A RIS configured to reflect how a practice actually operates reduces the friction that comes from forcing clinical and administrative workflows into a system built around generic assumptions. For practices managing multiple worksites, complex modalities or large referrer networks across Australia and New Zealand, configuration is what makes the difference between a system that supports daily operations and one that creates workarounds.
Karisma is a configurable radiology information system built to reflect how individual practices actually operate, rather than requiring practices to adapt their workflows to the software. Billing rules, reporting pools, protocol visibility, online booking controls and business analytics are all configurable at the worksite level, giving practices precise control over each part of their operational environment.
No two radiology practices have identical requirements. A single-site practice running general imaging operates differently from a multi-site network managing complex modalities and a large referrer base. Here is what Karisma configuration looks like across the areas where it matters most.
How does Karisma handle billing configuration across multiple worksites?
Billing in radiology is not straightforward. Item numbers vary by service type, patient demographics and funding source. Worksites within the same practice may bill differently depending on their location, the modalities they offer or the agreements they hold. Managing this manually, or through a system that does not reflect these distinctions, creates errors that are time-consuming and costly to resolve.
Karisma addresses this at the configuration level. Exam types have the appropriate item numbers built in. As a result, the system generates the correct billing code automatically rather than relying on staff to select from a list. Billing preferences are also configurable by worksite, so each location operates to its own requirements without affecting the rest of the network. Imaging requirements can also be defined at the worksite level, giving practices with diverse service profiles the precision they need without adding administrative complexity.
How Does Report Configuration Improve Workflow and Referrer Communication?
Radiology practices generate significant reporting volume. Without the right configuration, reports reach the wrong radiologist, sit in queues that do not reflect clinical urgency or get distributed through manual processes that slow everything down.
Karisma’s reporting configuration gives practices precise control over how reports are distributed and who can access them. Report distribution can be set by provider number, so each clinician or specialist sees only the reports relevant to their work. Custom reporting lists define who sees which reports and when, removing the ambiguity that comes from broad or undifferentiated distribution.
Reporting pools take this further. Rather than assigning reports to a named individual, pools allow the creation of configurable groups so the right team handles the right work. For practices managing subspecialty reporting across multiple sites, pools ensure urgent work reaches the right hands quickly. This means reporting capacity is used efficiently and nothing sits unactioned.
How Does Protocol Configuration Reduce Errors in the Booking and Preparation Process?
Preparation errors and incorrect bookings are among the most disruptive problems a radiology practice faces. A patient who arrives unprepared for an MRI, a biopsy booked against the wrong resource, or a service scheduled without the right protocol in place all create downstream consequences that affect patients, referrers and staff.
Karisma’s Approvals Module allows practices to configure protocols at a granular level. Protocol visibility is set by service type, department or worksite. Each part of the practice works with the protocols relevant to its role, rather than navigating a system-wide list. Digital questionnaires replace paper worksheets, with custom protocols distributing the right questions to the right roles in the workflow automatically.
For full detail on the Approvals Module workflow, see Karisma Approvals Module
How Does Online Booking Configuration Protect the Schedule and Improve Patient Experience?
Online bookings are only as useful as the controls around them. A booking system with no restrictions lets patients self-select any appointment type. In practice, this creates scheduling problems that are harder to manage than the phone calls it was supposed to replace.
Karisma Online Bookings is configurable at the service level. Practices define which appointment types are available for online booking and how far in advance bookings can be made. Preparation notes are configurable by audience, so patients see the information relevant to them and staff see the operational detail they need. Room and resource allocation is handled automatically, removing the risk of double-booking entirely.
For full detail on the Online Bookings workflow, see How Does Kestral Online Bookings Work and What Does It Mean for Practice Operations?
How Do Configurable Business Analytics Support Better Practice Decisions?
Practice owners and managers need visibility across their operations to make good decisions about resourcing, capacity and growth. Generic reports that do not reflect the metrics a practice actually tracks are of limited use.
Karisma’s business analytics module allows practices to generate reports based on the specific metrics that matter to their operation, whether that is patient throughput, resource utilisation, revenue by modality or referrer activity. Report distribution is configurable so the right data reaches the right people, from clinical leads reviewing reporting turnaround times to practice owners tracking financial performance.
What integrations does Karisma support?
Configuration within Karisma is most effective when it operates as part of a connected practice environment. Karisma integrates with most PACS vendors, ensuring imaging data flows cleanly between systems without manual intervention or data silos. Integration with Medical Objects supports structured communication and data exchange with referring clinicians, connecting the practice to the broader clinical network it operates within.