November 2024 Newsletter

Building on our success that was highlighted in the 2024 Inc. 5000 Fastest Growing Companies, CampTek Software is gearing up for another transformational year in 2025. 

As we expand our services and capabilities into new technical areas, including advanced AI, we also remain committed to empowering our customers with innovative automated solutions. Our goal is to help you achieve your business objectives by continuing to analyze, build, and support new efficiencies and drive real, measurable success.

To that note, we are happy to announce our new AI Products, which are targeted to solve to focus on complex business problems in healthcare and elsewhere.

They can be used to augment the existing automations, assist with human in the loop with existing applications and serve as components of Agentic AI going forward.

We are eager to collaborate and align so that our development timelines are coordinated with your upcoming projects to ensure seamless execution and delivery. We are presently scheduling new projects to start 6-8 weeks after the Service Order has been signed. We are eager to connect with you as soon as possible to discuss your needs and plans. Together, we can ensure that your new automation is not only successful but also delivered in a timely manner to meet your strategic goals.

Desktop automation and AI are revolutionizing the way we work, making tasks more efficient and freeing up valuable time for what truly matters. From automating repetitive tasks to providing intelligent insights, these technologies are enhancing productivity and enabling us to focus on more meaningful activities. Let’s work together to make 2025 another outstanding year. 

Happy Thanksgiving from all of us!

Team CampTek

RCM Payment Posting Case Study

Industries: Healthcare, RCM
Systems: NextGen, Waystar

Challenge

The posting of checks is an extremely complicated but mission critical process for healthcare providers.

A large provider with 16 Orthopedic Clinics and 49 surgeons had been struggling to keep up with the daily requirement of posting substantial amounts of payments. Timeliness is essential and the burden on the current staff was of major concern. After an exhaustive selection process, CampTek Software was chosen to build and provide continued support for the automation of this critical process.

Presently a staff of 20 people go through their daily work queues to make sure these remittances get posted in a timely and accurate manner. The process has a large amount of business rules and exceptions that need to adhere to and accounted for. Not only is this a challenging workflow but trying to maintain a fully trained staff to keep up with it was a problem due to the current state of the labor market.

As part of this daily process, Full Time Employee’s (FTEs) had to manually update NextGen with claim status from Availity. The average number of claims was 54,000 per month.

Process

The bot is automating the daily posting of the payments received by the insurance providers into NextGen. This involves interactions with Waystar, collecting payments from the customer accounts and finally adding line items into a shared insurance check/ERA details spreadsheet. Payments are posted in NextGen by the bot importing 835 files in Nextgen and then verifying every encounter using business rules and validation patterns for each and all of the exclusion codes. During the validation phase of this process, if there is a need to look at the PDF EOB, the bot then extracts the EOB details from Waystar and extracts necessary details from PDF. These details are also used to perform secondary adjustments, Interest Payments, multi-line payments and HRA/HSA payments. Finally, the bot confirms the payment is posted and a reconciliation report is generated. The statuses are calculated on daily bases and provided in a spreadsheet.

Solution

CampTek Software was able to analyze, design, build and place this bot into production in a short time. The bot includes many business rules, exception handling and reporting functionality. The Bot is processing roughly 200 payments daily. Month end numbers can reach as much as 400-500 daily. These must be completed close of business on the last day of each month.

Savings

Savings are now averaging 55 hours a day or 1,100 hours per month.

AI Journey 2024: Next-Gen Automation Apps are Coming!

At this point, we are all familiar with the capabilities of RPA and have a cursory understanding of what AI is doing or may do to revolutionize the modern workforce. Most of the world’s top companies have some form of RPA running. With the proliferation of UiPath and Power Automate in particular, essentially every worker who has at minimum a Microsoft Office 365 license can build workflows that can automate their desktop and use an off-the-shelf version of CoPilot which can also provide answers and guidance using ChatGPT. While this sounds very exciting, and one may think the automation revolution is finally here, or is it?

I would counter to this point that the majority of ROI from RPA and AI has primarily come from Unattended or Back Office Automations. Technically, between UiPath and Microsoft alone, there is most likely a “robot for every human” available for a majority of the world’s desktop business users. Whether they know this or are allowed to use it is an entirely different question altogether. While I think the concept of Citizen Development is powerful, I think the rollout can be laborious and generally loses steam if not properly managed. Think for a moment; how many Excel users write macros and/or complex formulas, not many. That’s where I think this interaction of Citizen Development will reside until an adaptive learning tool with a proper amount of governance is created. We are not there yet.

RPA and AI promise that they will make a knowledge worker’s life easier so they can focus on higher-value tasks. My thought is we have minimally accomplished this globally. Some companies have adopted automation across the enterprise and shown huge value, but a majority have not. At this point, I have thoughts on why this tech stack hasn’t taken off yet.

Companies aren’t realistic or have the forethought to plan for the short-, medium-, and long-term goals of intelligent automation.
Choosing to Build vs. Buy instead of Buy vs. Build.
Massive tech debt both from consulting firms and staff that have left the company.
Most importantly… not providing true desktop and mobile applications that automate their day-to-day and create an effortless experience for data gathering purposes.

Since a majority of our customers are healthcare providers, I am well aware of Physician & Nurse Burnout and poor access to data in a patient’s record caused by fatigued desktop workers adhering to the system(s) they need to work on. These problems are screaming for effective desktop automation. The problem thus far is that few applications or bots have been able to provide a comprehensive solution customized to solve a specific problem in a short amount of time and be adaptable enough to change as the workflow or systems do.

The day to build one of these sophisticated tools is very close. I would even argue that with a proper concentration on the development and implementation of “best of breed” tools, data governance, security, and proper management and support on the back end, something earth-shaking could occur now. We are at the forefront of this mindset. If you look at this graphic describing how “Generative AI tools have the potential to improve the developer experience”. It shows how GenAI can vastly improve the productivity of Software developers.

Programming code is created using a keyboard. GenAI can give feedback to the programmer around the code that is to be or has been written, it understands the context and can give appropriate answers that need human review but saves a ton of time in not having to write blocks of code.

Can you imagine what this could do for doctors and nurses? Patient notes could be auto-generated, so the interaction with an EMR may not even be necessary. GPT could use RPA and AI to analyze a patient profile, provide a synopsis of the visit, give suggestions on appropriate responses, and simply let the nurse or doctor check them off. The entire interaction could be accomplished without the clinician even touching the EMR. The good news is that the data would be standardized, understandable and most importantly, there would be significant time savings and effort from the Nurses and Doctors. I am excited about this time in history as we shape the future of work with the proper tools to do so.

Written by: Peter Camp. CTO & Founder

CONTENT

Additional Resources

RCM Payment Posting Case Study

Process

Solution

Savings

AI Journey 2024: Next-Gen Automation Apps are Coming!

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