Revenue in seconds, not hours? Integrated admissions with VTS Karexpert's generative AI.

The most critical bottleneck in hospital management doesn't occur in the operating room, but at the front desk. Patient admissions and insurance authorizations have historically been manual processes, prone to errors and therefore frustratingly slow.

What if admission, insurance verification, and the creation of the initial clinical record happened almost instantly, powered by artificial intelligence?

The answer lies in VTS Karexpert's generative AI. This solution not only digitizes the process but also automates the clinical narrative from the moment the patient walks through the door.

Learn about VTS Karexpert's generative AI for the admissions process.

1. The New Standard: Integrated Admission with generative AI for Insurance (TPA)

In a traditional hospital setting, admission and insurance verification are separate processes. The patient fills out a form; the administrator calls the insurance company, and the doctor waits.

VTS Karexpert breaks this paradigm with its Unified Digital Health Platform.

Thanks to the integration of generative AI, the system can manage an integrated admission process, "e-Admission," and real-time insurance authorization.

• Intelligent Document Reading: AI doesn't just "scan" the insurance card or medical order; it understands its content. It automatically extracts patient data, policy type, and coverage requirements.

  
  

• Prior Authorization Validation: The system verifies against the insurance companies' (TPA) rules whether the procedure requires prior authorization and manages the request digitally, reducing denials due to administrative errors.

The key takeaway: By automating the verification of incoming documents (such as pre-authorization requests), the solution drastically reduces patient waiting times at the admissions desk.

2. The Magic: Automatic Event Logging in the Electronic Medical Record (EMR)

This is where VTS Karexpert's solution differs radically from simple administrative software. The great promise of its technology is that it automatically converts administrative processes into clinical data.

Users often ask us: "How does the admission process connect with the patient's medical record without the doctor having to type everything in?"

The answer lies in the automatic recording of episodes using AI. This is how the invisible workflow works:

1. Event Capture: When the AI ​​validates admission and insurance authorization, it stores this data in a separate financial folder.

2. Clinical Episode Generation: The generative AI automatically creates the "Admission Episode" in the patient's EMR (Electronic Medical Record).

3. Automated Narrative:

   • The system records the reason for admission based on the processed documents.

   • It links the insurance authorization to the clinical episode (visible to the physician, so they know what is covered).

   • It pre-loads the triage data if it was collected digitally.

In this way, when the doctor opens the patient's file minutes later, the story has already begun to write itself. There is no duplicate data entry. Every interaction (insurance approval, bed assignment, initial triage) is injected into the patient's timeline in real time.

3. Benefits of a "Live" and Automated EMR

By using VTS Karexpert's AI-powered "Single Data Lake" architecture, hospitals gain:

• Zero Transcription Errors: By eliminating manual entry of insurance data into the EMR, billing errors and discrepancies in the patient's history are eliminated.

• Seamless Workflow: The transition from "Admission" to "Medical Care" is smooth. The physician sees the administrative status (authorized/pending) directly on their clinical screen.

• Superior Patient Experience (PX): Less time at the front desk means more time for care and less anxiety for the patient and their family.

Conclusion: The Hospital of the Future is Here Now

Generative AI isn't just for writing emails; it's the engine that eliminates hospital bureaucracy. VTS Karexpert demonstrates that when admissions, insurance, and the EMR speak the same language through AI, the result is unprecedented operational efficiency.

Is your hospital ready for patient records to write themselves?