Problem Statement

Payers require regular census, admit, and discharge reports to manage the inpatient stays they're covering, and these submissions are due on a fixed schedule, typically every day. Pulling the census data, building each payer's report, and getting it out by email is repetitive work that has to happen reliably and on time. When a daily submission is late or missed, the organization falls out of compliance with the payer's reporting requirements, which can jeopardize authorization and payment for the stays in question.

Automation Solution

This automation extracts daily census, admit, and discharge data, generates the required reports, and distributes them by email to the applicable payer case management teams to stay compliant with reporting requirements.