Our proprietary AI platform is trained on millions of clinical and claims data points and specializes in analyzing these data sources for coding and query opportunities. Audit opportunities are presented to teams in an actionable format through our streamlined user interface. Semantic’s DRG validation solution can be deployed in a matter of days on our secure and private cloud environment, and can be further customized for other revenue cycle use cases. Our solution can be deployed with minimal change to coding/audit workflows and IT integration - with as few as 10-14 hours spent by hospital and health system teams to get started.

R1 Revenue Integrity Solutions leverage advanced technology and analytics, a proprietary rules engine, and extensive project management and healthcare expertise to help providers gain accurate reimbursement for the care provided. Building solid and compliant foundations for pricing, coding and charging while monitoring reimbursements for accuracy is at the core of any revenue integrity initiative.

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.