Best Practices for Kipu RCM (Avea)

  • Updated

Our Best Practice section includes strategies to enhance Revenue Cycle Management (RCM) efficiency daily, weekly, and monthly, to help accelerate claims processing.

Benefits of Using RCM Best Practices

These best practices establish a foundation for efficiency and workflow optimization by implementing customizable workflows that improve claims movement through the revenue cycle. This approach enhances process efficiency compared to other revenue cycle management (RCM) products. Additionally, it fosters better accountability among teams through clearly defined workflows.

Our best practices make quick work of escalation and resolution, enabling prompt escalation and resolution of roadblocks at each stage of the patient journey. They also help identify and address recurring issues that can delay cash flow and reduce collection rates.

Roles and Functions in the RCM Process

Our role-based structured workflows are organized by various roles or functions within an RCM team, often linked to a specific step in the RCM process. They provide flexibility for individuals who may perform multiple roles or functions as needed.

Key Features and Workflow Areas

The core RCM features are designed to facilitate workflows including:

  • Claim submission: Initial processing of claims.
  • Claim corrections: Addressing and adjusting submitted claims.
  • Payment posting: Recording payments received.
  • Reporting: Generating reports for insights and tracking.
  • Managing the billing team: Overseeing team responsibilities and performance.

Configuration and Optimization

Our configuration guide offers detailed setup instructions with examples based on the proven RCM processes. The implementation team usually completes the configuration during onboarding, with opportunities for ongoing optimization by your organization as time progresses.

Guides and Articles

The articles below explain each core feature and workflow process for Kipu RCM.

Configuration

Role Based

Workflow Based

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