Empowering Healthcare Providers with Revenue Cycle Management Solutions

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Products-R1 RCM

Empowering Healthcare Providers with Revenue Cycle Management Solutions

Transforming Financial Performance

R1 RCM specializes in empowering healthcare providers to enhance their financial performance and improve patient care simultaneously. By leveraging transformative technology and experts with advanced knowledge, R1 RCM offers enterprise solutions that drive accelerated, scalable, and sustainable financial results. These solutions enable healthcare providers to deliver exceptional patient experiences, ranging from flexible partnerships to full revenue cycle management.

Maximizing Revenue Recovery

Through tech-driven solutions, R1 RCM helps expedite and enhance payer and patient cash flows, particularly across aged, complex, and clinically challenged claims and denials. By identifying missed reimbursement opportunities and recapturing underpaid revenue, R1 RCM ensures that healthcare providers receive every dollar they are owed, thus optimizing their revenue recovery processes.

Ensuring Revenue Optimization

R1 RCM offers comprehensive payment review services to address revenue optimization. By utilizing intelligent technology and deep clinical expertise, R1 RCM assists healthcare providers in improving documentation accuracy, coding specificity, and avoiding revenue leakage. This proactive approach guarantees timely care delivery while capturing every underpaid revenue source.

Compliance and Regulatory Support

In the complex healthcare landscape, regulatory navigation is critical. R1 RCM's technology-enabled, compliance-first specialized services help healthcare providers capture earned government reimbursements, optimize 340B program savings, and ensure regulatory compliance. This support empowers providers to remain financially sound while adhering to regulatory guidelines effectively.

Scalable Solutions for Every Journey

R1 RCM recognizes that each healthcare provider is at a unique stage in its revenue cycle journey. By offering scalable solutions that meet providers where they are, R1 RCM drives significant enhancements through unparalleled data access, leading technology, and global expertise. This flexibility allows providers to transform their revenue cycle, enhance business operations, and elevate patient experiences from beginning to end.

Technology-Driven Insights and Expertise

The intelligent technology platform provided by R1 RCM sets a new standard for healthcare performance by offering advanced analytics, leading technologies, and unparalleled data access. This platform, supported by deep revenue cycle management experts, assists healthcare providers in transforming their financial performance and patient care strategies, both in the present and the future.

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Enhancing Revenue Cycle Management with R1 RCM Customer Support

What We Do

At R1 RCM, we specialize in revolutionizing the revenue cycle management (RCM) process for healthcare providers. Our goal is to optimize revenue, reduce operational costs, and improve the overall patient experience. We offer a comprehensive suite of solutions and services designed to streamline billing, coding, and collections, ultimately maximizing financial performance for our clients.

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Optimizing 340B and Beyond: Leveraging Strategic Partnerships in Healthcare

Partner with Purpose to Optimize 340B

In the healthcare industry, optimizing the 340B program is crucial for healthcare organizations to deliver the best care possible while maximizing resources. Partnering with a purpose-driven organization like R1 RCM can provide the necessary expertise and support to navigate the complexities of 340B. By leveraging R1 RCM's innovative solutions and deep understanding of revenue cycle management, healthcare providers can streamline their processes, identify opportunities for increased revenue, and enhance patient care. R1 RCM's commitment to optimizing 340B goes beyond just compliance; they work hand-in-hand with organizations to drive sustainable outcomes and promote better healthcare delivery.

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Unlocking Efficiency and Compliance with R1 RCM Physician Advisory Solutions

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.

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Navigating Reimbursement and Compliance with R1 RCM

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.

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Optimize your 340B Program Savings with R1 RCM's Pharmacy Department Solutions

Maximizing 340B Program Savings with R1 RCM

R1 RCM offers a comprehensive Pharmacy Department Solutions program to help pharmacy departments within hospitals and healthcare systems achieve maximum savings through the 340B program. The 340B Recovery solution by R1 utilizes cutting-edge technology to assist covered entities (CEs) in recovering maximum reimbursements, ultimately leading to optimal savings within the 340B program. By leveraging R1's solutions, pharmacies can allocate these savings to provide better care for financially vulnerable patients, fulfilling their mission of improving patient outcomes. R1's compliance-first approach has been proven effective, boasting a remarkable 100% pass rate on audited prescriptions.

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