Increase practice
profitability.

Our Revenue Cycle and Practice Management Solutions leverage the best talent, integrated technology and operational excellence to deliver superior patient experiences and proven financial results for physician groups.

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Peace of mind.

We leverage intelligent automation and expertise to hardwire best practices into our proprietary technology platform to optimize processes and streamline workflows, removing the burden of managing billing, coding and claims in-house.

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Actionable data.

Real-time performance analytics enable physician groups to stay informed on critical KPIs, identify ways to work more effectively and make better decisions.



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Comprehensive solutions that tackle physician groups’ biggest challenges.

Physician groups face a host of financial challenges such as rising operating costs, compensation and staffing, patient satisfaction and payer and patient reimbursement. We provide revenue cycle and practice management solutions for independent (office-based and hospital-based – which includes emergency medicine, hospitalist, anesthesia and post-acute care) and enterprise (health system employed and national multi-specialty) physician groups.

Revenue Cycle Management

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.

Coding Management and Education

Facilitate speed, accuracy and appropriate payment while supporting increased compliance and reimbursement.

Charge Capture and Underpayment Recovery

Ensure consistent full payment.

HIM Coding Review

Analyze patient accounts and claims to determine proper use of CPT and HCPCS codes and DRGs.

Transfer DRG Review

Evaluate transfer-eligible accounts and identify potential missing reimbursement; manage Medicare rebilling.

Payment Variance Analysis

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.

Practice Management

Payer Contracting

Blend data-driven analysis with expert knowledge to identify opportunities to optimize revenue management and restructure existing payer contracts.

Coding Education

Minimize risk and maximize accuracy through comprehensive education and quality assurance to ensure physician groups receive full payment for services provided.

Value-Based Care Strategies

Analyze patient data in new ways, and restructure both financial and clinical workflows to effectively manage value-based care and create strong revenue streams.

Accounts Payable / Accounting

Fully staff all departments, including specialized A/R work, to ensure efficiency and continual cash flow.

IT Services

Enable ongoing business continuity via management of integrated technology platform.

Clinical and Financial Benchmarking

Receive operational visibility and clarity around financial and clinical goals.

Reporting and Account Management

Utilize individually assigned customer representatives to help guide strategy and provide attentive service.

Recruitment Fulfillment

Oversee candidate management from identification to onboarding.

Human Resources

Administer all HR-related activity including benefits management, new hire education, enrollment and orientation, employment verification, insurance claims and guidance on the creation and maintenance of policies and procedures.

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.

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The results will amaze you.

Our proven model delivers real results for physician groups.

Office-based
Physician Groups


COLLECTIONS

IMPROVED.

Up to
20%

improvement in patient collections


COSTS

REDUCED.

Up to
20%

reduction in cost to collect


REVENUE

LIFTED.

Up to
4%

increase in revenue

Hospital-based
Physician Groups


COSTS

REDUCED.

Up to
40%

reduction in cost to collect


A/R

DECREASED.

Up to
15%

reduction in aged A/R


CASH

INCREASED.

Up to
20%

improvement in CPV

Ready to talk?

Learn how we transform the revenue cycle with solutions that streamline the
patient experience, drive operational efficiency and improve financial performance.