Enhancing Case Management with Clinical Expertise
R1 Physician Advisory Solutions (PAS) offer a comprehensive approach to improving case management by leveraging clinical expertise. These solutions are tailored to help clinicians navigate the complex regulatory and contract environments, ensuring the timely delivery of necessary care, maintaining billing compliance, and reducing clinical denials.
Driving Operational Performance with Data-Driven Insights
The PAS by R1 RCM enables precise case review and counsel by expert advisors, pinpointing the root causes of denials. This approach not only speeds up claim processing but also optimizes reimbursement for healthcare providers. With a focus on quality and compliance, PAS utilizes intelligent technology and industry best practices for clinical documentation, regulatory alignment, and coding.
Delivering Impressive Results
The performance of R1 Physician Advisory Solutions speaks for itself, showcasing remarkable outcomes such as a 7-to-1 Level of Care ROI, an 80% success rate in Peer-to-Peer cases, a 68% clinical denial recovery rate, and saving over 30 staff minutes per case. With a team of more than 100 expert clinicians, the platform offers integrated clinical workflows, optimized case prioritization, on-demand reporting, and expert clinical support to drive quality outcomes.
Supporting Documentation Accuracy and Compliance
Physician Advisory Solutions from R1 RCM enable healthcare providers to achieve more accurate documentation during concurrent and post-discharge hospital stays. This supports compliant admission status and helps mitigate denials, ensuring that providers receive appropriate reimbursement for the care they deliver.