Revenue Optimization Solutions

Evaluate 100% of hospital and physician claims for revenue opportunity with our intelligent cloud solution, rules-based logic and proprietary technology linking data from hospital and physician visits.

Manage the complex, diagnostic-related group environment with a data-driven approach. R1 DRG Validation leverages intelligent automation to boost efficiency and optimize revenue recovery with a focus on earned reimbursement, compliance and quality.

Advanced technology and deep experience finds coverage that other solutions miss, captures more revenue, and returns the findings to your EHR. Powered by R1’s Revenue Operating System, intelligent search finds more and filters out false positives – ensuring findings lead directly to revenue.

Identify and recover full value from fee-for-service and Medicare Advantage claims to deliver the highest levels of transfer DRG recoveries and compliance in the industry.

Identify and recover lost revenue that directly impacts the bottom line, including root-cause analysis of lost revenue and staff education to minimize the potential for future underpayments. Underpayment Recovery combines advanced technology and industry expertise to find underpaid claims and recover missing reimbursement.