Risk-Bearing Entities:
Tailored for Precision

Custom solutions to enhance risk-adjustment accuracy, boost network efficiency, and deliver uniform reporting for scalable management and informed leadership decisions.

We understand the challenges you are facing

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Central Oversight
Applying best practices across specialties and modalities while maintaining central management and oversight.
Risk & Documentation Accuracy
Ensuring accurate risk adjustment and clinical documentation while supporting fee-for-service billing and coding.
Regulatory Compliance
Managing changing regulations and best practices efficiently and cost-effectively.
Productivity Drains
Administrative tasks reduce provider productivity.
Coding Performance
Evaluating coding and documentation performance and implementing effective solutions.
Revenue Pressures
Downward adjustments to insurer fee schedules force operators to do more with less.

See How We Help:

Clinical Documentation Integrity
Revenue Cycle Management
Audit and Quality Assurance
EHR Compatibility

Our process works with all EHRs, providing a uniform method to measure baseline and performance improvement across the provider network.

Complete Documentation

Ensuring complete provider documentation within the revenue cycle, capturing codes as clean claims are sent to the clearinghouse.

Collaborative Workflows

Collaborating with providers and coding teams to design workflows for maximum impact and minimal disruption.

Our Results

Meaningful impact for organizations in Value-Based Care models
0 %

Overall RAF score increased

0 HCC

Net new HCC reported

0 %

Depression Screening reporting increase

0 %

Annual Wellness Visits (AWV) capture rate increased

0 %

Transitional Care Management (TCM) reporting increase

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Let’s partner to optimize
your healthcare
operations

Whether you’re a small practice or a large healthcare organization, R5RCM is here to help you achieve precision, efficiency, and success. Start the conversation for a tailored solution.
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