Case Study: VBRCM achieves faster Medicare payment posting (1.5 min/record) with AutomationEdge RPA

VBRCM Accelerated Medicare Payment Posting Process Efficiency with AutomationEdge RPA

VBRCM, a Revenue Cycle Management firm founded in 2020 with more than 175 employees across 60 client locations, faced manual bottlenecks in Medicare payment posting — managing 500+ patient and insurer records, ensuring error-free claim transfers, and correctly calculating payment-deadline windows (45/90/180 days). VBRCM engaged AutomationEdge to standardize and automate the Medicare Payment Posting process using an AutomationEdge RPA bot.

AutomationEdge implemented an RPA solution that logs into PHI RCM, downloads Medicare payment reports, validates primary plans and service lines, routes payments to secondary payers, updates audit reports, changes responsibility or writes off balances based on 45/180‑day rules and CLAIM‑2ER outcomes. As a result, AutomationEdge delivered significant reductions in turnaround time and processing errors — achieving approximately 1.5 minutes per record and measurable efficiency and accuracy gains in VBRCM’s payment posting workflow.

VBRCM