Navigating Reimbursement and Compliance with R1 RCM

KB at your finger tips

This is one stop global knowledge base where you can learn about all the products, solutions and support features.

Products-R1 RCM

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.

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.

Stay Ahead in Today’s Competitive Market!
Unlock your company’s full potential with a Virtual Delivery Center (VDC). Gain specialized expertise, drive seamless operations, and scale effortlessly for long-term success.

Book A Meeting To Setup A VDC

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.

Read article

Revolutionizing Healthcare with R1 RCM Product Manager Position

Innovation at the Core

Joining R1 as a Product Manager means being part of a team at the forefront of healthcare technology. You will have the opportunity to merge innovative AI technology with expert knowledge to revolutionize healthcare delivery.

Read article

Transforming Healthcare Revenue Cycles with R1 RCM Enterprise Solutions

Scalable and Sustainable Financial Performance

R1 RCM offers comprehensive enterprise solutions aimed at providing scalable and sustainable financial performance for every care and payment model. Their end-to-end revenue cycle management system is proven and scalable, delivering immediate and long-term financial results. Whether you are a health system, hospital, physician, or community business, R1 RCM's flexible partnership options help drive financial growth and exceptional patient experiences.

Read article

Empowering Healthcare Providers with R1 RCM Solutions

Enhancing Healthcare Operations for Providers and Patients

R1 RCM is dedicated to making healthcare work better for all involved, including providers and patients. By assisting healthcare providers in managing costs, increasing revenue, and streamlining operations, R1 RCM enables them to deliver the quality care and empowered experience that patients deserve, both today and in the future. The commitment to excellence and integrity in everything they do is at the core of R1 RCM.

Read article

Maximizing Profitability and Patient Experience with R1 Physician Revenue Cycle Management Solutions

Comprehensive Revenue Cycle Solutions for Physician Groups

Physician Revenue Cycle Management is essential to optimize practice profitability and enhance patient experiences. R1's expertise, technologies, and partnerships are leveraged to deliver superior financial outcomes. The platform offers comprehensive solutions tailored to tackle specific challenges faced by physician groups. From conducting revenue cycle audits to implementing intelligent automation, R1 aims to reduce denials, improve revenue capture, enhance staff productivity, eliminate outdated processes, prevent revenue leakage, and reduce administrative burdens.

Read article

Welcome to Knowledge Base!

KB at your finger tips

Products-R1 RCM