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R1 Clinical Documentation Integrity (CDI) Solutions

Top 10 R1 Clinical Documentation Integrity (CDI) Solutions Alternatives & Competitors

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
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R1 Clinical Documentation Integrity (CDI) Solutions
Top 10 R1 Clinical Documentation Integrity (CDI) Solutions Alternatives & Competitors

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Overall Top 10 R1 Clinical Documentation Integrity (CDI) Solutions Alternatives & Competitors

Browse options below. Based on data from AVIA reviews and gathered information about the vendor's clients, you can see how R1 Clinical Documentation Integrity (CDI) Solutions stacks up to the competition. Check reviews from current & previous users at organizations like yours to find the best product for your you organization.

#1

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Rated In Top 10%
Rated In Top 10%
Versatile platform
Versatile platform
High Performer
High Performer
5+ years in business
5+ years in business
Rated In Top 10%
Rated In Top 10%
Versatile platform
Versatile platform
High Performer
High Performer
5+ years in business
5+ years in business

Cedar Pay makes it simpler for patients to navigate the post-service financial journey and take control of their medical bills. We deliver enterprise-grade patient billing and payment solutions that leverage Cedar's cutting-edge consumer engagement technology, unique payer integrations and aligned incentives to help provider organizations increase collections, boost efficiency and deliver an exceptional patient experience. More than 55 of the nation's leading health systems and physician groups turn to Cedar to transform the patient financial experience. On average, Cedar Pay lifts patient collection rates by 30%, with 88% of patients reporting a positive experience.

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Self-service out-of-pocket estimator
Digital statementing
Statement consolidation
EOB reconciliation
Post-service patient payment
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Leading Health System
Health system
Leading Health System
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Leading Health System
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Leading Health System
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+50 verified clients
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#2

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Versatile platform
High Performer
High Performer
5+ years in business
5+ years in business
Versatile platform
Versatile platform
High Performer
High Performer
5+ years in business
5+ years in business

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
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Leading Health System
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Leading Health System
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Leading Health System
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Leading Health System
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#3

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Trailblazer
5+ years in business
5+ years in business
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Trailblazer
5+ years in business
5+ years in business
For providers of all kinds, managing claims and denials is one of the most demanding parts of the revenue cycle. With Waystar, you can prevent rejections and denials before they happen, automate claim monitoring, easily send batch appeals and much more. Work claims and denials within our intuitive interface or directly in the PM system or HIS you’re used to. Because implementation and integration are seamless, switching to Waystar has never been easier—or more worth it. Let’s illuminate a quicker, clearer path to reimbursement.
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Leading Health System
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Leading Health System
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Leading Health System
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Leading Health System
Health system
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#4

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Rated In Top 10%
Rated In Top 10%
Versatile platform
Versatile platform
5+ years in business
5+ years in business
Rated In Top 10%
Rated In Top 10%
Versatile platform
Versatile platform
5+ years in business
5+ years in business

We are not just RPA Developers! In other words, we do not just build your automations and drop them at your door. CampTek Software is a full life cycle Managed Service provider that offers an array of Services based on your current and future requirements and can tailor hybrid solutions that you can take advantage of.

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Leading Health System
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Leading Health System
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Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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#5

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High Performer

Steer Health offers the most optimized online web presence and user experience to convey your brand story and provide your patients with self-service tools to schedule or book appointments.

  • Online Reputation Management: Automatically obtain valuable feedback from patients, and experience the benefits to your bottomline.
  • Enable Service Recovery: Ensure all dissatisfied patient responses are sent directly to your customer service leadership teams for prompt resolution and response.
  • Improve Brand Dependability: Showcase testimonials on your website automatically. Reviews are the no.1 decision-making factor for patients looking for a new doctor. Add testimonials to your practice website that demonstrate what it’s like to be your patient.
  • Send Patient Feedback Surveys: Send surveys (HCAHPS, Payor Quality, etc) after every office visit with a method that encourages patients to quickly provide feedback and share their experiences online.

