Clinical Integrity Solutions
R1 RCM's Clinical Integrity Solutions revolutionize healthcare documentation and coding processes by capturing and coding the full patient encounter. By leveraging deep clinical knowledge and intelligent technology, these solutions enhance clinical documentation accuracy and coding specificity. The primary focus is to ensure timely care delivery while improving overall healthcare quality.
Physician Advisory Services
Physician Advisory Services offered by R1 RCM assist physicians and case managers in navigating the complex regulatory environment. These services expedite utilization, level of care, and peer-to-peer reviews. R1's advisors conduct precise and timely case reviews to support care quality, hasten claim processing, and optimize reimbursement. By integrating intelligent technology and best practices, providers can consistently enhance quality and compliance.
CDI Solutions
R1 CDI Solutions empower healthcare providers to achieve clinical documentation excellence, enhance the quality of care, and optimize reimbursement. Acting as an accountability partner, R1 uses advanced analytics and data management to ensure high productivity and quality levels. These solutions are designed to improve overall operational efficiency and revenue cycle performance.
Coding Management
R1 RCM's Coding Management services enable providers to tackle their most significant coding challenges efficiently. With teams of highly trained and credentialed coders, R1 ensures operational excellence across various coding areas. Whether it's inpatient, outpatient, or emergency department coding, R1's holistic model adapts to providers' specific needs, driving accuracy and compliance.
HCC Capture
R1's HCC Capture solution acts as a safety net for high-volume, low-value claims, allowing staff to focus on more strategic priorities. This post-bill solution ensures that reimbursement aligns with the actual costs of complex care cases while enhancing the patient experience. It also expands chronic condition reporting and maintains regulatory compliance, thereby boosting revenue and overall healthcare efficiency.