High performing Clinical Documentation Integrity (CDI) has become the necessary link to support an increase in quality ratings. CMS guidelines affect reimbursement and change frequently. Staying abreast of changes and coding best practices is critical. If documentation isn’t complete and accurate, patient care scores and associated reimbursement can suffer. R1 CDI Solutions has a proprietary comorbidity algorithm and proven best practices that can improve documentation. By accurately adjusting for risk, the predicted rate for outcomes is more precise, enabling health systems to: ensure proper reimbursement and Medicare payments, avoid penalties, improve patient satisfaction, gain market share, and reduce clinical denials

R1 RCM is a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers. R1’s proven and scalable operating models seamlessly complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. To learn more visit: r1rcm.com.  

Patients placed in the wrong bed status with improper documentation results in massive revenue loss and patient dissatisfaction.

Physicians can’t keep up with constantly changing criteria needed to admit patients to the hospital, and hospitals spend tons of money and resources fixing bed status issues retrospectively.

AdmissionCare provides the admitting physician with automated admission criteria - such as MCG - integrated directly into the EHR workflow to help document medical necessity that increases payer reimbursements and reduce denials.

How does it work?

• Integrate into the clinician's EHR workflow
• Determine the most appropriate bed status for each patient at admission
• Synchronize payer criteria with the clinician's documentation
• Collect revenue for the care provided, while avoiding costly denials

EvidenceCare is a unique type of clinical decision support system (CDSS) with its EHR-integrated and content-agnostic platform that empowers better care decisions by improving clinical workflows.

Founded in response to the professional experience of emergency physician Dr. Brian Fengler, the platform provides clinicians with evidence-based insights and measurable outcomes that improve hospital margins.

Based in Nashville, Tennessee, EvidenceCare is a 2x honoree of the INC 5000 list of fastest growing companies, a 2x Fierce Healthcare Best Product winner, and one of Modern Healthcare's Best Places to Work in Healthcare.

EHR Integrated on the front end of the clinician workflow

EHR Integrated on the front end of the clinician workflow