Kavingali has developed a software system that implements digital robots (Robotic Process Automation RPA) along with proprietary software reference systems to automate the UR process.

1. Kavingali, Corp.
Automated Cloud Revenue Utilization System
Realize More Revenue for Healthcare
ACRUS™

2. Kavingali, Corp.
THE PROBLEM
60% of hospitals never appeal denials (utilization
review) leading to a loss of revenue
A 350 bed hospital loses $3 million per year*
According to Hospital Financial Management Association
For patients who are not automatically approved for inpatient
status, approximately 30%, will pass through a Utilization Review
(UR) system that is rife with inef
fi
ciencies to include:
• Department organization and management
• Understanding and adoption of regulatory guidelines
• Clinical acumen and understanding of clinical criteria
• Revenue cycle integration
• Ef
fi
cient and accurate processes
*Navigant Consulting, Inc., Cincinnati, Ohio.
US healthcare systems are
ine
ffi
cient at e
ff
ectively
collecting revenue for patients
who qualify for inpatient status.

3. Kavingali, Corp.
CURRENT UR PROCESS
Healthcare systems currently have 3 options:
1. Lost revenue by not identifying and submitting
claims resulting in $125 billion (annually) of
inpatient revenue is never reimbursed
2. Subcontract with contractors (Optum, a
predominant subcontractor, is actually owned by
the commercial payer United Healthcare Group)
3. Internal RN sta
ff
that typically takes 40+ nurses
per 1,000 bed hospital system at a typical cost of
over $4,300,000 annually.
According to the U.S. Department of labor, 1.4 billion insurance claims are
fi
led every year out of which
200 million are denied due to non-compliance or due to improper
fi
ling.

4. OUR SOLUTION
Kavingali has developed a software
system that implements digital robots
(Robotic Process Automation RPA) along
with proprietary software reference
systems to automate the UR process.
Kavingali, Corp.

5. Kavingali, Corp.
Efficient
6 bots complete the work of 24
utilization nurses conducting
manual reviews and submissions
Seamless
No human process is required
beyond quality control
Interoperability
Credentialed bots can access
all EHR and payer systems
organically
ACRUS™ Operates 24/7
Accuracy beyond
human skill sets at:
99%
ACRUS™ - Automated Cloud Revenue Utilization System

6. ACRUS™ digital bot:
• Credentialed like a human worker
• Completes the work of 4 nurses
• Accesses any EHR or system (including Epic)
• Reduces 70% overhead in both the UR and Appeals department
• Codes the entire encounter in ICD-10 utilizing A.I. software
• Applies industry standard criteria by employing proprietary software to
determine when inpatient thresholds are met
• Determines when Medicare 2 Midnight Rule is met
• Integrates with criteria software that applies100s of algorithms, based on
industry and clinical research.
• Identi
fi
es billing con
fl
icts and alerts billing department
• Monitors for potential patient risk and alerts risk management personnel
Kavingali, Corp.
THE ACRUS™ ADVANTAGE

7. Kavingali, Corp.
THE UR MARKET
In 2017, inpatient status accounted for almost $498
billion. Observation and outpatient accounted for
$472 billion.*
$125 billion (annually) of inpatient revenue is never
reimbursed.*
9M

13. Kavingali, Corp.
Contact us to schedule a private meeting
Kavingali, Corp.
104 S Wolcott St, Suite 605
Casper, WY 82601
invest@kavingali.com
www.kavingali.com
Phone: (307) 370-0989