The changing regulatory environment significantly impacts coding. Up to 50% of RCM spend is now in the middle of the revenue cycle, and coding is an increasingly complex discipline that requires ongoing attention – not to mention specialized understanding of regulatory changes, patient care and clinical documentation.
In an ultra-competitive labor market, highly skilled coding staff are difficult to find. Temporary or subpar coders can impact quality – which then impacts the integrity of the revenue cycle and ultimately financial outcomes.
R1’s Coding Management Solutions offer a differentiated approach with demonstrated results. Our combination of services, education, quality measurement and continuous improvement provides an effective partnership to support your strategic RCM goals.
Transparency and insights into performance through daily DNFB and weekly individual scorecards, driving performance and process improvement.
Comprehensive screening and onboarding of candidates, thorough training and continuing education, data-driven performance management and quality assurance to ensure ongoing consistency in results.
Governance structure leveraging defect-oriented analytics, standard tolerance thresholds and account ownership, ensuring quick containment of issues and on-track DNFB.
Four-stage quality and compliance program with pre-bill auditing, certified auditor review, corporate compliance review in high-risk areas and external audits to minimize risk.
Chief Financial Officer (former)
Ascension, Gulf Coast Ministry