THE FINANCIAL SIDE OF BETTER CARE
Close the leaks. Capture missed opportunities. Leave the follow-up to us. Kairos Health brings AI agents and accountable experts together, from prior authorization to final payment, for fewer denials, lower costs, and more money where it belongs.
No spreadsheets. No dependence on tribal knowledge.
fewer preventable claim denials
Targeted improvement against your baseline.practice margin improvement
More collected. Less spent getting paid.EHRs supported
With workflow coverage across 800+ payers.YOUR EHR. YOUR PAYER WORKFLOWS. ALREADY PART OF THE PICTURE.
TWO WAYS TO IMPROVE PRACTICE ECONOMICS
Run the revenue cycle better.
Find what the financial statements don't show.
01 / FULL-SERVICE RCM
Not another vendor waiting for your team to chase them. One accountable operator across the front, middle, and back of the revenue cycle, with prior authorization explicitly included.
Proactive follow-up. A named owner. A clear view of every open balance.
Explore Full-Service RCM02 / FINANCIAL LEAKAGE
Find the dollars slipping through payer payments, procurement, and contract terms. Then put an owner on the recovery, not just another finding in a report.
Prioritized by value. Backed by evidence. Followed through to resolution.
Find Your Financial LeakageNeed to start before the claim?Prior authorization is also available as a focused engagement.
Explore Prior AuthorizationPREVENT UPSTREAM. FOLLOW THROUGH DOWNSTREAM.
When clinical, authorization, and billing teams work in separate queues, problems surface too late. Kairos carries the whole account through every step, so gaps can be caught before a claim becomes a denial.
The existing authorization still covers 6 units.
The doctor records 8 units.
Billing still works from 6 units.
A potential denial triggers rework.
Find it late. Chase it afterward.
Compare the 8-unit plan with the 6-unit approval.
Route the mismatch with evidence for resolution.
Billing uses the resolved record and approval.
Catch it early. Resolve it before filing.
A clinical change informs authorization, billing, and payment review, not just the chart.
The authorization on file is for Plan A.
Registration updates the plan.
New payer requirements go unchecked.
The claim is rejected or denied.
Discover the coverage gap after the claim.
Check Plan B against treatment and the approval.
Identify new benefits or authorization work.
Billing gets the current plan and approval.
Align coverage, authorization, and billing first.
One insurance update reaches benefits, authorization, and billing together.
The authorization is valid only through June 30.
Scheduling records July 8.
The approval ends June 30.
The payer may deny the claim.
A calendar change becomes a payment problem.
Check July 8 against the June 30 approval expiry.
Route the date gap for resolution with the payer.
Scheduling and billing use the updated approval.
Resolve the approval gap before the visit.
A schedule change triggers an approval check before it becomes a billing problem.
A $150 difference needs to be explained.
$850 is recorded as received.
Nobody compares the reimbursement terms.
A possible $150 underpayment is missed.
Money received. Missing money overlooked.
Check $850 against the expected $1,000.
Rule out valid adjustments and patient responsibility.
Pursue confirmed underpayments and reconcile receipts.
Verify what is owed. Pursue the real gap.
Contracts, claims, and payments stay connected until the difference is explained.
SELF-IMPROVING AI AGENTS
Our AI agents are built to self-improve. They learn from your team's corrections, doctors' decisions, and payer responses, so the system's checks, evidence preparation, and escalations improve over time.
IN GOOD COMPANY
HOUSTON
Neurology of the Rockies
MORE ROOM FOR THE WORK THAT MATTERS
At a three-location Colorado neurology group, Kairos helped move authorization work ahead of treatment, and take the repetitive work off the team's plate.
For many of our treatments, saving even one missed authorization every couple of months pays for the platform.
THE KAIROS PERSPECTIVE
Why authorization handoffs belong in your practice's financial review, and how to measure the difference between faster…
Read The Article Practice economicsA practical framework for detecting payer underpayments, validating contract variances, and distinguishing money…
Read The Article Prior Authorization FundamentalsA guide to prior authorization automation for medical groups, including workflow steps, automation limits, vendor…
Read The ArticleLET'S FIND THE OPPORTUNITY
For a practice collecting $50M a year, reducing all-in collection costs from 5% to 3% saves $1M. Collecting 1% more adds $500K. That’s $1.5M in annual impact.
