Bringing together advanced technology with deep audit expertise gives R1 Admission Review the capabilities to optimize hospital billing.
Hospitals often struggle with correctly classifying a patient’s status, leading to billing challenges, potential compliance risks and the possibility of costly audit denials. The R1 Admission Status Review solves these issues by delivering timely, accurate recommendations that protect revenue and reduce denials.
Our physician advisors, licensed in the US, represent more than 30 specialties. They conduct reviews with evidence-based guidance that aligns with Medicare and payer policies.
By providing documentation on both concurrent and post-discharge hospital stays, our experts and modern technology support compliant admission status and accurate billing for the care hospitals provide. This helps hospitals capture every dollar they earned with confidence.
Support for accurate patient status
Accurate patient status drives billing integrity, mitigates audit denial risks and improves financial performance. The R1 Admission Status Review evaluates documentation of medical necessity to support compliant admission status and accurate billing.
Timely reviews and expert recommendations align with Medicare and payer policies. With the R1 Admission Status Review, hospitals can quickly and easily cut through the complexities of payer policies and regulations to optimize billing.
Why choose R1 Admission Status Review?
- Less than a 2-hour turnaround. Admission status review cases are handled fast and efficiently—in under two hours.
- 100% onshore, licensed physicians. All physician advisors are R1 employees with deep expertise in complex regulatory environments and clinical best practices.
- Coverage every day of the year. Hospitals can access our physician advisory team 20 hours a day, seven days a week, 365 days a year—when and where hospitals need us most.
- Education and root cause insights. Teams are empowered with customized training and trend analysis to drive process improvements and reduce future denials.
More than a review. We deliver a strategic advantage.
The R1 Admission Status Review is part of our end-to-end Physician Advisory Solutions (PAS). From peer-to-peer conversations with payers to clinical appeals and documentation audits, we help you close gaps, reduce denials and strengthen compliance.
We can review a hospital’s current approach to billing and find ways to improve processes and protect revenue.
Trusted admission status reviews
Get physician-led, evidence-based reviews for concurrent and post-discharge hospital stays—delivered in best-in-industry turnaround times.
Expert oversight from US physicians
Ensure Medicare and payer compliance by accessing expert resources for recommendations and written explanations.
Customized education and support
Benefit from real-time and continued education to stay ahead of regulations and compliance changes.
Root cause analysis and reporting
Uncover trends and drive process improvements with actionable insights and facility-level analytics.
Clinical appeal and support
Strengthen outcomes with physician-to-physician discussions and clinical appeals management to overturn inappropriate status denials.
