Operators are the behind the scenes champions of the revenue cycle. We develop tools that enable them to deliver more value and remove repetitive tasks - turning revenue collectors into revenue drivers.
Our normalizing layer of technology provides a consistent user experience for our operations teams, regardless of which revenue cycle system (or systems) our clients have implemented. This hardwires leading practices into our operations, streamlines processes, and enables automation.
Schedulers must manage a mix of paper, faxed and electronic order backlogs, accurately capture patient data, and switch between systems to find and book appointments. Our streamlined order intake and rules-based workflow tools enable schedulers to easily find appointment times that address patient preferences while also ensuring clinical and operational accuracy.
Pre-registration and clearance teams are burdened by error prone, manual workflows and time spent calling patents to collect data and working with payers to secure prior authorizations. R1 integrated workflow tools, combined with rules-based processes to validate insurance and determine auth requirements, improve productivity and ensure a seamless patient experience.
Patient access teams struggle to coordinate paper-based workflows, switch between systems, and juggle data entry tasks – all while striving to provide the highest customer service possible. Our exception-based technology allows registrars to quickly identify and resolve registration challenges, allowing them more time to focus on the patient experience.
Coders often begin to code an encounter, only to find missing documentation, while HIM Analysts lack a cohesive list of what documentation is missing on which encounters. Our workflow tools, exception-based rules engines, and document management capabilities allow staff to dramatically reduce time per case and DNFB rates while increasing quality.
Denials and AR follow-up representatives spend significant time determining what accounts to work (and how), calling payors, and manually tracking down missing information. R1’s defect management system, rules-based claim submission and scrubbing systems, and integrated intelligent automation dramatically improve staff productivity while increasing recovery rates.
Customer service leads must juggle information from multiple systems while interacting in real-time with patients to provide accurate information and rapid responses to inbound calls. Our workflows tools, patient statement management, and omni-channel contact center capabilities allow our teams to deliver very high first call resolution rates across millions of patient interactions each year.
Delivering the right account to the right team member at the right time maximizes staff efficiency, improves yield, and reduces cycle time.
Our technology codifies revenue cycle knowledge reducing wasted effort through exception-based processing and hardwiring leading practices.
Our solutions integrate with every major EMR to provide a consolidated view of your team’s work and near real-time insights into operational performance
reduction in cost to collect
increase in NPR
increase in patient satisfaction