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Summary

VNA Health Group (VNA HG) boosted efficiency by adopting Element5's automation for UHC Eligibility and Authorizations workflows, eliminating manual tasks. The automation sweeps eligible records from HCHB, verifies the patient's eligibility status in the UHC portal, and adds coordination notes, allowing eligible records to move to the next stage. Additionally, automation requests and updates authorization details in HCHB, saving hours of manual. This improvement allowed the team to take time off without creating an overwhelming workload and helped absorb staffing issues, reducing the need to hire replacements.

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Challenge

• Increased Workload: A growing volume of work that the existing team struggled to manage efficiently.
• Staffing Issues: Difficulty maintaining adequate staffing levels, leading to overworked staff and burnout.
• Time Off and Scheduling Problems: Challenges in granting time off to staff without causing disruptions or increased workloads for the remaining team.
• Inconsistent Information: Variability in the information used for payor notes and authorization notes, causing inconsistencies and potential errors.

Solution

• Enhanced Time Efficiency: Automation allowed the team to work more efficiently, saving valuable time on routine tasks.
• Reduced Hiring Needs: Element5 absorbed staffing issues, decreasing the necessity to hire replacements or temporary workers.
• Staff Flexibility: Staff were able to take time off or call out without creating an overwhelming workload for others.
• Increased Consistency: Ensured consistency in payor notes and authorization notes, reducing errors and improving quality.