Front End: Patient Access & PA
Eligibility, benefits, prior authorization, treatment readiness, and clinical documentation before billing begins.
FULL-SERVICE RCM · PRIOR AUTHORIZATION INCLUDED
One team. The whole cycle.
A better financial result.
AI agents and revenue-cycle experts take responsibility for the path from authorization to payment. Lower the cost of getting paid, resolve missed revenue, and see exactly where things stand.
THE SCOPE, MADE EXPLICIT
What leaves your desk.
What we carry through.
Middle: Coding & Claims
Review documented services, coding, modifiers, and charges. Submit claims and resolve clearinghouse rejections.
Back End: Payment & Recovery
Work denials and A/R, investigate payment differences, and reconcile payer and patient balances under your financial-assistance policies.
We confirm systems, payer coverage, responsibilities, and review requirements before starting. Clinical decisions and necessary approvals remain with your practice.
KNOW WHERE THE MONEY STANDS
One accountable operator.
A clear view of the result.
Stay on top of cash, claims, and collections. Know what’s moving, what’s blocked, and who owns the next step. An up-to-date view, without chasing anyone for answers.
Plan The Handoff ↗YOUR PRACTICE, IN FOCUSBetter numbers.
Revenue in motionBetter numbers.
Less chasing.
Cash posted$316,842Posted & reconciled
Outstanding A/R$287,43083 open claims
Clean claim rate96.4%161 of 167 first pass
Denial rate4.8%Denials tracked to resolution
Clearinghouse rejects3.0%Caught before payer review
Days in A/R26.110.7 days faster
First-pass acceptance · 8-week trend62% → 91%
218 automated checks12 expert reviews
A CONTROLLED TRANSITION
Change the operation.
Keep revenue moving.
A named Kairos owner coordinates the transition with your practice. Start dates, open balances, and escalation paths are agreed before responsibility moves.
Map the current operation
Document scope, system access, fees, staffing, payer mix, and time-sensitive balances.
Agree the handoff
Assign old A/R, new claims, appeals, and patient balances to an explicit owner. Validate reporting and access.
Review before expanding
Track submission continuity, exception handling, and financial performance against the baseline.
BEFORE YOU DECIDE
Know what you're getting.
Are we buying software or a managed service?
Full-service RCM is a managed service supported by Kairos software and AI agents. We agree who owns each workflow, what specialists handle, and which decisions remain with your practice.
Do we have to move everything at once?
No. You can start with one workflow, location, or service line. We establish the baseline, demonstrate the operating model, and expand the mandate when it makes sense.
How do you compare costs?
We compare all-in costs for the same scope, including Kairos fees, retained practice effort, and work that may be excluded from your current billing contract. A reduction in task time is not automatically a reduction in total RCM cost.
What happens to our existing receivables?
The transition plan explicitly assigns pre-transition balances, open appeals, deadlines, and follow-up. Existing receivables do not silently move into or out of the engagement.
LET'S FIND THE OPPORTUNITY
Your next point of margin is already in your practice.
Let's find where it's getting lost, and put a team to work on it.