Learn more: https://steerhealth.io/reputation-management-2/

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Leading Health System
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Leading Health System
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Leading Health System
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Leading Health System
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#6

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High Performer
High Performer
5+ years in business
5+ years in business
Versatile platform
Versatile platform
High Performer
High Performer
5+ years in business
5+ years in business

The aha! Health Experience Platform (HXP) integrates with health systems' Digital Experience Platforms to deploy advanced capabilities, resulting in quicker market entry, increased patient acquisition, reduced operational costs, and enhanced patient satisfaction.

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Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
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#7

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HealthNautica’s eORders™, software is a comprehensive, easy-to-use, cloud solution for managing the entire perioperative process and surgical scheduling without changing your scheduling system. It begins with the physician’s office filling out an online surgery scheduling or procedure request.

Gone are the days of illegible, incomplete, inaccurate faxes sent back and forth between the physician’s office and the facility’s scheduling department. The cumbersome and error prone faxing process is replaced by an electronic form that is configured to each facility’s exact specifications and reacts to the user’s input thereby assisting the physician’s office in getting it right the first time.

All orders are legible, complete, screened for CMS Medical Necessity, incorporate SCIP, VTE, SSI and ACS NSQIP measures, verified for insurance eligibility, pre-certified and satisfy edits by CMS, commercial payers and the facility. Our solution ensures efficient surgery center scheduling and block time management while streamlining processes such as prior authorization.

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Leading Health System
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Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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#8

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Rated In Top 10%
Rated In Top 10%
Versatile platform
Versatile platform
High Performer
High Performer
5+ years in business
5+ years in business
Rated In Top 10%
Rated In Top 10%
Versatile platform
Versatile platform
High Performer
High Performer
5+ years in business
5+ years in business

XpertCoding is an AI enabled autonomous medical coding platform that automates over 90% of medical coding with 99% accuracy within 24 hours. XpertCoding also includes a Business Intelligence suite with a Clinical Documentation Improvement (CDI) Dashboard and a Comprehensive Data Analytics Dashboard, providing essential insights for healthcare leaders and teams to optimize operations.

What organizations can expect from XpertDox:

Unmatched Automation and Accuracy

  • Fully Automated Medical Coding: Automates 94% of claims without human review, ensuring speed, accuracy, and efficiency with minimal supervision.
  • Performance-Based Coding: Tracks quality and performance metrics effectively with support for Category II CPT codes.
  • Reduces Coding Errors to Less Than 1%: Ensures compliance and minimizes claim denials, delivering precise and consistent coding outcomes with >99% coding accuracy
  • Faster Claim Processing in less than 24 Hours: Accelerates claim submission timelines, ensuring faster reimbursements and reduced backlogs.
  • Smart Claim Scrubber: Customizable to align with payor-specific rules, reducing denials and rejections for smoother claim submissions.
  • EMR or EHR-Agnostic Solution: Enables easy data extraction and Fully Automated Claim Submission, ensuring uninterrupted workflows with any EMR or EHR system.
  • Modifies and Improves 80% of Claims: Streamlines workflows, eliminating bottlenecks and enhancing operational efficiency.

Enhanced Financial Outcomes for Clients

  • Flexible Pricing Model: Offers transparent, per-claim pricing for scalable and cost-effective solutions tailored to your needs.
  • Delivers a 15% Increase in Charge Capture: Optimizes revenue generation and ensures accurate billing practices.
  • Reduces Claim Denials by 22%: Strengthens the revenue cycle and minimizes payment delays.
  • Drives 23% Growth in PMPM Payments: Boosts practice revenue by up to 19%, significantly enhancing financial performance.

Revenue Cycle Optimization and Advanced Insights

  • Revenue Cycle Dashboard: Provides real-time visibility into key performance metrics and financial health, empowering data-driven decisions.
  • Clinical Documentation Improvement (CDI): Optimizes compliance and documentation accuracy for improved financial outcomes and streamlined workflows.
  • Advanced Analytics Suite: Benchmarks provider and clinic performance with actionable insights, helping healthcare teams make informed, strategic decisions.
  • Proactively Recovers Missed Charges: Identifies and retrieves overlooked charges from previously submitted claims, enhancing revenue integrity.

