RCM and the Challenges Post-Acute Care Agencies Face

August 5, 2022

As we all know, time and money are two of the most important and precious assets we have in healthcare. 

When it comes to taking care of others, agencies need to have those resources handy so they can focus on delivering quality patient care. 

In this article, we will discuss the challenges agencies face regarding revenue cycle management (RCM). By addressing these bottlenecks, KanTime’s configurability and automation will be showcased and will ultimately address how KanTime helps agencies save time and money while achieving higher patient satisfaction and quality. 

Challenges Agencies Face with Revenue Cycle Management 

Authorizations 

In most EHRs, authorization management is underdeveloped, and little insight is given regarding the stages of the authorization life cycle. 

In addition, some EHRs can provide office authorizations to provide care when an authorization is unavailable but anticipated. Unfortunately, not every system is robust enough to configure each payer differently and this feature remains unattainable due to the lack of configurability.

With the right EHR partner, agencies should have complete visibility within their system allowing the financial team to track the authorizations and ensure that they are not scheduling visits beyond their allotted time.

Batch Eligibility Verification Checks

Agency billers must be frustrated when they generate weeks of claims only to be disgruntled and annoyed four weeks later when all of those claims get rejected. This has become prevalent due to the increase in health plan incentives and patients are switching payers without informing their clinicians.

Checking patient eligibility individually is time-consuming and billers should not have to continuously perform these checks if their reimbursement source accepts electronic batch eligibility verification. Manual processes cost agencies time and money and reimbursement should not solely depend on the level of communication the reimbursement sources provide.

 

Doing It Right The First Time 

Authorization Management 

Unlike other EHRs, KanTime’s built-in authorization management module paired with our intelligent scheduling engine will pull from the authorization when the visit is scheduled rather than completed. 

Combined with KanTime’s hard stops, KanTime’s authorization management ensures the agency does not schedule past its authorization and provide services that will ultimately result in a denied claim.

KanTime’s creator, a process engineer, has built the system to streamline otherwise lengthy processes while ensuring its users remain compliant.

Within KanTime, agencies can configure each payer within the system and select the option to provide office authorizations. In addition, role permissions can be set to only allow for certain members of an organization to approve an office authorization. 

Furthermore, KanTime’s real-time widgets and dashboards provide a comprehensive menu for authorization management with 7 counters. This provides agencies with an unprecedented ability for their financial team to leverage real-time data while staying up to date and ensuring compliance on every level.

Automatic Batch Eligibility Verification 

KanTime’s EHR solution makes it easy for agency billers to routinely check eligibility verification without having to sacrifice a day or more of manually going through every patient and payer. 

By utilizing KanTime’s Automated Batch Eligibility engine powered by our seamless integration with clearinghouses, billers can minimize financial risk surrounding rising healthcare costs, increased plan options, and expanding Medicaid eligibility. 

Users can also: 

  • Generate and transmit 270 files and receive automated 271 response files right within KanTime instead of having to access them from the clearinghouse gateway or portal.
  • Eliminate the need for manual eligibility checks (for those payers that accept electronic eligibility checks) by letting KanTime perform automated batch checks at multiple intervals during the month with the help of integrated clearinghouses like Inovalon/Ability or Waystar.

 

Managing By Exception 

In the post-acute environment, everyone is operating to achieve compliance and patient care at the highest level. Manual processes can weaken an agency’s ability to achieve its goals, but choosing the right EHR partner can help bridge the gap and provide separation from neighboring agencies. 

Providing timely, efficient and quality care has never been easier with the enhanced visibility and functionality of KanTime’s robust platform and integration portfolio. 

To learn more, click here to schedule a demo to see how better happens.

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