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Encounter Creation Automation for Healthcare RCM

Encounter Creation Automation for Healthcare RCM

โ€ข 50โ€“70% Faster Encounter Creation
โ€ข 35โ€“50% Fewer Data Entry Errors
โ€ข Up to 100% Standardized Documentation

Overview

A large multi-specialty medical group faced chronic delays and inconsistencies in encounter creation due to manual patient lookups, demographic verification, and data entry. These inefficiencies slowed provider workflows, created downstream billing edits, and impacted charge capture. GeBBS deployed an RPA-driven Encounter Creation Automation solution to accelerate intake, standardize encounter data, and improve front-end accuracy.

Opportunities & Challenges

The organizationโ€™s manual encounter processes resulted in:
โ€ข 5โ€“10 minutes spent searching, validating, and creating each encounter
โ€ข High variation in data accuracy across clinics
โ€ข Frequent missing or inconsistent fields impacting coding and billing
โ€ข Significant staff time spent on repetitive data entry

Solution

Automated Patient Lookup, Validation & Encounter Creation
GeBBS deployed a rules-based RPA workflow to:
โ€ข Auto-identify or create patient records directly in the EHR
โ€ข Validate and update demographic fields using predefined business rules
โ€ข Generate encounters in near real time based on scheduling and clinical logic
โ€ข Route exceptions and maintain audit-ready logs for compliance tracking

Outcomes

โ€ข Encounter Creation Time: Reduced 50โ€“70%
โ€ข Data Accuracy: Errors reduced 35โ€“50%
โ€ข Documentation: Up to 100% standardized encounter data
โ€ข Throughput: Encounters available to providers in real time
โ€ข Workforce Optimization: Staff redeployed to higher-value tasks

Key Takeaways

โ€ข Automation accelerates clinical readiness and improves billing quality.
โ€ข Standardized data strengthens coding accuracy and reduces rework.
โ€ข RPA supports scalable, consistent front-end operations across sites.

Conclusion

GeBBSโ€™ Encounter Creation Automation modernized front-end workflows, delivering faster, cleaner, and more consistent encounter recordsโ€”strengthening both operational throughput and revenue integrity.

Client Testimonial

โ€œEncounter creation is now instantaneous. With cleaner data and fewer hold-ups, our clinical and billing teams work in complete alignment.โ€
โ€” Director, Patient Access Operations

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