Secure and Risk-Free Implementation

  • HIPAA-Compliant Infrastructure: Ensures secure data privacy and full regulatory compliance, offering peace of mind for healthcare organizations.
  • Risk-Free Implementation: Includes zero upfront fees and a complimentary first month, allowing you to experience the benefits without risk.
  • ISO 27001, ISO 22301, SOC2 Type II compliant

Proven Results

  • Reduces charge entry lag by 40%, ensuring timely claim submissions. Achieves less than 1% coding errors, significantly improving compliance and reducing denials.
  • Enhances efficiency and accuracy, enabling healthcare teams to focus more on delivering high-quality patient care.

XpertCoding by XpertDox

XpertCoding is XpertDox's premier autonomous medical coding platform, designed to accelerate the revenue cycle with unmatched accuracy and efficiency. With risk-free implementation, zero upfront fees, and a complimentary first month, healthcare organizations can experience the transformative benefits of XpertCoding firsthand.

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Leading Health System
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Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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#9

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Rated In Top 10%
Rated In Top 10%
Versatile platform
Versatile platform
Rated In Top 10%
Rated In Top 10%
Versatile platform
Versatile platform

There is a different way to work. If you were to reimagine the way you run your business, what would you do differently? What if you could save up to 80% of your operational costs by reimagining the way business outcomes are delivered?

Through the power of automation emerging technologies, we challenge you to think differently about how you work and how you use your people to full effective.

We can help you across the automation journey from thinking through your strategy to implementing and executing robotic process automation, machine learning and other emerging technologies across the enterprise.  

Revenue Cycle Management:

Prior Authorization ​

Insurance Claims - Posting

Patient Payment - Posting

Coordination of Benefits: Primary, Secondary, & Tertiary

Revenue Integrity - Payment Audits (Under & Over)

Provider: Insurance Enrollment

Revenue Integrity - Charge Description Master (CDM) Management

Revenue Integrity - IME or IMR Audits (CMS & Medicare Advantage)

Insurance Claims - Denied & Rejected Follow-Up

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Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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#10

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Versatile platform
Versatile platform
Trailblazer
Trailblazer
5+ years in business
5+ years in business
Versatile platform
Versatile platform
Trailblazer
Trailblazer
5+ years in business
5+ years in business

Patient access departments are charged with accuracy from the start. 

Challenges—claims denials, returned mail, regulatory burdens and low patient satisfaction—are barriers they face. Solutions that empower registrars and staff with intuitive, consistent workflows and that prepare patients for their financial obligations have been elusive—until now.

True Access™ clearly and accurately fills the gaps in preservice coverage verification and estimation of patients’ financial obligations. Staff gain consistent workflows and patients receive precisely tailored payment options everywhere. True Access includes additional patient access tools for staff to support eligibility and address verification, medical necessity and prior authorization processes.

With True Access from RevSpring, you receive proven solutions that support four critical areas: 

(1) Coverage Determination and Verification,

(2) Claim Denial Prevention,

(3) Patient Financial Readiness and Increased

Collections, and

(4) Tools, Workflows and Reporting for Staff.

Coverage Determination & Verification

Fast, simple and accurate resolution of all patient accounts prior to, or at the point of, service—no matter whether or not patients are insured, uninsured, underinsured and/or qualify for financial assistance. Includes Eligibility, Coverage Verification and Determination, and Medicaid Coverage Discovery.

Claim Denial Prevention

True Access reduces time spent rebilling claims and reduces days in AR by submitting claims correctly from the start. Includes Prior Authorization and Precertification, Medical Necessity and Coordination of Benefits.

Patient Financial Readiness & Increased Collections

Prepare patients for their financial responsibility and empower them to pay precisely what they can, when they can, from anywhere. Accurate estimates, seamlessly 

integrated with RevSpring’s PersonaPay portal, enable patients to manage their balances with confidence. Our hassle-free billing adjustment solution also allows 

providers to confidently request payments in advance.

Tools, Workflows & Reporting for Staff

True Access empowers staff with intuitive workflows and a modern user interface to manage registration quickly and efficiently. Intuitive staff views based on work queues and guided workflows drive consistency and accuracy, saving time for patients and staff. Our tools also allow you to monitor staff performance.

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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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