R1 RCM

R1 RCM is a healthcare revenue cycle management company - providing end-to-end RCM outsourcing and technology to hospitals and health systems, managing the complete revenue cycle from patient access through collections. AI capabilities include AI prior authorization that automates submission and follow-up on authorization requests, ML coding assistance that improves clinical coding accuracy and completeness for optimal reimbursement, AI denial prevention that identifies claims likely to be denied before submission for proactive correction, intelligent underpayment detection that identifies payers systematically underpaying relative to contract rates, automated patient financial communication that personalizes billing outreach based on patient ability and likelihood to pay, and revenue analytics that surface cycle performance trends and optimization opportunities.

R1 RCM is an established healthcare RCM company that has integrated AI prior authorization, ML coding assistance, and intelligent denial prevention into a mature end-to-end revenue cycle management service.