Expert Audit & Quality
Assurance
With over 20 million patient encounters reviewed, we utilize inferential and descriptive statistical models to uncover weak spots and redundancy, and to make an opportunity assessment
Provider & Practice Performance Assessments
Our evaluations help to identify areas for improvement and monitor adherence to best practices across payment models
Risk Adjustment
Analyze patient EHR and EPM data to determine population risk score baseline, and relative provider and practice level performance
Professional Fee-for-Service & Facility DRG
Assess organizational proficiency against up-to-date regulatory standards
We understand the challenges you are facing
Chart Retrieval
Efficiently source and collect patient charts to facilitate timely audits and reviews
Documentation Management & Abstraction
Ensure complete and accurate documentation migration when changing EHR or EPM systems
Option to Deploy Staff Augmentation Services
Dedicated R5RCM team members can act as fully-integrated members of an organization’s coding, billing or revenue cycle teams
Why Work with R5RCM for Audit & Quality Assurance?
- Customization: Flexible approach to meet your unique needs
- Team Focused: We work to resolve issues and continuously track towards your definition of success
- Data-Driven: Access insight with our proprietary data models and reporting framework
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