The OCR Solution For Automated EOB Processing

OCR-based EOB automation software has been a red-hot topic as of late. On the one hand, many healthcare organizations would say their billing is already electronic. They’re making great use of the EDI 835 and 837 transaction sets and, for all intents and purposes, they’ve “gone digital” all over the place.

But digging deeper reveals a wrinkle. More often than not, only about 80% of transactions are actually digital. Obviously, that’s the vast majority, so revenue cycle teams are correct in saying that their billing process is mostly paperless. Here’s the rub, though: the remaining 20% on paper makes up much more than 20% of the processing costs, and leads to far more denials and write-offs than it should.

Thus arises the phenomenon of a revenue cycle team that looks and feels digital, yet still finds itself paralyzed by paper documents!

How OCR EOB Automation Strengthens Business

Since claims processing costs are a subset of overall labor costs, they have a direct relationship to profitability. It’s clear that disproportionately labor-intensive claims are a disproportionate financial burden on the organization.

Unfortunately, that’s not the end of the story. Not only does paper documentation (or paper checks mixed with EDI data) take longer to process, but when claims are denied, the cost of pursuing small ones is rarely even worth it! Write-offs increase as a result, which compounds the financial burden of that 20% of total claim volume.

In healthcare, it’s tough to prevent paper from entering the office in the first place, so the most pragmatic option is to minimize its impact on business and care. That impact boils down to two fundamental pain points:

  • Labor-intensive classification, routing, and matching of claims and supporting documents
  • Unacceptable time and error rates associated with manual data entry

The remedy for both is a finely tuned EOB automation solution that uses OCR technology to eliminate the pain of paper. This often yields immediate reductions in costs, write-offs, and the rate of error-related denials in the first place.

As an added benefit, digitized paper claims are more accessible to customer service teams that require ad-hoc access to documents around a billing event. Instead of hours or days of research to track down checks and forms, they can do so immediately on their desktops–even while still on the phone with a patient, for instance. And the sooner a patient’s questions are answered, the sooner he or she is able to pay.

Why ABBYY FlexiCapture OCR For EOB Processing?

The beauty of ABBYY FlexiCapture is how quickly its users can see measurable improvements to the revenue cycle. Three features in particular help make this a reality, so let’s take a quick tour of each of them.

Accurate Recognition

The fastest OCR engine in the world can only be as useful as its results are accurate. OCR software for EOB processing bears a special burden in this regard. Not only does its accuracy have financial effects, but correct recognition ultimately helps patients receive care more promptly.

Depending on the text quality and document layout (see the next point), FlexiCapture’s accuracy often approaches 99+%. At this point, the only human involvement is a few keystrokes to confirm OCR output in a local or web-based Verification Station. With good form design plus time for the application to “teach” itself, we have often seen accuracy approach the mythical 100% mark.

Template-Based But Flexible Workflows

To the previous point, FlexiCapture can–as its name suggests–accurately extract text from virtually any document imaginable. Structured forms, unstructured documents, handwritten notes…it’s all fair game.

This is valuable when documents are inherently varied, as with all the materials that might support an insurance claim. But clients get the most out of FlexiCapture by using its flexibility for one-off documents alongside fine-tuned templates for recurring ones. This results in nearly zero-effort capture of most forms and a substantial improvement over hand-entering the rest.

Scalability

In some cases, the “paper paralysis” phenomenon is just one symptom of an organization-wide reliance on manual input. In the bigger picture, we want to help clients leverage an EOB-centric OCR tool for automated processing across all workflows and archives.

FlexiCapture comes in two flavors: standalone desktop licenses and a distributed, client-server model. This means that the revenue cycle team can be more seats for OCR EOB processing at the same time that other departments adopt FlexiCapture for their own needs. It scales along with business, plain and simple.

Get Started With OCR EOB Processing

From initial project planning to go-live, many EOB OCR projects with FlexiCapture require just a matter of weeks or months. This is a far cry from the multi-year ordeal that most EHRs deployments involve. In fact, it’s common to recover project costs and actually generate a positive ROI within months of deployment, due largely to the precipitous drop in labor costs.

If you’re ready to explore OCR software for EOB automation in greater depth, or just pick the brain of an expert, then please contact us today. We’re always happy to arrange a free consultation, or even to prepare a live demo using your own, real-life documents!

From Data Capture To Knowledge Capture With ABBYY.cloud

This article is the first in a short series on natural language processing (NLP) technology and its role in document processing. Over the coming weeks, we’ll continue digging into the innovation behind ABBYY NLP software and some specific business problems that it promises to address.

How ABBYY.cloud Will Change The Way You Manage Information

If you’ve implemented ABBYY OCR software before, you’re acquainted with the accuracy, cost reduction, and simplicity that come from automating data capture. You’ve also wondered what might come next. What could help you automate higher up the value chain, moving from data capture to knowledge capture?

