Clinical Integrity Solutions

We help physicians and case managers navigate the regulatory environment to expedite utilization, level of care and peer-to-peer reviews. Our advisors provide precise, timely case reviews to support care quality, speed claim processing and optimize earned reimbursement. We help providers consistently improve quality and compliance using intelligent technology and proven best practices.

Achieve clinical documentation excellence, improve quality of care and optimize earned reimbursement with R1 CDI Solutions. As your accountability partner, we use advanced analytics and data management to ensure high levels of productivity and quality.

Realize the scale and operational excellence to address your biggest coding challenges quickly with teams of highly trained and credentialed coders. R1 Coding Management’s holistic model helps us serve providers’ specific needs — from enterprise-wide services to specific coding areas like inpatient, outpatient or emergency department.

Catch all your high-volume, low-value claims with our post-bill safety net solution so your staff can work on more strategic priorities. R1 HCC Capture ensures reimbursement reflects the actual costs of complex care cases, improves the patient experience, expands chronic condition reporting and maintains regulatory compliance.