also automated in Epic, eCW and many more! Check out or case studies and demos on our website!

Challenge:

A leading healthcare provider with over 50 hospitals needed to streamline its eligibility process utilizing Robotic Process Automation (RPA). CampTek Software, with its experience in Healthcare (RCM) and more importantly the Cerner PFS system, instituted its RPA full life cycle methodology to design the automation successfully within weeks with great success.

Full-time employees had to manually enter an encounter number, name and several other demographic information for over 670 patients daily. The workflow had many steps and variables that added to the overall complexity. The process it manages 4 payers: Aetna, Blue Cross, Humana, United Healthcare and includes business rules and exceptions for each.

Solution:

By utilizing Robotic Process Automation (RPA), CampTek Software was able to automate the entire process. The timeline from analysis, development, client acceptance and then into live production was a roughly four weeks from start to finish. The 13,000+ claim checks per month runs daily and has shown to dramatically reduce A/R days with very high success. FTE hours saved is averaging 542/month. The Bot types data into 30 fields and loops through images and handles unexpected errors in Citrix. With the success of this first RPA Bot in only one of its Central Business Organizations, the customer now plans to roll it out to an additional 21 CBO’s.

Facts about this Bot:

  • Number of payers: 4 (Aetna, Blue Cross, Humana, United Healthcare)
  • Exception handling: The bot handles 10 business rule exceptions, 4 manually thrown system exceptions and any other random system exceptions
  • Transactions per month:  11000-14000
  • Saves over 1000+ hours a month in manual hours
Pediatric use cases:

None provided

Users:

Healthcare, RCM, Insurance

Description:
  • Prior Authorization
  • Claims Status
  • Coding
  • Scheduling
  • HIM
  • Remittance Posting
  • Provider Credentialling
  • Accounts Payable
  • Human Resources
  • Clinical Services
  • Patient Access
  • Revenue Cysle Management 
  • Supply Chain
  • Finance
  • HR
  • Referrals
  • Faxes
  • PDFs
  • Emails
  • Scans
  • Invoices
  • Patient Charts
  • Patient Records
  • Lab Orders
  • Mail
  • Paper Documents
  • Resumes
Pediatric use cases:

Same as for any health system, but additional applications related to newborn insurance and patient proxy for infants and children.

Users:

Revenue Cycle Leaders

Finance Leaders

IT Leaders

HR Leaders

HIM Leaders

Operations Leaders

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Patient portal, Pop health platform, Home health, Behavioral health, Community based organizations, ADT, Access +/or revenue cycle, Credentialing, Website / public online sources, Other

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Self-developed, Would prefer not to disclose, Point Click Care

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Patient portal, Pop health platform, Home health, Behavioral health, Community based organizations, ADT, Access +/or revenue cycle, Credentialing, Website / public online sources, Other

EMR Integration & Relevant Hardware:

Not applicable

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Self-developed, Would prefer not to disclose, Point Click Care

Hardware Compatibility:

Not applicable

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:

We offer Intelligent Automation as a Managed Service and have successfully built automations for every major EHR. 

Differentiators vs Competitors:

We not only focus on development but also full support of bots once they are in production. Each bot has its own custom dashboard view so that our customers are continuously informed of its daily trransaction metrics and KPIs.

Differentiators vs EHR Functionality:

While EHRs offers integration tools, achieving seamless data exchange, particularly with non-EHR systems, can be challenging due to their limited interoperability.

This can create communication hurdles between providers using different EHRs, healthcare facilities not on a particular EHR, and providers who need to integrate with other advanced technology platforms outside of the EHR ecosystem.

Element Blue's solutions can integrate with any platform and are independent of particular products or technologies. This affords our teams unlimited creativity when ideating custom solutions for each healthcare organization.

Differentiators vs Competitors:

Element Blue's practice is dedicated exclusively to healthcare and life sciences. This is unique among our UiPath competitors, who serve multiple industry verticals.

A UiPath Platinum partner, Element Blue is recognized as a leading systems integrator with more than 20 years' experience in working with some of the world's best known providers, payers, diagnostics, and life sciences organizations.

Keywords

Images

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CampTek Methodology.jpg

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TQA Logo.png

Videos

1 of 3

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RPA and the Revenue Cycle

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Element Blue Branded RPA with Navinet Aetna.mp4

Downloads

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Where to Automation in Revenue Cycle
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66329_EB RPA Case Study REVISED.pdf

Alternatives

Company Details

Founded in 2018

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