Denials Recovery

Prevent and overturn denials to boost revenue

R1 Denials Recovery is a full-service solution to recoup payment from commercial, government and managed care payers that have incorrectly denied or underpaid claims. Our clinicians, attorneys, certified coders and reimbursement analysts collaborate to appeal, recover and prevent denials using intelligent technology and advanced analytics to produce fast reimbursement and process improvement.

SPEAK WITH AN EXPERT

Get full-service denials and appeals management to recover more

Quickly and efficiently resolve wrongfully denied or underpaid claims from commercial, government, military and Medicare/Medicaid Advantage payers. R1 Denials Recovery is a full-service denial and appeals management solution that recovers earned reimbursement payers inappropriately withhold or delay.

Resolve claims quickly

You could begin generating revenue in as few as ten days with our industry-leading overturn rates driven by deep domain expertise and intelligent technology.

Partner with highly specialized experts

Our team of specialized subject matter experts serves as a powerful extension of your staff to do the heavy lifting on high-volume or specialized inventory while you focus on other high-priority, revenue-generating receivables.

Boost workflow efficiency

Work smarter with a single solution across all payers that offers a more efficient approach to account follow-up, resolution, and root cause identification and analysis for ongoing process improvement.

Ranked #1 by KLAS

We’re proud to be recognized for outstanding performance and customer satisfaction excellence in the new Denials Management Services category.

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Loyalty

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Operations

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Value

R1 is ranked #1 by KLAS® in Denials Management Services

Keep improving for lasting success

Gain knowledge and insight for measurable performance improvements. Here’s a look at how we work together after defining your program with our risk-free Aged Trial Balance (ATB) assessment.

You can grant access to work queues in your system so we can begin working inventory immediately. We automate an assigned inventory file to maximize our service delivery and root cause identification capabilities.

Our Platform ingests the file of assigned accounts, prioritizing the highest value and most timely accounts. Our experts analyze and review payer contracts and state and federal regulations to resolve denied government and non-government claims. Credentialed experts review and begin resolving automated placements daily.

We correct issues on denied and unpaid claims, write clinical and technical appeals when appropriate, and then file them on your behalf to collect payment. We assign our staff attorneys and clinicians to participate in payer meetings to hold payers accountable for complying with contracts.

Robust reporting and root cause analysis equip you to better manage your workflow, team and ongoing training efforts. Our healthcare attorneys and clinicians assist you in your future payer contract negotiations, and we inform you of payer behavior patterns and trends. We also hold regular business reviews with your team.