RCM impacting the Billing system on the whole USA Healthcare industry


Subtitle/Highlight
RCM Automation Achieved 95% Accuracy and 65% Faster Processing
Client Overview
A mid-sized medical billing company managing claims for 50+ healthcare providers across the U.S.

Challenges Faced
– Manual and time-consuming posting process
– High error rate (~20%)
– Rising operational costs
– Scalability issues

Faculty Profile
– Location: USA (nationwide client base)
– Size: Mid-sized
– Specialty: Medical Billing Company
Issues Detected
– 40% higher costs
– Low automation
– Frequent human errors
– Struggled with scale during transaction growth
Solutions
– RPA to extract data from EOBs/ERAs
– Auto-validation and reconciliation
– Seamless posting into billing system
– Real-time reports for insights
Results
✅ Accuracy boosted to 95%
✅ 65% faster turnaround
✅ 40% cost savings
✅ Handled 30% volume growth without extra hires

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