Best Practices - Post-Implementation

After your organization has been implemented and transitioned to support, it's essential to implement and maintain the Kipu RCM best practices. Doing so is crucial to ensuring your organization's overall success when using RCM. When utilized correctly, Organizations should be able to reduce the overall time between submitting a claim and receiving a payment. 

Benchmarks

Organizations that have successfully implemented the RCM best practices can use the following benchmarks to measure their overall success. Healthy organizations should see:

Best Practice Timelines

Let's review the daily, weekly, and monthly best practices!

• Managing Organization Users and Organization Users

  Managing Organization Users and Organization Users should begin their day by viewing their assignments in Work Center > Home > View Assignments. Users should start by working on red tiles to remove any overdue tasks before moving on to any tiles displaying yellow. For more information about working on the assignments in the Work Center, click here.

  Managing Organization Admins

  Managing Organizations (MO) Admins should begin each day by navigating to the Management Center. Here, MO Admins can get a pulse check of the organization's current health status |and identify areas of the revenue cycle that require additional attention. When reviewing the Management Center, MO Admins should look for red or yellow tiles, as these indicate workable items that are overdue or nearing their due date. For more information on the Organization Dashboard, click here.

• Managing Organization Admin

  MO Admins should review the Dashboard Home and Claim Submission dashboard weekly to ensure RCM best practices are being followed. Organizations that have successfully implemented these best practices should see:

  • Total A/R of 34.4.
  •  Collection rate (or days-to-pay) of 19.43
  •  Clean claim rate of 97% or higher. 

• Managing Organization Admin

  Managing Organization Admins should review the Dashboard Home and the Claim Submission dashboard weekly and monthly, while also running specific reports to find the root causes of any issues affecting the organization's overall benchmarks.
  
  For example, if you've noticed a drop in the Clean Claims rate, generate the Claim Status Report (By Claim) with the Claim Issues column included. This report can then be refined by the payer and used to identify possible reasons for the decline in clean claims.