By coupling practical experience across the spectrum of healthcare revenue cycle solutions with analysis, R1 RCM has developed three ways to initiate a high-performance, end-to-end revenue cycle relationship. The customizable approach lets you address efficiency, production, AR, and budget needs within your organization.
A full RCM healthcare services partnership lets you achieve the greatest improvement in net revenue, cost of operations, and your patient and physician experience. We join forces with you as a full, risk-sharing infrastructure partner, accepting full responsibility for your revenue cycle operations so you can concentrate on quality of service. Our comprehensive platform lets us create workflow that's right for your staff; ensuring patient onboarding, documentation, and billing is efficient, compliant, and accurate.
This structure lets us work side by side with the experts within your RCM organization, applying our holistic approach to manage the process from within. By integrating into your organization, we're able to do more than optimize data and billing processes; we believe the touch points between each step in the revenue cycle process is where some of the greatest improvements in efficiency, revenue, AR days, and risk management can be made. We pair our RCM specialists and best-in-class platform with your existing organization to achieve these successes.
Whether your organization needs assistance shoring up a specific area to maintain status under a federal payer program, you want to inject cash flow with higher efficiency, or you need assistance with other areas of revenue cycle management, modular services let us help you address concerns in surgical fashion.
We can target and transform a discrete component of your revenue cycle based on your specific needs and the outcomes you hope to achieve. These modules take advantage of our extensive experience, proven methods, scaled infrastructure, and leading technology.
We offer a full suite of coding, charge optimization, and revenue integrity services designed to increase your net revenue and support compliant billing.
We provide a comprehensive denial management and underpayment recovery service preventing lost revenue due to payment variances.
We provide billing & AR follow-up services designed to ensure you get paid what you're owed, with the lowest possible administrative cost to you.
We offer pre-service financial clearance, so that patients can be fully pre-registered before they arrive for their appointment.
Our Revenue Capture module leverages a proprietary rules engine and a market-leading team of specialists to support compliant billing for all services delivered and supported by documentation.
Our Physician Advisory module is a comprehensive physician advisory and medical necessity solution that helps hospitals and medical facilities confirm their navigation of the regulatory environment so that compliance improves.
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