Hospital Revenue Cycle: Why TPA Claims Stall and How Automation Fixes It
TPA/Ayushman delays 15–30 days are ops problems, not payer problems — solved with RPA + packet validation.
Leads for hospitals are not Instagram DMs — they are TPA pre-auths, insurer packets, and corporate referrals.
A revenue-cycle layer does OCR on authorizations, validates Ayushman/TPA packets, RPA-follows the portal, and tracks each claim from pre-auth to settlement with denial prediction. Corporate tie-ups and doctor referrals get a pipeline with SLA.
For a 150-bed hospital, this cut follow-up from 22d to 9d and packet completeness from 71% to 96% — without adding billing headcount.
If you run 500+ admissions/month, a claim tracker alone pays for itself in unlocked beds.
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Map this to your hospital
Run the 2-minute friction score or book an audit — we map your HIS and ops to FHIR/ABDM and measure TAT/occupancy.
Discharge Audit Checklist — 5 friction zones
The same checklist we use on Discovery (₹1–2L). Pharmacy/lab handshakes, e-summary generation, TPA packet validation, bed-board sync — score your TAT in 2 minutes.
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How 150-Bed Hospitals Cut Discharge TAT from 6h to 2h
A field guide to ADT + discharge automation: checklists, e-summary, pharmacy/lab handshakes, and HIS sync.
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ED Triage + ADT: The Fastest Way to Unlock Hospital Capacity
Your ED board is your most expensive asset. Automating triage and ADT is the highest-leverage hospital fix.