Correction Management - Changes in Insurance Set

  • Updated

Note: This setting is available only by request and must be enabled by Kipu staff. Please contact rcmsupport@kipuhealth.com for further assistance.

A new feature helps organizations better manage corrections generated when a patient's payer changes within the insurance set when integrated with the EMR.

In the RCM

When enabled, this feature instructs the system to generate a void (via a correction) when a patient's primary payer changes within the insurance set. When this occurs, the system automatically removes the date(s) of service from the Attendance Calendar and then creates the voids.

Creating Voided Claims

When this feature is turned on, voids must be fully processed to ensure your organization's A/R data integrity remains intact. Voids are created in RCM using the same process as creating corrections. For more information on this process, click here.

In the EMR

If the primary payer on the Facesheet in the EMR is updated, the system removes all previously transmitted and pending billable charges from the Billed section of the Billing Audit Tool Report. The system then moves these charges to a new section called Insurance Change Management. Afterward, the system automatically deletes any charges sent to the Attendance Calendar in RCM, prompting the creation of voids. For more information on this feature in the EMR, click here.

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