Community Business Office Solutions

Collect every dollar earned

We focus on providing flexible and scalable business office capabilities to rural, community-based and critical access hospitals. Learn how our deep expertise and technology work together to improve financial performance.


Helping you navigate an increasingly complex environment

We work in an ever-changing and complex environment with rising costs to collect and increasing operating costs. Our flexible and scalable capabilities provide a comprehensive approach to coding, AR management and payment services to improve the bottom line.

Payer A/R management

Optimized claims submission and follow-up as necessary for maximized proper revenue capture. 

Appeals and denials management

A multi-disciplinary team manages the appeal process and provides denial root cause analysis to help prevent future occurrences. 


Underpayment specialists identify, recover and prevent payment variances to ensure rightful reimbursement from payers. 

Care coverage

Patient advocation for those eligible for healthcare programs such as Medicaid, workers’ compensation, COBRA and other assistance programs. 

Transition services

Flexible A/R support to ensure cash flow and revenue capture during times of systems transitions.

doctor handshake with a patient

Driving revenue

For critical access and rural hospitals, every dollar collected helps keep the doors open. Our work with the affiliate hospitals in the Great Plains Health Alliance has enabled them to achieve — and exceed — their revenue goals. How can we do the same for you?

Woman and girl with yellow MANQ logo

Providing critical support

If the last few years have wreaked havoc on your bottom line, you aren’t alone. But what if your financial position could significantly improve? That’s the story of Maniilaq Health Center. Read how we helped them increase gross collections by 10% and position them for future growth.


R1 really cares about our organization and has proven themselves to be a sincere partner. They have made a difference in our day-to-day operations, as well as our long-term strategic planning. R1 is more than a vendor, which is why we have continued to expand our partnership over time.”

Cheryl Skiffington

Maniilaq Association, Revenue Cycle Director

R1’s experience, expertise and strategic guidance has been critical to our affiliated hospitals and health centers. We continue to receive positive feedback about the services they provide.”

Curt Colson

Great Plains Health Alliance, President and CEO

Our successful partnership with R1 has resulted in a reduction of more than 30 AR days in less than three months.”

Charles Lewing

Ellsworth County Medical Center, Executive Director of Finance

Looking to learn more about us? It all starts here.