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Updated on:
August 24, 2023
March 7, 2022

How Robotic Process Automation is revolutionizing medical billing in healthcare

Febien Caltin is a dynamic professional with 20+ 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

Artificial intelligence (AI) is the leading disruptor of healthcare, but not all stakeholders and executives in the medical field understand what it is and how it can help. AI technically pertains to the ability of a machine to imitate a human’s way of communicating, making deductions, and sensing things. Healthcare practices have yet to include machine learning algorithms and natural language processing into their daily workflow. But robotic process automation or RPA is getting their attention—particularly RPA in medical billing.

RPA is a transformative technology that reduces labor costs and the time required to complete tasks. Adopting RCM solutions with robotic process automation will help mechanize rule-based, high-volume, and repetitive processes to reduce cycle time and errors, streamline operations, and boost efficiency.

RPA in medical billing is revolutionizing healthcare as it eliminates human error in rule-based and repetitive tasks. Moreover, it frees up staff to focus on other non-standard and more complex activities that require their attention. RPA uses intelligent bots that work 24/7 on behalf of the in-house staff but without errors. They help improve the efficiency of aggregating information from multiple sources and integrating other requisite tools without costly interfaces.

RPA in RCM solutions leads to better employee satisfaction and enhanced patient experience. Automating tasks like scheduling, appointment reminders, claim management, and billing can improve a healthcare facility or practice’s ability to deliver better patient care every time. It may even enhance regulatory compliance and security to protect patient data.

Experience RPA in medical billing with the revenue cycle management solutions from Plutus Health. We specialize in providing end-to-end RCM solutions that are HIPAA compliant, which makes us trusted by US healthcare providers. Our process combines robotic process automation and machine learning to address your most frustrating issues so you can improve your percentage of clean claims and boost your revenue. Get started with a free revenue health analysis.

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Faq

What are the top workforce challenges facing ABA therapy providers in 2025?

ABA providers are grappling with high staff turnover (up to 65%), rising burnout, administrative overload, and stagnant reimbursement rates. These challenges directly impact care continuity, clinical outcomes, and operational performance.

How does operational inefficiency affect ABA organizations?

Operational inefficiency costs ABA teams up to 10 hours per staff member per week, contributing to burnout, denied claims, and longer accounts receivable (A/R) cycles. These inefficiencies ultimately result in reduced revenue and patient dissatisfaction.

Why is burnout in ABA clinicians considered a financial risk, not just an HR issue?

Burnout leads to costly turnover, lower client retention, and decreased productivity. Recruiting and replacing a BCBA or RBT can cost up to $5,000 per hire, plus months of lost revenue and disruption to morale.

What are effective strategies for improving ABA staff retention?

High-performing ABA organizations invest in clear career pathways for BCBAs and RBTs, align compensation with market benchmarks, and foster peer-led mentorship, flexible schedules, and wellness programs.

How can ABA organizations reduce the administrative burden for clinicians?

Automation tools like Plutus Health's Zeus streamline eligibility verification, denial management, and billing, reducing manual workloads by 5–10 hours weekly per clinician and improving clean claim rates by 95%.

What's the ROI of outsourcing RCM in ABA therapy organizations?

Outsourcing revenue cycle management can improve collections, reduce denials by up to 30%, and free clinicians from billing-related admin tasks, resulting in better client care and financial outcomes.

What's a proven example of operational transformation in ABA?

One $200 million ABA network partnered with Plutus Health to automate eligibility and accounts receivable (A/R) processes. The result: $2M reduction in legacy A/R and a 97% Net Collection Rate.

How can ABA organizations prepare for value-based care models?

By improving operational efficiency, investing in technology, and ensuring workforce stability, ABA leaders can align outcomes with reimbursement. Plutus Health supports this transition with scalable RCM and automation strategies.

Febien Caltin

Febien Caltin is a dynamic professional with 20+ 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.

FAQs

What are the top workforce challenges facing ABA therapy providers in 2025?
How does operational inefficiency affect ABA organizations?
Why is burnout in ABA clinicians considered a financial risk, not just an HR issue?
What are effective strategies for improving ABA staff retention?
How can ABA organizations reduce the administrative burden for clinicians?
What's the ROI of outsourcing RCM in ABA therapy organizations?
What's a proven example of operational transformation in ABA?
How can ABA organizations prepare for value-based care models?

FAQs

What is ABA therapy billing?
What CPT codes are used for ABA therapy in 2025?
How do you bill Medicaid for ABA services?
What are common ABA billing errors to avoid?
How does credentialing affect ABA billing?

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