In recent weeks, ABBYY Software has made this next step a reality with the introduction of its ABBYY.cloud solution. By tackling difficult business problems with NLP and AI tools, ABBYY.cloud addresses three challenges that span industries.

1. Classification of any document

Invoices may be accompanied by slips of paper with critical notes. Customers might send screenshots and tweets. Partners provide tables that need to go in a spreadsheet or database. And all of these things require extended manual input to decipher–let alone act on.

We’d all love it if documents filed in neatly, then told us what they are and what we should do with them. But in real life, document intake looks less like a parade and more like a stampede. ABBYY.cloud leverages natural language processing (NLP) technology to classifying incoming documents on the fly, allowing your staff to spend less time filing and more time thinking.

2. Aggregation & deep analytics for customer feedback

A perennial challenge in customer analytics is identifying trends from such disparate sources as feedback forms, social media, surveys, letters, emails, and so forth. It’s tough just to get through that much content, but actually comprehending and summarizing it is a whole other challenge.


ABBYY Natural Language Processing For Document Knowledge Capture

ABBYY.cloud reads text much like you and I, but at speeds we can’t even fathom. The combination of NLP innovation and high-performance cloud architecture pulls sentiments and suggestions from millions of customer comments every second, revealing a depth and breadth of feedback that was previously inaccessible.

3. Extraction of knowledge from unstructured text

Speaking of classification and comprehension, ABBYY.cloud does not require consistently formatted, structured data. Quite the opposite: because of its ability to understand meaning and relationships within and between texts, it perceives the latent “structure” of unstructured content and processes it accordingly. This enables knowledge workers to gain deeper, faster insights into challenging and unpredictable data sources.


Information Representation In ABBYY.cloud Natural Language Processing Software

The Role Of NLP In Document Automation

In a sense, natural language processing helps fulfill the automation path that optical character recognition (OCR) began. Of course ABBYY.cloud retains the features that its developer is known for:

  • OCR data capture and document conversion
  • ERP-integrated invoice processing automation
  • Scalable, on-the-fly translation between all major languages

…all in a single, user-friendly dashboard. The real magic, however, is in empowering a content-weary organization to act on a wealth of knowledge.

Different organizations or teams are at different stages of that process. Some have barely begun to address data entry, and other are already digging into vast digital content using the manual methods currently at their disposal. But at any point, it takes an uncommon blend of business process expertise, invaluable partners like ABBYY, and deep technical know-how to deliver lasting value.

At Paperless Productivity®, we strive to bring that rare combination to the table. Whatever your obstacles and objectives, we invite you to learn more about ABBYY’s next-generation document processing technology, and the proven consulting strategy that helps leading firms harness it. Contact us today to learn more.

ABBYY FlexiCapture Facilitates ISO Cert via Manufacturing Document Capture

ABBYY FlexiCapture doesn’t immediately come to mind when most of us think about ISO certification. But considering all the documents that the ISO for showing traceability of materials, OCR software can actually play a critical role.

For FAMIQ, a large Argentinean manufacturer of stainless steel industrial/construction products, an ISO certification would foster business development by assuring potential customers of its strict quality control. However, FAMIQ needed to demonstrate the traceability of over 25,000 SKUs from raw material to finished product. This entailed a vast chain of packing slips and quality documents, amounting to over 700,000 pages for every year of operations.

In light of its paper problem, FAMIQ sought a high-tech solution right off the bat. On the advice of one of its existing partners, FAMIQ reached out to a local document automation consultancy. Their digitization experts developed a plan to implement ABBYY FlexiCapture, thereby pulling all data from scanned papers directly into SAP.


Automated Manufacturing Document Capture For ISO Cert With ABBYY FlexiCapture

Automated Manufacturing Document Capture For ISO Cert With ABBYY FlexiCapture

It’s worth taking a moment to look at each step of this manufacturing document capture workflow, since it’s a fairly standard process that can be readily applied across processes and industries.

  1. It begins the second a document image is created via a scanner or multi-function device. The image is immediately routed to FlexiCapture for OCR processing, wherein each field is identified and extracted, and the document is automatically classified according to custom logic.
  2. Next, an efficient data verification process ensures that any questionable characters receive human confirmation before data are exported to a monitored Hot Folders.
  3. Finally, a web service pulls data from that Hot Folder into FAMIQ’s SAP database.

The end result is totally searchable data that lets the client match order documents with the history of the order’s raw materials. With this fully transparent and traceable system, FAMIQ obtained its ISO certification within just two months of OCR implementation. It even went on to expand the FlexiCapture workflow across other document-intensive processes, thereby increasing the ROI on its workflow automation initiative.

The powerful combo of industry-leading accuracy and competitive ABBYY FlexiCapture pricing sets the standard in workflow automation and documentation capture technology. For further information on OCR consulting, implementation, live demos, and/or training services, please contact Paperless Productivity® today.