Shamrock’s New EDI Solution Will Transform Billing for Hospitals and Health Systems

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Unique offering saves time and eliminates manual effort from EOB reconciliation process for Lexmark Enterprise Software’s healthcare customers

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Hospital staff spend many hours scanning paper EOBs and manually parsing each line, which is an extremely slow and expensive process. Our new solution automates EOB reconciliation, enabling them to focus on other tasks.

Shamrock today announced the release of its new paper Explanation of Benefits (EOB) reconciliation solution. This will enable hospitals, health systems, physician practices and other healthcare organizations to eliminate the time-consuming, costly and error-prone tasks typically associated with manually reconciling paper EOBs.

“Hospital staff spend many hours scanning paper EOBs and manually parsing each line, which is an extremely slow and expensive process,” said Shamrock founder and CEO Robert Albright. “Our new solution automates EOB reconciliation, enabling them to focus on other tasks and delivering significant cost savings.”

Traditionally, healthcare organizations bill for their services and then receive paper EOB hard copies back from insurance companies and government programs like Medicare and Medicaid. Billing personnel then painstakingly go through each line to make sure there are no discrepancies and that they have been compensated for services rendered. They also scan the EOBs into the process and content management system, such as Perceptive Content from Lexmark Enterprise Software and OnBase by Hyland, and manually index it with the correct patient records in the Electronic Health Record (EHR).

Shamrock’s new solution transforms this slow, manual process into a fast, automated one. Now, the paper EOB is transformed into a representation of the classic EDI data exchanged among systems and uploaded by a VPN to a secure virtual machine controlled by Shamrock and hosted on Microsoft’s lightning fast Azure platform. The system extracts line item data and sends back an ADI file that’s automatically imported into the ECM system. The line item information can then be quickly and easily reconciled, without the time and hassle of the old solution. Shamrock’s solution ensures that patient information is encrypted, and the entire process is completed without the hours of user time that used to be spent on each EOB.

As Shamrock’s EOB reconciliation solution is hosted, customers only pay for what they use via a transaction-based pricing model. They also benefit from a rapid installation and continual development that builds intelligence gathered from the entire user base back into the system. Due to the minimal implementation process, IT/IS resources can focus on other products. Speed is another key advantage over the old manual process, with Shamrock’s system being capable of processing over 100,000 items in a day. And as billing staff are no longer spending dozens of hours on EOB reconciliation, they can concentrate on other, value-add tasks.

“Our new solution not only speeds up EOB reconciliation, but also accelerates the revenue cycle,” Albright said. “It’s the fraction of the price of on-premises options which provides even greater value.”

About Shamrock Solutions
Shamrock Solutions is a fast-growing IT professional services company, providing technology solutions to organizations of all sizes and from all industries. Our range of services includes implementation, support, tune-ups, configuration, staff augmentation, project management, and more for Lexmark Enterprise Software (formerly Perceptive Software and ImageNow) and Microsoft SharePoint. We also provide “Special Ops” projects that address customized development and integration solutions that help organizations achieve their unique business objectives. Learn more at http://shamrocksolutionsllc.com/

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Mindy McKenna
@ShamSolutions
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Shamrock Solutions, LLC
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