Billing Audit Tool Report: Batch Report Errors (Post-Transmission to the RCM)

When transmitting charges to the Kipu RCM, the batch can receive the below errors. These errors will appear in the Status column and the batch details will indicate that the charge was not transmitted to the respective RCM.

Error Message	Resolution	Error Source
No Utilization Plan was found for NPI XXXXXXXXXX on X/X/XXXX XX:XX:XX AM for service XXXXXXXX for auth number XXXXXXXX	There are two reasons this error may occur: This error occurs when there is a mismatch in rendering providers. If the billable item coming from the EMR has a different rendering provider than the utilization plan in the RCM, you'll receive this error. This will only occur for U/R Required (Kipu RCM)/Level of Care (EMR) services. To resolve, ensure the billable item rendering provider and UR plan rendering provider are the same. This is done by updating the rendering provider on the Utilization plan by clicking Manage Review on the patient’s facesheet or editing the U/R plan directly in the Kipu RCM. You can also manually change the provider on the billing audit tool report by clicking the Edit icon and changing the provider to the one listed on the U/R Plan.  Remember, if the Rendering Provider is blank on the billing report, the Konnector provider will be used as the rendering provider.  This error can occur when the provider on the UR plan or Konnector is not set up as a rendering provider in the EMR or if the provider is set to inactive in the EMR or RCM  To resolve, review the profile for the provider in the EMR and ensure they have the Rendering Provider feature and are not disabled.  Next, review their rendering provider profile in the Kipu RCM and confirm that they are set to Active in both the Practice Admin and Facility.	Kipu RCM
No institutional service billing profile found for revenue code XXX and bill type XX or No professional service billing profile found for HCPCSCPT code xxxxx and place of service xx	This error message can appear in various ways, however, the sentence will be completed by identifying the exact issue causing the error to occur. For example, you may see any of the following: No professional service billing profile found for HCPCSCPT Code 90846 and place of service 11 Error: No institutional service billing profile found for revenue code 0905 and bill type 11 These errors occur when the code combination used on the billable item does not match any service billing profiles in the Kipu RCM for that specific integrated EMR Location and RCM Practice. Solution 1: To resolve, you want to ensure that services are correctly configured on both the EMR and RCM sides. This includes codes, descriptions, and level of care (Code, Type of Billing, POS, etc). You can begin comparing by comparing these fields in the Kipu EMR to a matching Billing Profile in RCM. Log into the RCM and select the Organization and Practice in question. Under Organization Admin, select the Practice in question. Next, you will be taken to Practice Admin. Select Services. Select the service that EMR service should have mapped to. If you’re unsure, open the applicable Services to review the Billing Profile that includes the code combination you’re looking for. If it doesn’t match, update either the EMR or RCM Service so that they match. Solution 2: If all coding combinations line up, check to see if they are being sent from the right EMR Location to the right RCM Practice. Some common things to review are: has the patient been admitted to the wrong EMR location? Is the Location mapped to the correct Practice in the RCM?   Solution 3: Check the patient's program assignment and bed assignment if bill by program or bill by building is enabled. Ensure U/R Plan on file exists in the right facility.	RCM
Provider NPI is required (PV1.7.1)	This error occurs when there is either no rendering provider on the billable item or the rendering provider's NPI is not present on the billable item. Ensure that a rendering provider selected for the billable item(s) has an NPI added to their user profile in the EMR by clicking your initials and choosing Manage Users.	RCM
Error: RCM Message - No Rendering Provider references found for NPI 1237777891 at PracticeID: a92b5f0b-4d3f-ed11-a81b-0022480a27c0 FacilityID: dbe3fb89-4d3f-ed11-a81b-00224806f0ba	This occurs when the rendering provider on the billable item in the EMR is not added as a rendering provider in the RCM or isn't referenced in the right facility in the RCM. To resolve this error, add the rendering provider to the appropriate practice in the RCM and reference that rendering provider at the facility. Click here for instructions. If the rendering provider exists, ensure the billable item was created in the correct EMR location and RCM practice.	RCM
Object reference not set to an instance of an object.	Please contact Support for assistance in resolving this issue.	RCM
Invalid URL: The format of the URL could not be determined.	Please contact Support for assistance in resolving this issue.	RCM
The target practice for this message could not be found.	This error occurs when the Organization, Practice, or Facility ID field is missing or incorrect in the RCM Konnector. To resolve, open the RCM Konnector in the EMR for the missing organization, practice, and/or, facility and enter the correct ID. The Practice ID is found in the RCM Organization Admin under the Practices tab. The Facility ID is found in the RCM Practice Admin under the Facilities tab. The Organization ID is found in the RCM Managing Organization Admin under the Organizations tab.	RCM
Error: Invalid Authorization Header	This error occurs when the username and password on the RCM Konnector is invalid (meaning it doesn't match the RCM user details). Please contact Support for assistance in resolving this issue.	Kipu RCM
Failed. Failed (retrying)	A batch can fail for this reason because of incorrect information in the Konnector. To correct the issue: Please review the data entered in the Konnector to confirm that all entries are correct. Ensure that the interface has been properly activated in the system. The Interface is Not Activated in Kipu RCM If the issue persists, please contact Support for assistance in resolving this issue.	Kipu EMR