Regulatory Navigation Solutions
R1 RCM offers Regulatory Navigation Solutions to help optimize reimbursement while ensuring regulatory compliance. Their industry specialists work with reimbursement experts to capture all earned government reimbursement, optimize 340B program savings, and support full regulatory compliance. This comprehensive solution ensures that healthcare providers can maximize their revenue while adhering to the necessary regulations.
Medicare Bad Debt
With R1 RCM's solution for Medicare Bad Debt, healthcare providers can optimize reimbursement and compliance through the lifecycle management of every bad debt claim. By analyzing 100% of claims using proprietary technology, R1 RCM can identify and process allowable bad debt claims, helping providers recover the revenue they are entitled to.
Disproportionate Share Hospital (DSH)
R1 RCM's DSH solution ensures accuracy and compliance that can withstand audit scrutiny. By reviewing and processing large volumes of data, R1 RCM helps healthcare providers determine Medicaid eligible days for the DSH calculation. This meticulous approach ensures that providers receive the appropriate reimbursement while staying compliant with regulations.
SSI Redetermination
Healthcare providers can realize additional revenue with R1 RCM's SSI Redetermination solution, which identifies and recovers underreported Supplemental Security Income (SSI) reimbursement. By recalculating the SSI percentage for each cost report year and preparing re-opening requests for years with increased revenue, R1 RCM helps providers maximize their revenue streams.
Worksheet S-10
R1 RCM's Worksheet S-10 solution enables healthcare providers to claim uncompensated care payments with assured compliance and accuracy. By combining leading-edge technology and human expertise, R1 RCM determines allowable claim-level uncompensated care write-off amounts for reimbursement, ensuring that providers receive the full compensation they deserve.
340B Recovery
For healthcare providers looking to recover more 340B savings, R1 RCM offers the 340B Recovery solution. This contingency-based, technology-enabled solution helps covered entities recover missed savings from 340B eligible prescriptions. By delivering a compliance-first approach, R1 RCM ensures that providers can maximize their revenue and stay compliant.
Partner with Purpose to Improve Performance
Healthcare providers can partner with R1 RCM to increase reimbursements, assure compliance, and recover more revenue across all Medicare programs. R1 Regulatory Navigation Solutions leverage decades of experience and deep knowledge of the complex Medicare environment to drive results. The elite team at R1 RCM includes former Medicare Administrative Contractor auditors, providers, and consultants, offering informed perspectives from all sides to help providers navigate the reimbursement landscape successfully.