This integration links the Kipu EMR with Kipu RCM, eliminating duplicate patient entry and manual errors while improving efficiency. With this integration, the Kipu EMR handles patient demographics and charges, while the RCM manages insurance, utilization plans, and billing as the single source of truth.
For organizations that also use the Kipu CRM, there are some additional integration benefits, including automatically generating prospective patient records in the RCM when a prospect is created in the CRM.
Integration Workflows
There are two integration workflow articles depending on which solutions you leverage from the Kipu product suite.
Process Documents
The following process documents describe how to leverage the Kipu EMR + RCM to build patient records, add utilization plans, document billables, and send these charges to Avea for billing.
- Pre-Admission Patient Workflow: Learn how to add a pre-admission chart and complete verification of benefits prior to admission.
- Create Patients: This article also indicates which fields are included in the integration.
- Facesheet Transmission Errors: Discover common issues and their resolutions when transmitting patient demographics to the RCM.
- Add Insurances and Verify Eligibility: Review how to add primary, secondary, and tertiary insurance plans and verify patient eligibility.
- Add Utilization Plans: Learn how to a U/R Plan to the patient's concurrent reviews for Level of Care/per-diem billing.
- Add Standalone Authorizations: Learn how to add a standalone authorization for ancillary (non-UR) services.
- Create Charges: Document charges through Group Sessions and Evaluations. This includes examples for both Level of Care and Ancillary billing.
- Send Charges to RCM: Learn how to review, edit, and submit charges to RCM using the Billing Report.
- Batch Transmission Errors: Discover common issues and their resolutions when transmitting charges to Avea.
- Private Pay (Ancillary): Discover the workflow for patients who will pay for ancillary services out of pocket.
- Private Pay (Level of Care): Discover the workflow for patients who will pay for Level of Care/per-diem services out of pocket.
- Billing Report - Errors and Warnings: Discover common alerts/warnings on the Billing Report and how to resolve them.
Settings
While most of this configuration is completed during your implementation process, these articles are available for reference when you need to make future updates, additions, or changes.
Patient Tab
From the Patient Settings tab, you can configure the following items:
- Levels of Care: Determine how each LOC offered by your organization will be billed for per-diem services.
- Payment Methods: Ensure Payment Methods have the correct category.
- Patient Billing Tab: Add the Billing Report to the patient chart for per-patient billing
- Do Not Bill Reasons: Create a selection list of Do Not Bill Reasons for use on the Billing Report.
Billing Tab
From the Billing Settings tab, you can configure the following items:
- Codes: Create CPT, HCPCS, and Revenue codes.
- Services: Create service codes to allow authorization numbers to be applied to specific services.
Key Settings
- Kipu RCM Konnector: The Kipu RCM Konnector ensures that the data in the Kipu EMR is routed to the correct facility in the RCM with the appropriate rendering provider.
- Bill by Building: Billing by Building allows users to choose which RCM practice and rendering provider the billable items should be associated with based on the Building the patient is assigned to.
- Bill by Program: Billing by Program allows users to choose which RCM practice and rendering provider the billable items should be associated with based on the Program the patient is assigned to.
- User Roles and Permissions: Review the roles and permission to assign to your billing users.
- Configure Group Sessions/Evaluations: Set up per-diem and ancillary billable templates.
- Rendering Providers: Configure the system to send specific Rendering Providers to the RCM, if needed.