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Accelerating MEDICAID Claims Processing During the Pandemic with Automation

In the months since COVID-19 hit the U.S., millions of Americans lost their jobs, along with health care benefits, prompting an unprecedented surge in Medicaid claims. Newly uninsured patients needed to be tested or hospitalized amid the Coronavirus pandemic. States and local agencies faced intense pressure to serve their constituents’ needs, but were quickly overwhelmed by the number of claims, antiquated systems and ever-changing coding requirements. As a result, few claims are processed quickly or efficiently. The Challenge
While funding was made available, many claims are incorrectly coded, and patients and providers face lengthy delays. With claims rejected or denied, the backlog not getting processed is insurmountable. Doctors are not compensated for services provided and many patients are left paying out-of-pocket, forced to submit hand written forms to Medicaid for reimbursement.
The number of claims presented by Medicaid patients & providers for hospital stays, lab tests, testing kits, ventilator services, ICU services and more is unprecedented, resulting in two problems:
• Patient claims related to COVID-19 visits, stays, and testing are being returned to the provider as denied, “patient responsibility”.
• Provider claims related to COVID-19 testing kits, supplies, ventilators, treatment stays, etc. are being denied.
Recorded Nov 12 2020 28 mins
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Presented by
Anna Twomey, Senior Solutions Engineer, Americas Blue Prism, Albert Nguyen, JD, CSM Associate Director Bits In Glass
Presentation preview: Accelerating MEDICAID Claims Processing During the Pandemic with Automation

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    In the months since COVID-19 hit the U.S., millions of Americans lost their jobs, along with health care benefits, prompting an unprecedented surge in Medicaid claims. Newly uninsured patients needed to be tested or hospitalized amid the Coronavirus pandemic. States and local agencies faced intense pressure to serve their constituents’ needs, but were quickly overwhelmed by the number of claims, antiquated systems and ever-changing coding requirements. As a result, few claims are processed quickly or efficiently. The Challenge
    While funding was made available, many claims are incorrectly coded, and patients and providers face lengthy delays. With claims rejected or denied, the backlog not getting processed is insurmountable. Doctors are not compensated for services provided and many patients are left paying out-of-pocket, forced to submit hand written forms to Medicaid for reimbursement.
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    • Patient claims related to COVID-19 visits, stays, and testing are being returned to the provider as denied, “patient responsibility”.
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    •See examples of processes that Digital Workers can help to automate
    •Learn how to manage your digital workers to achieve maximum productivity using the included Control Room, Work Queues, and Scheduler
    •Get a detailed look at Blue Prism’s security, access control, and audit log features that reduce automation audit risk

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    Fauzia Khan – SVP of Intelligent Automation – INVOKE, Chris Holland – RPA Project Manager – Swire Coca-Cola, USA, Anoop Redd
    Swire Coca-Cola, USA, a producer, seller and distributer of Coca-Cola and other beverages in 13 states across the American West, was on a mission to transform their operations. With the goal of maintaining their market leadership status and in efforts to continue building on their success, they implemented intelligent automation across many of their core business functions. With Invoke as its automation partner, Swire Coca-Cola has transformed the efficiency of its operations while maintaining their commitments to their customers, partners, employees, and other stakeholders.

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    2.How Swire Coca-Cola, USA develops RPA processes from beginning to end.
    3.Key lessons learned along the way.

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    -Fauzia Khan – SVP of Intelligent Automation – INVOKE
    -Chris Holland – RPA Project Manager – Swire Coca-Cola, USA
    -Anoop Reddy – Manager, Enterprise DataWarehouse – Swire Coca-Cola, USA
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    REGISTER NOW!"
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    Drew Sonden, Snr Solutions Consultant EMEA
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    •Understand how RPA is uniquely placed to support the new decentralised workforce and what businesses need to do to take advantage of it
    •Discover some of the innovative automation solutions that have allowed businesses to rapidly respond to the Covid-19 crisis and how they’ve realised that quick isn’t always dirty
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    •Consider what changes the new paradigm will require of RPA. Do the experiences of current automation users paint a picture of RPA’s future?
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Our team hosts online events aimed at educating and empowering those who are working to reimagine what’s possible. Innovators like you are working to turn these exciting opportunities into new services and revenue streams, while giving your employees greater purpose and customers even more to smile about. Imagine merging human experience and ingenuity with the capabilities of intelligent automation and turning clumsy, time-consuming processes into automated workflows that deliver next-level productivity. That's what we're here to help you do. ///

For more info, register for one of our upcoming webinars, view any of our past events on demand, or visit us at www.blueprism.com.

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  • Title: Accelerating MEDICAID Claims Processing During the Pandemic with Automation
  • Live at: Nov 12 2020 4:00 pm
  • Presented by: Anna Twomey, Senior Solutions Engineer, Americas Blue Prism, Albert Nguyen, JD, CSM Associate Director Bits In Glass
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