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Kavingali investor presentation 4.3 public

Leigh J. Mack, MD, PhD CPI
Leigh J. Mack, MD, PhD CPI

Kavingali has developed an Automated Cloud Revenue Utilization System (ACRUSTM) using robotic process automation and proprietary software to automate hospital utilization review processes in order to help hospitals more effectively collect the $125 billion in annual inpatient revenue that is currently lost due to inefficient review procedures. Their system uses digital robots that can access electronic health records and payer systems to complete utilization reviews with over 99% accuracy, reducing overhead costs compared to current options of using internal review staff or third-party contractors. The ACRUSTM system is presented as providing hospitals with a more efficient and accurate solution to address the large amounts of revenue lost each year

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Kavingali, Corp. Automated Cloud Revenue Utilization System Realize More Revenue for Healthcare ACRUS
Kavingali, Corp. THE PROBLEM 60% of hospitals never appeal denials (utilization review) leading to a loss of revenue A 350bed hospital loses $3million 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.
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.
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.
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
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
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
Kavingali investor presentation 4.3 public
Kavingali investor presentation 4.3 public
Kavingali investor presentation 4.3 public
Kavingali investor presentation 4.3 public
Kavingali investor presentation 4.3 public
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

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Kavingali investor presentation 4.3 public

  • 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 350bed hospital loses $3million 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