The COVID-19 pandemic has acted as the "catalyst" that has spurred healthcare digital transformation. With many non-essential workers being moved to remote environments -- possibly permanently -- healthcare providers and revenue cycle companies turned to technology to further ensure that revenue cycle continue its operations.
- Electronic EDI 835 utilization dropped from 56% to 48%
- "Partially electronic” increased from 36% to 43% (use of payer portals)
- Fully manual increased slightly from 8% to 9%
When we look at the data from 2020 CAQH Index report, we can indeed see an increase in 2020 for both the healthcare and dental industries:
One of the major reasons for the nearly 10% increase is the adoption of hybrid electronification leveraging artificial intelligence and cloud-computing.
Operationalizing Artificial Intelligence technology is the key to electronifying the remaining 43% of paper-based remittances and EOBs/EOPs. Utilizing a multitude of different technologies and strategies -- including multiclass classification models, detection and self learning, classification, and inference -- AI is able to read and extract the data from remits and EOBs/EOPs to generate an electronic EDI 835 file, ready for autoposting into an organization's patient management or healthcare information system.
Furthermore, the leveraging of cloud-computing has made it easier than ever for healthcare providers and revenue cycle outsourcers to deploy. Rather than hosting internally and on premise, requiring the organization to upgrade internal hardware and add GPUs, hosting the technology in the cloud alleviates the burden of processing of the remits and EOBs/EOPs -- as seen in the process flow below:
OrboGraph enables hybrid electronifcation by hosting our OrbNet AI technology on the AWS cloud. As seen in the figure, each organization that is part of the revenue cycle process is able to send and receive data through APIs into our Healthcare Payments Automation Center (HPAC), our HIPAA compliant cloud service that hosts our Opti-Lift and OrbNet AI technology. See how users are leveraging our technologies -- click the button below to view our cases studies.