Regulatory Navigation Solutions

Optimize reimbursement and compliance with lifecycle management of every bad debt claim. Our solution analyzes 100% of claims using proprietary technology to identify and process allowable bad debt claims.

Ensure accuracy and compliance that withstands audit scrutiny. R1 DSH reviews and processes large volumes of data to determine Medicaid eligible days for the DSH calculation.

Realize additional revenue by identifying and recovering underreported Supplemental Security Income (SSI) reimbursement. We recalculate the SSI percentage for each cost report year to determine if there is benefit, then prepare the re-opening requests for those years with increased revenue.  

Claim uncompensated care payments with assured compliance and accuracy. R1 Worksheet S-10 combines leading-edge technology and human expertise to determine allowable claim-level uncompensated care write-off amounts for reimbursement. 

Recover more 340B savings from eligible and referred-to providers with R1 340B Recovery. Our contingency-based, technology-enabled solution delivers a compliance-first approach that helps 340B covered entities recover missed savings from 340B eligible prescriptions.