Underpayment Recovery

Find the revenue you’re leaving behind

Improve revenue collection by identifying and recovering underpaid revenue with our award-winning Revenue Intelligence™ solution for underpayment recovery, powered by the R1 platform. We can help you uncover revenue other solutions leave behind.

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Maximize your reimbursement

Improve revenue collection by identifying and recovering underpaid revenue. We help you navigate complex underpayment issues with deep expertise in payer reimbursement methods, contract analysis, clinical coding and billing powered by the R1 platform.

Our Underpayment Recovery solution acts as a zero-balance safety net, helping patient financial services (PFS) and revenue cycle leaders optimize their back-end revenue cycle.

Recover revenue faster

Start recovering revenue within 60 days and monitor progress in real time with intuitive dashboards.

Fix leakage

Leverage our nearly three decades of experience to identify and fix the issues, educate your staff, and implement process improvements.

Get started quickly

Be up and running typically in less than 40 hours, with minimum IT resource requirements and no disruption to daily operations.

R1 RCM is really good at reporting. They do very good high-level analytics and reporting in terms of how their services are supporting us. I am a data person, and I like to see the underlying data, so when I want to see the accounts that are represented in the data and I want different analytics in what they are showing me, they are always 100% open to providing that additional information to me.”

Underpayment Recovery Services KLAS Report, August 2024

Director

R1’s biggest strengths are their proprietary databases, proprietary systems, and the way that they can extrapolate our data and then explain to us where we missed opportunities. R1 is responsive, and they genuinely seem quite passionate about the work they do.”

Underpayment Recovery Services KLAS Report, January 2024

Director

R1 is an excellent partner. I would call them a partner, not a vendor. They have been with us for a long time, and as technology grows, they grow with it. They are into global services and automation, and we really like the automation part.”

Underpayment Recovery Services KLAS Report, November 2023

VP/Executive

Work smarter

Let us expertly handle underpayment complexities while freeing your team for other high-value work. There’s zero risk with our 100% contingency fee-based model.

You provide an extract of claims and payment data, contracts, and system access. Our electronic medical record-provided scripts can significantly streamline the data pull.

We conduct comprehensive audits using a multi-stage process and toolkit designed to capture different revenue opportunities.

  • Contract evaluation and audits
  • Government payer review
  • Revenue integrity and coding accuracy reviews

After validating all underpayments, our tenacious team of credentialed experts appeals underpaid accounts directly with the payers until resolution.

Robust reporting and root cause analysis equip you to capture this revenue upstream in the future. Intuitive dashboards let you monitor progress in real time.

 

 

Looking to learn more about us? It all starts here.