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Compliance

Compliance is foundational to who we are and where we’re going.

Principles

Our compliance principles define how we do business to ensure that we show up effectively and ethically, every day.

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Integrity

Make the right decisions, for the right reasons, every day.
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Accountability

Ask for help when something doesn’t make sense or seem right.
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Collaboration

Build a culture of compliance through partnership and teamwork.
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Vigilance

See a risk, make it known.
AI Governance

Responsible AI Principles

R1 established its Responsible AI Principles to guide the design, development, deployment and adoption of AI use cases, ensuring continual compliance, accuracy and governing of risk:

  • Valid, Reliable and Robust

  • Safe, Secure and Resilient

  • Transparent, Explainable and Interpretable

  • Privacy-Focused

  • Fair & Bias-Managed

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An innovation engine

R37 is R1’s AI lab to transform healthcare financial performance. Our dedicated team of technologists and revenue cycle experts identify, build and scale AI solutions aimed at achieving comprehensive automation and moving the industry to real-time adjudication.

We utilize reasoning, language, voice and capture use models to build AI agents that are deployed as part of an integrated system. This system optimally allocates work between autonomous agents and humans. The results are increased revenue, reduced costs and faster throughput.

Subject Matter Expertise

Best-in-class customer service and support, internally and externally, with a focus on identifying and reducing risk.

Data Protection and Privacy

R1 deploys a robust data protection and privacy program to ensure the responsible use of PHI, PII and confidential data in compliance with all applicable laws, regulations and contractual requirements.

Audit and Risk

R1’s audit and risk program provides independent, objective assurance and advisory services by deploying a comprehensive and continuous evaluation of risks, controls and processes.

Integrity and Compliance Program Operations

R1 delivers proactive and risk-based education and integrity programming, clear and transparent policy expectations, and open communication structures to promote an ethical workplace.

Regulatory Compliance

R1 takes a proactive and vigilant approach to navigating the regulatory landscape by partnering with customers, stakeholders and public policy advisors to deliver relevant guidance and advocacy.

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R1Q

R1Q is an automated quality review tool that leverages standardized rules to continuously monitor complete populations of accounts worked by users, automated processes, and agents. R1Q enhances quality oversight, improves consistency, increases efficiency, identifies risks earlier, and provides actionable insights that drive operational excellence and compliance.

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