Specialized Revenue Cycle Management
Kemberton has identified a set of performance improvement opportunities where smart application of technology dramatically improves the efficiency, productivity and transparency of specialized revenue cycle management. The four main areas are:
Workflow optimization and claims process automation to ensure the most appropriate resources are applied at each step, eliminating repetitive, time-consuming tasks and ensuring compliance with deadlines, requirements and best practices.
Automated Claims Processing
Taking full advantage of electronic processes, including e-filing of claims and documents, and direct feeds of 837 files from our providers and clearinghouse partners to allow us to get claims in as early as possible for maximum returns and fast results.
Knowledge Base and Rules Engine
Knowledge base and rules engine codify institutional knowledge into our process, so every time we identify a new rule, requirement or best practice for any client, it automatically becomes part of every applicable workflow.
Transparency into revenue flow and KPIs set Kemberton apart, with robust client dashboards that ensure progress against goals, predictability of revenue and full alignment between our clients and the Kemberton team.
Applying technology to these areas has allowed us to build highly-efficient and use case-specific workflows that are customized down to the individual payment source and claim type. This not only allows us to use our expert teams efficiently, but also to expose workflow and claim status information via our client dashboards that track real-time performance from high-level KPIs down to the individual claim status.