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A Unified ERP Data Framework for Streamlining Hospital Workflows and Billing Processes

Year: 2025
Type: article
Abstract: Healthcare organizations face mounting pressure to deliver efficient, patient-centered care while maintaining accurate financial operations, yet fragmented data systems across clinical workflows and billing departments create substantial operational delays and critical errors. This technical review examines a unified Enterprise Resource Planning data framework designed to integrate clinical, administrative, and financial data into a cohesive architectural structure. The system employs modular components, consistent data models, and real-time notifications to allow a continuous flow of information across functions from admission to discharge summary and billing. Implementation has shown that workflow efficiencies have greatly improved by providing an automated patient intake, verifying insurance data, and recording clinical documentation directly to an electronic health record. The system provides intelligent charge capture, ongoing eligibility verification, real-time claim submission, and visible aspects of revenue cycle and billing management. Inventory and supply chain management functionality provide full visibility into the process with predictive analytics capabilities for automated re-ordering whenever possible. Technology integration entails all existing platform interconnections, seamless integration in totality across the patient journey, and interoperability with all hospital IT environments. Benefits are substantial in terms of reduced billing errors, prompt cash flow, improved patient experience and satisfaction, and improved care coordination. Whereas, challenges to implementation included regulatory compliance, data fragmentation, administering limited resources, and staffing adaptation.
DOI: 10.5281/zenodo.17333680
Language: English
Open Access status: green
OpenAlex ID: W7089195405
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