Phare

Accounts Receivable Automation

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This healthcare revenue operating system automates the entire revenue cycle by orchestrating specialized AI agents and human teams across workflows to deliver real-time adjudication, aligning payer and provider incentives and reducing administrative drag for health systems, hospitals, physician groups, and other organizations managing medical revenue. Its core features include embedded domain expertise drawn from decades of decisions and hundreds of millions of transactions, continuous learning that improves performance over time, end-to-end modules for intake, claims and flow, automated patient intake with insurance verification and authorizations, automatic coding and denial correction, optimized remittance follow-up, governance safeguards with human oversight, and a system-wide orchestration layer that assigns work to autonomous agents or humans to scale results and lower costs.

Phare can be found in Accounts Receivable Automation categories.

The most similar products to Phare are:

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Phare Main Features

• AR Recovery
  We help collect accounts receivable, which is money owed to healthcare providers.
• HCC Capture
  We help capture Hierarchical Condition Categories for better reimbursement.
• Transfer DRG
  We manage the transfer of DRG assignments to ensure proper billing.
• 340B Recovery
  We help healthcare providers maximize savings from the 340B drug pricing program.
• CDI Solutions
  We offer Clinical Documentation Improvement services to improve documentation quality.
• Charge Capture
  We ensure all services provided are billed correctly to maximize revenue.
• Cost Reduction
  We help reduce costs in the revenue collection process.
• DRG Validation
  We check that Diagnosis Related Groups are correctly assigned for accurate billing.
• Worksheet S-10
  We assist in completing the Worksheet S-10 for accurate reporting of charity care.
• Trusted Partner
  We are a reliable partner for healthcare providers, helping them improve their financial performance.
• Denials Recovery
  We work to get payments for claims that were initially denied by insurance companies.
• Revenue Recovery
  We help recover money owed from insurance and patients for services provided.
• Coding Management
  We manage the coding process to ensure accurate billing for services.
• Medicare Bad Debt
  We assist in recovering bad debts related to Medicare services.
• Clinical Integrity
  We ensure that medical documentation and coding are accurate for billing.
• Patient Experience
  We focus on making sure patients have a good experience during their care.
• Patient Resolution
  We help resolve issues patients have with their bills or payments.
• Insurance Discovery
  We help identify all possible insurance coverage for patients.
• Revenue Improvement
  We assist in increasing revenue for healthcare providers.
• SSI Redetermination
  We help with the process of determining Supplemental Security Income for patients.
• Career Opportunities
  We offer career paths for individuals looking to make an impact in healthcare.
• Revenue Optimization
  We find ways to increase the money healthcare providers receive for their services.
• Regulatory Navigation
  We assist healthcare providers in understanding and following regulations.
• Underpayment Recovery
  We work to recover money when payments are less than what is owed.
• Complex Claim Referrals
  We assist with difficult claims that need special attention to get paid.
• Physician Advisory Solutions
  We provide expert advice to doctors on billing and coding practices.
• Patient Experience Improvement
  We work to improve the overall experience for patients in healthcare settings.
• Disproportionate Share Hospital
  We help hospitals that serve a large number of low-income patients with their reimbursements.
• Physician Revenue Cycle Management
  We help doctors and their teams manage their billing and payments effectively.
• Community Business Office Solutions
  We provide solutions to help local healthcare offices run their business smoothly.
• End to End Revenue Cycle Management
  We manage the entire process of revenue collection for healthcare providers from start to finish.

Phare Benefits

• Reduce Costs
  Our solutions can lower the costs of collecting payments, saving you money.
• Maximize Revenue
  We help you find and capture missed money, which means more funds for your healthcare services.
• Navigate Regulations
  We help you understand and follow government rules, so you can get the money you deserve.
• Recover Denied Claims
  Our services speed up the process of getting paid for claims that were initially denied.
• Improve Patient Experience
  By focusing on financial performance, we allow you to give better care to your patients.
• Optimize Payment Processes
  We improve how payments are reviewed, making sure you get paid accurately and on time.
• Enhance Documentation Accuracy
  We ensure that your billing is correct, which helps avoid problems with payments.

Who should use Phare?

• Patients
  They can receive better support and clearer information about their healthcare costs.
• Software Engineers
  They can work on technology that improves healthcare services and patient experiences.
• Financial Counselors
  They can help patients understand their bills and find ways to pay them.
• Medical Coding Auditors
  They can ensure that medical codes are correct, which helps with billing and compliance.
• Hospitals and Health Systems
  They can improve their financial results and provide better care for patients.
• Physicians and Specialty Care
  They can increase their revenue and ensure they get paid accurately for their services.

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Technologies Used

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