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Physician Revenue Cycle Management
Optimize practice profitability
SPEAK WITH AN EXPERTR1 Physician Revenue Cycle Management leverages decades-deep RCM expertise, strong partnerships and proprietary technologies to deliver optimal financial outcomes and superior patient experiences for physician groups.
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Comprehensive revenue cycle solutions to tackle your physician group’s biggest challenges
R1 can help you with specific revenue cycle challenges or conduct a complete revenue cycle audit to identify inefficiencies in your current RCM systems. Plug into our proprietary intelligent automation and expert services capabilities to reduce denials, improve revenue capture, boost staff productivity, eliminate outdated processes, put an end to revenue leakage and alleviate administrative burdens.
Patient access
Blend scheduling, registration, clearance, intake and payment functionality into one welcoming, self-service experience for patients.
Denial management and prevention
Ensure full reimbursement and proactively address chronic errors to stop denials ahead of time.
Financial clearance
Set expectations about patient payment responsibility and offer financial advocacy.
Patient-friendly billing
Provide consumer-preferred options such as online bill pay, automated payment plans and omni-channel customer service.
Charge capture and underpayment recovery
Ensure consistent full payment.
Coding management and education
Facilitate speed, accuracy and appropriate payment while supporting increased coding compliance and reimbursement.
Health Information Management (HIM) coding review
Analyze patient accounts and claims to determine proper use of CPT and HCPCS codes and DRGs.
Payment variance analysis
Identify incorrectly reimbursed or denied accounts and manage the appeal process to receive correct payment.
Strategic pricing
Analyze chargemaster, payer contracts and competitiveness to find areas of pricing opportunity and create pricing scenarios aligned with strategic goals.
Proven RCM success strategies for today’s complex healthcare environment
LEARN MOREThe complex challenges you’re facing today require a new approach to managing your physician practice, and more specifically, your revenue cycle. Grab a copy of our e-book, Proven Revenue Cycle Strategies for Stronger Financial Outcomes, to kickstart your revenue cycle success
Achieve stronger outcomes via a stronger RCM partnership
Our proven, scalable RCM partnership models complement your physician group’s infrastructure to drive sustainable revenue improvements while alleviating administrative burdens.
- Minimize denials and maximize revenue capture
- Protect your practice from mounting payer pressures
- Tap into proprietary technologies to boost cost savings
- Gain full visibility into your revenue cycle success drivers
- Reduce cycle times for lower A/R days and faster payment
- Experience unprecedented scalability as our RCM solutions scale with you as your physician practice grows
R1 is ranked Best in KLAS for Ambulatory RCM Services
SPEAK WITH AN EXPERTR1’s comprehensive revenue cycle solutions for physician groups continue to draw acclaim from healthcare industry experts and praise from the clients we serve. We’ve ranked best in KLAS for Ambulatory RCM Services for four consecutive years.
Contact us today so we can answer your questions and explain how partnering with R1 can boost your practice’s profitability and help you achieve excellent patient satisfaction.
What sets R1 Physician RCM solutions apart?
Built-for-excellence operating model
R1’s proprietary operating model ensures consistency, quality and compliance across the revenue cycle. Our expert physician RCM team has built and refined hundreds of RCM standardized methods to optimize processes, mitigate risks and deliver outstanding outcomes for our client partners. R1’s proprietary analytics ensure accountability and performance across our delivery network.
Financially aligned partnership models
R1 offers partnership models aligned with measurable outcome improvements. We believe success is best when it’s shared, which is why our success is always tied to helping your physician practice achieve optimal revenue cycle results.
Performance at scale
The R1 delivery network of RCM offshore resources with onshore centers of excellence ensures we have the strategic workforce to deliver superior results for your physician group. Your dedicated onboarding team delivers a seamless transition and sets the stage for sustained revenue cycle success.
Performance solutions that deliver real results
Collections improved
Up to
20%
improvement in patient collections
Revenue lifted
Up to
4%
increase in revenue
Cash increased
Up to
20%
improvement in CPV
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