• Huron Companies
    • Innosight
    • Studer Education
  • Submit RFP
  • Careers
  • Technology Partners
  • Contact Us
  • About Us
  • Favorites
Huron Logo Huron Logo
  • Expertise
    • Business Operations
    • Care Transformation
    • Consumer Transformation
    • Digital
    • Organizational Transformation
    • Research Enterprise
    • Strategy & Innovation
    • Upcoming Huron Events

      View Events
  • Industry
    • Education
    • Energy & Utilities
    • Financial Services
    • Healthcare
    • Industrials & Manufacturing
    • Life Sciences
    • Public Sector
    • See All
    • We collaborate with the best and brightest in technology.

      Learn More About Our Partners
  • Our Experts
    • View All Expert Bios
    • Find an expert specialized in your industry.

      Book a Speaker
  • Insights
    • Articles
    • Case Studies
    • Research
    • Get the latest insights and updates from our experts.

      View All Insights
  • Investor Relations
    • News
    • Events
    • Financial
    • Stock Info
    • Corporate Governance
    • See All
    • Learn more about Huron and our most recent financial results.

      Investor Presentation
  • Contact Us
  • Expertise
    Expertise
    Business OperationsCare TransformationConsumer TransformationDigitalOrganizational TransformationResearch EnterpriseStrategy & Innovation

    Upcoming Huron Events

    View Events
  • Industry
    Industry
    EducationEnergy & UtilitiesFinancial ServicesHealthcareIndustrials & ManufacturingLife SciencesPublic SectorSee All

    We collaborate with the best and brightest in technology.

    Learn More About Our Partners
  • Our Experts
    Our Experts
    View All Expert Bios

    Find an expert specialized in your industry.

    Book a Speaker
  • Insights
    Insights
    ArticlesCase StudiesResearch

    Get the latest insights and updates from our experts.

    View All Insights
  • Investor Relations
    Investor Relations
    NewsEventsFinancialStock InfoCorporate GovernanceSee All

    Learn more about Huron and our most recent financial results.

    Investor Presentation
  • Careers
    Careers
    Join Our Talent CommunitySearch Open PositionsBenefits
  • About Huron
    About Huron
    The Huron DifferenceOur People & ValuesMaking an ImpactOur ResultsInvestor RelationsLocations
  • Help & Support
    Help & Support
    Contact UsSubmit an RFPBook a Speaker
  • Privacy
    Privacy
    Privacy StatementTerms & ConditionsCookies PolicyFraudulent OffersLabor Condition Applications
  • Contact Us
  • Favorites
    Recent Favorites
    You have no saved content.

Leading Provider of Anesthesia Services Implements RPA to Achieve Significant Cost Savings

Favorite Bookmark
Download Email Subscribe Print Contact Us

Looking to accelerate reimbursement and streamline administrative tasks, a leading provider of anesthesia services implemented robotic process automation (RPA) programs, enabling it to achieve significant cost savings.

Challenge

As part of its innovative and forward-thinking culture, an anesthesia provider sought to utilize the best technology to improve performance and deliver greater value to its customers. With more than 26 million patients across the country, the office staff manages a sizable volume of clinical documentation. Looking to make the administrative processes more efficient and improve revenue cycle with cost savings, leadership decided to explore RPA.

Approach

Results

Annual savings from RPA pilots projected to reach $300,000

Operating ROI from RPA pilots projected to reach $3.20 in revenue for every $1 spent

Identified potential annual savings of $4.8M from 40 automation opportunities

Huron collaborated with organizational leaders and stakeholders to identify opportunities for automation, prioritize the opportunities based on return on investment (ROI), implement three diverse pilot automations and expand automations post-pilot. Additionally, Huron worked with leadership to develop a road map for the organization to design and implement future automations on its own.

Vetting automation opportunities. Huron and organizational leaders began by examining all administrative functions within the revenue cycle, including billing, charge entry, cash posting, coding and credentialing. To determine the viability of RPA for each use case, the team calculated the projected financial ROI of each opportunity and weighed that against the technical and organizational complexities involved. If RPA was not an ideal solution to the business challenge at hand, Huron recommended other improvement opportunities, including streamlining workflows within current systems, optimizing technical infrastructure or implementing reporting solutions.

