Government Reimbursement

Optimize reimbursement and compliance with expert identification and management of claim-level Medicare deductible and coinsurance write-off amounts for reimbursement on the Medicare Cost Report (MCR).

Maximize Disproportionate Share Hospital reimbursement through our proprietary combination of technology, expertise and state Medicaid database access that ensures you identify all available Medicaid eligible days.

Stay audit-ready and recover uncompensated care revenue with R1’s Worksheet S-10 solution. Identify more value with a highly specialized team that includes former Medicare Administrative Contractor (MAC) auditors.

Identify and recover underreported Supplemental Security Income (SSI) percentages. Our team of experts will help you precisely and accurately identify redetermination opportunities.

Capture more 340B savings with an easy-to-deploy, full-service approach to recovering reimbursements due to 340B CEs. We use compliance-first technology and expertise to review ineligible claims and find prescriptions written by eligible and referred-to providers.