We deploy the latest technology and innovations, so our clients don’t have to.
Research has shown that waste accounts for nearly 25% of U.S. healthcare spending, with administrative complexity alone accounting for an estimated $265.6 billion.
While technology and analytics solutions are meant to identify and reduce waste and inefficiency for healthcare organizations, these ironically end up being complex, cumbersome, and costly solutions for organizations to manage and use to their full capacity. By partnering with Skynet's Healthcare, organizations can eliminate waste and improve financial, clinical, and administrative outcomes at levels that would be difficult to achieve on their own.
How do we do that?
First, the strategy to successfully deliver on technology and automation in healthcare begins with clean data. We begin every engagement by helping orchestrate, normalize, and aggregate our client’s data in a way that helps increase accuracy, efficiency, productivity, quality, and turnaround time for our clients.
Next, we focus on automating repetitive processes, streamlining workflows and auditing outputs with our robust suite of automated solutions and tools. This helps us continuously monitor and improve staff productivity and work quality.
Finally, we build effective reporting and analytics tools to help both Skynet's Healthcare and our clients identify – and then achieve – key KPIs for their organization.
And this, in turn, allows our clients to focus on what they do best: Caring for their patients and members.
Benefits of Skynet's Healthcare’s Technology Capabilities
Efficiency
Automation reduces manual work and optimizes staffing.
Productivity
Streamlined workflows improve speed and output of core processes.
Insight
Data and analytics help capture business trends and reveal insights.
Accuracy
Automation gets it right the first time and reduces waste and complexity.
Training
We focus on innovative and passionate professionals as per demand
Our Exclusive Technology Capabilities
Our technology experts who can help design robotic process automation (RPA) and machine learning (ML)-based solutions specific to the needs of your organization in the delivery of an Skynet's Healthcare engagement. Our experienced, platform-agnostic engineers use the latest technologies to build automated workflow platforms and tools for complex processes across various RCM service lines such as A/R management, payment posting and medical coding. We have delivered bots designed to streamline both Skynet's Healthcare service delivery and customer-specific processes. By automating repetitive tasks with RCM technology across all stages of the revenue cycle, our teams can tackle more strategic priorities, maximizing overall efficiency and effectiveness.
We use the automation-first approach to identify opportunities to streamline workflow and processes for our clients. Our domain expertise and process innovation knowledge with help reimagine the end-to-end solution leveraging RCM technology, RPA and customized bots, AI, NLP, and proprietary platforms in the delivery of our services for our clients. Our technology-enabled solutions provide a seamless handshake between both digital and human workers, driving improved productivity, efficiency, accuracy, and insight.
Coding Overview
Coding Automation OSCAR, Omega’s Suggestive Coding Augmented Routine, allows us to deliver fast, accurate coding reducing the claim-to-cash cycle time. OSCAR leverages AI and machine learning to provide coding prediction for radiology and emergency department professional fee specialties. In addition to simplifying workflows, OSCAR also offers real-time monitoring and alerts for service level agreements.Coding Workflow and Audit Management Our Batch Management System helps monitor batch-based work inventory at all stages for coding, demo charges and payments functions. In addition, our manual Coding and Billing Interface (CBI) assists with both coding and charge entry functions, including a customized instance for HCC coding.OSCAR WORKFLOW is our flexible coding and audit workflow solution that enables effective inventory management, including real-time productivity and quality tracking for all specialties and facilities. Oscar Workflow also performs random quality assurance sampling.
Payment Posting
We leverage P-Cube to assist with payment posting and reconciliation. P-Cube uses AI-based OCR technology and a business rules engine to transform EOB images to electronic text, and to create 835 payment transactions. P-Cube’s comprehensive review, audit and reconciliation workflow reduces the staff time and improves efficiency and accuracy.
A/R Management Workflow
No claim goes untouched with ASPIRE, our A/R workflow solution. Classifying claims is now simplified, with access to real-time monitoring of productivity, quality, aging, and trend analysis. This flexible and configurable tool supports role-based workflows, dashboards, and access controls. On-demand audits help improve quality and visibility into real-time status and progress.
Dynamic Denial Predictive Solution
Our service teams leverage this AI/ML based RCM technology solution to accurately predict and flag potential denials so they can be proactively addressed before they have a chance to be denied.Our denial rates average less than 3% for commercial payers and less than 5% for Medicare.
