Automation Library
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Status
AUTHORING ORGANIZATION
Mass General Brigham
PERFORMANCE METRIC
Initial Denial Rate
Automation Tool
Blue Prism
TECHNOLOGIES
RPA
Applications
EPIC
HB | PB
N/A
Automation value
(as reported)
52500
Problem Statement
When a patient is admitted, the payer must be notified within a tight window, often within a day or two of admission, or the stay is denied regardless of whether the care was necessary. Sending each Notice of Admission by hand is labor-intensive and easy to let slip while staff focus on the admission itself, and a notice that goes out late, or not at all, becomes an avoidable denial on an inpatient stay the organization has already begun delivering. For payers that accept fax, the notice is sent by eFax and the submission logged back to staff.
Automation Solution
This automation submits Notice of Admission notifications via eFax and updates the electronic medical record to inform staff of successful submissions.
Automation Resources
PDDs, Process Flows, Presentations, and Assessments
No resources currently available

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