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 EPOS Healthcare Solutions 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
EPOS Healthcare Solutions’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.
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.
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.
We have more than 200 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 EPOS Healthcare Solutions 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 more than 500 bots designed to streamline both EPOS Healthcare Solutions 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.
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.
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.
Clients love our revenue intelligence platform, WhiteSpace Health, because it uses the power of AI to reduce revenue leakage, effectively manage operations, and optimize revenue. This powerful, easy-to-use guided analytics platform requires virtually no IT infrastructure or resources and answers your business questions with actionable insights. This ongoing surveillance of operational performance informs your business decisions and supports the important work you do.
With our EPOS Healthcare Solutions Medical Coding Academy (OMCA), EPOS Healthcare Solutions is uniquely qualified in how we source and train the staff we bring to your organization. Technology and an extensive program allow us to train over 9,500 coders and allows us to feel confident that we’re only providing our clients with staff that have a deep understanding of every aspect. EPOS Healthcare Solutions leverages automated technology to drive consistent education and skill strengthening across our team. This allows us to deliver consistent, highly-customized learning & development that keeps our team members well versed on the latest trends in the healthcare industry – in turn, helping them integrate seamlessly into your organization.