- What We Do
- Back
- Enterprise Solutions
- Revenue Recovery
- Revenue Optimization
- Clinical Integrity
- Regulatory Navigation
- Who We Help
- Our Platform
- Insights and Resources
- About Us
- Careers
- What We Do
- Regulatory Navigation
Regulatory Navigation Solutions
Optimize reimbursement while ensuring regulatory compliance
Our industry specialist teams of reimbursement experts capture all earned government reimbursement, optimize 340B program savings and support full regulatory compliance.
Medicare Bad Debt
Optimize reimbursement and compliance with lifecycle management of every bad debt claim. Our solution analyzes 100% of claims using proprietary technology to identify and process allowable bad debt claims.
Disproportionate Share Hospital (DSH)
Ensure accuracy and compliance that withstands audit scrutiny. R1 DSH reviews and processes large volumes of data to determine Medicaid eligible days for the DSH calculation.
SSI Redetermination
Realize additional revenue by identifying and recovering underreported Supplemental Security Income (SSI) reimbursement. We recalculate the SSI percentage for each cost report year to determine if there is benefit, then prepare the re-opening requests for those years with increased revenue.
Worksheet S-10
Claim uncompensated care payments with assured compliance and accuracy. R1 Worksheet S-10 combines leading-edge technology and human expertise to determine allowable claim-level uncompensated care write-off amounts for reimbursement.
340B Recovery
Recover more 340B savings from eligible and referred-to providers with R1 340B Recovery. Our contingency-based, technology-enabled solution delivers a compliance-first approach that helps 340B covered entities recover missed savings from 340B eligible prescriptions.
Partner with purpose to improve performance
Increase reimbursements, assure compliance and recover more revenue across all Medicare programs with R1 Regulatory Navigation Solutions. As an accountability partner, we drive results with decades of experience and deep knowledge of the complex Medicare environment. Our elite team includes former Medicare Administrative Contractor (MAC) auditors, providers and consultants, for informed perspective from all sides.
The latest from R1
EXPLORE ALL INSIGHTSPrivacy OverviewThis website uses cookies so that we can provide you with the best user experience possible. Cookie information is stored in your browser and performs functions such as recognising you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful.
Strictly Necessary CookiesStrictly Necessary Cookie should be enabled at all times so that we can save your preferences for cookie settings.
If you disable this cookie, we will not be able to save your preferences. This means that every time you visit this website you will need to enable or disable cookies again.
Performance, Functionality, Tracking, and Social CookiesPerformance Cookies
These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. They help us to know which pages are the most and least popular and see how visitors move around the site. All information these cookies collect is aggregated and therefore anonymous. If you do not allow these cookies we will not know when you have visited our site and will not be able to monitor its performance.
Functionality Cookies
These cookies enable the website to provide enhanced functionality and personalization. They may be set by us or by third party providers whose services we have added to our pages. If you do not allow these cookies, then some or all of these services may not function properly.
Tracking Cookies
These cookies may be set through our site by our advertising partners. They may be used by those companies to build a profile of your interests and show you relevant adverts on other sites. They do not store directly personal information but are based on uniquely identifying your browser and internet device. If you do not allow these cookies, you will experience less targeted advertising.
Social Media Cookies
These cookies are set by a range of social media services that we have added to the site to enable you to share our content with your friends and networks. They are capable of tracking your browser across other sites and building up a profile of your interests. This may impact the content and messages you see on other websites you visit. If you do not allow these cookies you may not be able to use or see these sharing tools.
Please enable Strictly Necessary Cookies first so that we can save your preferences!