Inpatient and outpatient chart coding for hospital and physician charts, coding quality audits, coding training and education, as well as billing edit support services (for HIM and non-HIM cases)
Revenue Integrity Services
Charge optimization, CDM maintenance and optimization, and strategic planning
We offer a proprietary technology platform including a rules engine for identifying charging & coding opportunity; a work flow driver for throughput & productivity management; and an analytics platform for trending, analysis, and actionable insights. Furthermore, the coding and charge capture services are performed by our highly trained, credentialed coding and revenue integrity associates. Our world class management team will also partner with you to ensure upstream opportunities are communicated so that you can continuously improve your own operations.
R1 has been a great revenue integrity partner. This is our 3rd year working with R1 on projects such as TDRG, charge/code capture, payment variance and CDM optimization. This year alone these projects are expected to generate $6.5M, which is over a .9% lift of our NPR.
In addition to generating revenue, R1’s modeling team has performed our annual pricing strategy and aligned our chargemaster for the GI department across all 5 of our acute hospitals. We also worked with the contract modeling team to determine revenue changes as we negotiated new rates with a payer. I would recommend R1 to any hospital system looking to boost their performance in the revenue integrity space.
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