Unlocking Efficiency and Compliance with R1 RCM Physician Advisory Solutions

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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.

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.

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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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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.

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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.

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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.

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