R1 RCM Charge Capture is an advanced, technology-driven solution designed to optimize the healthcare revenue cycle by ensuring all rendered services are accurately charged and billed. Leveraging proprietary matching technology, rules-based algorithms, and intelligent automation (including Robotic Process Automation and Machine Learning), the platform links both hospital (HB) and physician (PB) billing functions to identify charges missed or miscoded by other systems. The solution is unique in its ability to link these two billing streams, which is a common source of revenue leakage in health systems.
The platform analyzes 100% of patient charges and visits across all care settings (inpatient, outpatient, primary care, specialty) to uncover revenue leakage and drive systemic process improvements. It provides 'Revenue Intelligence™' to drive operational improvement and reimbursement results. R1's expert auditors and coders support the technology, providing human oversight and ensuring accuracy and compliance. Clients have reported significant financial results, including up to 40% more revenue recovered and an 80% acceptance rate on findings. It is part of R1's enterprise-grade AI product suite, built on a compliant, human-supported AI governance framework, making it suitable for large-scale healthcare providers and health systems.
