Our Revenue Integrity Solutions help optimize the revenue cycle to recover net revenue, mitigate compliance risk, reduce A/R days and improve cash flow.
By leveraging advanced technology and analytics paired with extensive project management and healthcare expertise, our providers can ensure complete reimbursement is received for the care provided.
"R1 came in and led an evaluation of what our historical reimbursement was and let us know what they thought they could bring to the table. They were able to collect $1.7 million dollars in additional cash compared to what we had been collecting before."
Jason Driskell Vice President of Revenue Cycle, Lakeland Regional Health
Correct problems that could cost you millions.
Considering one to three percent of net charges are lost to leakage, organizations can experience significant financial issues if strong revenue integrity programs are not in place. We can help drive compliance while delivering revenue-generating improvements in the following areas:
Chargemaster Optimization
Identify opportunities for improved compliance and consistency in billing structure, with management of any corrections or rebills.
Charge Capture
Identify incorrect coding and missing charges; review for net revenue potential. Analytical insights drive process change to help eliminate future missteps.
Contract Management & Modeling
Analyze managed care and government payer contracts. Model scenarios showing revenue impact of changes to insurance contracts, charges, coding and pricing.
HIM Coding Review
Analyze patient accounts and claims to determine proper use of CPT and HCPCS codes and DRGs.
Identify incorrectly reimbursed or denied accounts and manage 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.
Supercharge the revenue cycle.
R1 Intelligent Automation fuels our ability to deliver differentiated value – reduced cost and waste, greater profitability and a better patient experience.
Create a strong revenue integrity program that meets critical KPIs.
REVENUE
INCREASED.
1.5%
increase in net revenue
CASH IMPROVEMENT
ACCELERATED.
60 days
to receive additional cash flow
PROGRAMS
DEPLOYED.
150+
successful revenue integrity programs
Ready to talk?
Learn how we transform the revenue cycle with solutions that streamline the patient experience, drive operational efficiency and improve financial performance.
