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:
Healthcare Claims Processing Workflow Optimization
Claims workflow optimization and healthcare claims processing workflow 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 in the claims workflow, 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 healthcare claims processing workflow, so every time we identify a new rule, requirement or best practice for any client, it automatically becomes part of every applicable claims 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 healthcare claims processing 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 claims workflow and claim status information via our client dashboards that track real-time performance from high-level KPIs down to the individual claim status.
The Kemberton difference
Changing the way lost revenue is found
Kemberton sat down with Healthcare Finance News and discussed how the Kemberton difference is helping hospitals collect on previously uncollectible claims, generating millions of dollars that would otherwise be lost via healthcare claims processing workflow automation.
4 ways hospitals can lower claim denial rates
Kemberton’s President, Brandon Rife, discusses how hospitals can lower claim denial rates. Read these 4 tips to learn how you too can improve revenue cycle performance by lowering claim denial rates.