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November 14, 2022

Bots and Automation: The Future of Medical Billing

Febien Caltin is a dynamic professional with +22 years of extensive experience in the healthcare RCM space. He has expertise in Consulting, and Strategic Planning on solving critical issues healthcare providers face in the RCM process. Febien is committed to the growth of healthcare providers through his immense experience.

ABA Providers Recover Dues From Patients To Efficient Your Account Receivables

Automation and bots are rapidly replacing manual work in medical billing. Tech-enabled medical billing services have significantly improved revenue for healthcare providers. In a survey published by macami.ai, it was found that 61% of US adults would prefer to leverage AI for medical billing to avoid errors. Healthcare providers that leverage AI are now able to concentrate on making analytical decisions and are able to spend more time serving patients.

AI technology is not just limited to medical billing. It enables healthcare providers to increase revenue by streamlining medical coding and other RCM services. We have put together a compelling blog for you that will emphasize the role of bots and automation in medical billing.

Here's how automation is streamlining medical billing

Efficient Data Management

Successful medical billing is dependent on the optimum utilization of data. There are massive data sets like patient demographic information, medical history & treatment plan details, insurance details, payer details, and more when filing a claim. Automation can swiftly gather, sort, and organize this data efficiently which makes it easy to use properly and source it, resulting in a high clean claim submission ratio.

Nonfictional Data Entry

Manual data entry is time-consuming and prone to errors. Even the most careful billers can make errors. It is human nature to reverse digits of numbers, copy down the wrong UX code, inadvertently forget to enter the correct code(s) and modifier(s). Bots and automation bring down medical billing errors and provide accurate data entry. Precision in data entry will enhance productivity and revenue from claims.

Comprehensive Data Analytics and Reporting

With the automation of data collection and sorting, analytics and reporting have become comprehensive and accurate. RCM automation enables real-time data visualization and analytics that helps to illuminate the business's financial health. This also provides very clear data to track RCM efforts and the returns on investing into AI.

Reduce Human Dependency

Automation minimizes the need for humans and saves time on erroneous prosaic manual tasks. It also improves quality and drastically lowers operational costs. The automation tool functions round-the-clock and can smoothly replace human billers. Medical billers can use the saved time and effort to do complex tasks that are not repetitive and routine tasks. This provides a dramatic improvement in collections for healthcare providers.

Manage Patient Schedule and Records

Automation gives easy access to patients' old records and data, which helps to schedule appointments, check for eligibility & benefits, draft patient statements, remind patients about payments, and more. It significantly reduces staff workload and provides patient convenience, resulting in high patient satisfaction and retention. The global patient engagement technology market will rise at a CAGR of 10% and reach USD 27.9 billion by 2027. Patients who are managed well are happier. They will pay faster and are loyal to the healthcare entities that provide a good patient experience.

Collection from Payers

Payers demand high accuracy at the time of claim submission. They require proper documentation, data, and medical codes to process the claim. Slight errors in documentation or data entry while submitting the claims have a drastic impact on reimbursements. Automation can track all the requirements from the payers and matches them with the claims to detect errors and missing information. Bots can eliminate all the manual coding and medical billing errors, which increases clean claim rates and allows for faster reimbursement on submitted claims.


Automation innovates and makes the medical coding and billing process more efficient. Partnering with the best tech-enabled medical coding and billing companies like Plutus Health will give you complete freedom to dedicate time towards patient care and pass on all the billing and collection stress to their experienced billers and coders.

Are you looking to outsource a tech-enabled medical billing partner? Our team of RCM experts has designed a solution that can automate the medical billing processes and the staff to focus on analytical and more complex tasks. Connect one of Plutus Health's medical billing specialists, and you will get a deep understanding of automation in medical billing.  

Key Takeaways:

  • Medical billing and RCM automation go hand in hand.
  • Companies spend billions on automation due to complex billing and claim submission requirements.
  • Claims and patient data reporting and analytics are more comprehensive due to automation.
  • Automating key medical billing processes saves considerable costs for healthcare providers and speeds up reimbursements for their services.
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Febien Catlin

Febien Caltin is a dynamic professional with +22 years of extensive experience in the healthcare RCM space. He has expertise in Consulting, and Strategic Planning on solving critical issues healthcare providers face in the RCM process. Febien is committed to the growth of healthcare providers through his immense experience.

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