Creating the road map. After identifying the top RPA use cases, the team created a road map for implementing automation programs, including timelines and recommended governance structures, to ensure the organization could achieve long-term sustainable success designing and implementing its own automation programs.

Designing and implementing three pilot automations. Using UiPath RPA software, Huron developers implemented three pilot automations, including explanation of benefits (EOB) retrieval, documentation denial resolution and charge correction.

  • Previously, every business region of the organization downloaded the EOB files manually from various payor portals. The EOB retrieval pilot focused on developing automation for one region and five payor portals with the highest average volume. By making the automation program modular, it was easier to expand the scope to other regions.
  • Many denials were the result of the payor organization not receiving required documentation. The documentation denial resolution pilot focused on automating one region, one payor and several rejection codes corresponding to missing records. Using optical character recognition (OCR) technology to read patient medical records, the organization was able to parse out the required records, resolving many outstanding denials while creating a more efficient process for the future.
  • Invoices that require a charge correction remain unpaid until the correction is made, often a time-consuming and manual process. The charge correction pilot made charge corrections faster to do and easier to identify within the invoice by concentrating automation on the three most common types of charge corrections: payor corrections, provider corrections and location corrections. The modular automation made it easy to expand the program to include other charge corrections beyond the initial three.

The organization featured in this case study is a large physician-owned provider of anesthesia services, operating in more than 1,000 healthcare facilities across the U.S.

Favorite Bookmark
Contact Us Download Email Subscribe Print
Contact Us
Digital Healthcare Academic Health System or Hospital Ambulatory or Pre-acute Cancer Center or System Children Health System or Hospital Community Health System or Hospital Critical Access Hospital Long-term Care or Post-acute National Health System Other Healthcare Payor Physician Practice or Medical Group Professional Association Public Health System or Hospital Regional Health System or Hospital Women Health System or Hospital

Related Work

  • Cleveland Clinic Adopts Automation to Provide High-Value Care

    Read More

    Learn how a large academic health center (AHC) streamlined operations and improved care by utilizing robotic process automation (RPA).

  • OHSU Adopts Automation to Increase Revenue Cycle Efficiency

    Read More

    OHSU worked with Huron to deploy robotic process automation (RPA) to improve operational efficiency with payor claims processing.

View All

We use cookies on our website to provide you with a more personalized digital experience, enable website functionality and understand the performance of our site. You may review our Privacy Statement and our Cookies Policy. By using this site you agree to our use of cookies. I Accept

  • Expertise
    • Business Operations
    • Care Transformation
    • Consumer Transformation
    • Digital
    • Organizational Transformation
    • Research Enterprise
    • Strategy & Innovation
  • Industry
    • Education
    • Energy & Utilities
    • Financial Services
    • Healthcare
    • Industrials & Manufacturing
    • Life Sciences
    • Public Sector
  • About Huron
    • The Huron Difference
    • Our People & Values
    • Making an Impact
    • Our Results
    • Investor Relations
    • Locations
  • Help & Support
    • Contact Us
    • Submit an RFP
  • Careers
    • Search Open Positions
    • Join Our Talent Community
    • Our Commitment
  • Legal
    • Privacy Statement
    • Terms & Conditions
    • Studer Education: Subscription Product Terms of Use
    • Cookies
    • Fraudulent Offers
    • Labor Condition Applications
Huron Logo
  • LinkedIn Icon
  • Twitter Icon
  • Facebook Icon
  • Instagram
  • Youtube Icon

© 2022 Huron Consulting Group Inc. and affiliates. Huron is a global consultancy and not a CPA firm, and does not provide attest services, audits, or other engagements in accordance with standards established by the AICPA or auditing standards promulgated by the Public Company Accounting Oversight Board (“PCAOB”). Huron is not a law firm; it does not offer, and is not authorized to provide, legal advice or counseling in any jurisdiction.