R1 Denials Management Services Commentary
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Subject Expert
Mollie Hunt
Research Director
Commentary Summary
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User Commentary
Relationship
R1 is looking at our denials and doing appeals to try and get recoveries in for us. We always look...
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Relationship, Services
The appeals process Cloudmed does has been going very well. I like that they provide meaningful...
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Relationship
R1 is very knowledgeable and responsive. The person I deal with is very knowledgeable regarding the...
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Services
We are currently using R1. Things have been a little complicated because R1 has purchased some of...
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Relationship, Relationship, Services, Services
I would tell a peer or friend that R1 has great expertise in this particular area of medical...
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Relationship, Relationship
R1 sends me a report regularly of their reporting, but I have never had any interaction with them in...
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Services, Services, Value, Value
When I look at the reports, I see a lot of overturned appeals. Our expectation is to get the appeals...
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Relationship, Relationship
My contacts from R1 are very responsive and get back to me when I have questions or issues. I don't...
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Relationship, Relationship, Services, Services
We have a lot of older accounts on our outsource list. R1’s rationale behind that is that they are...
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Relationship, Relationship, Relationship, Services, Services, Services
The reporting and analytics could be improved to help prevent denials in the future. R1 is great at...
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Relationship, Relationship, Relationship
R1’s clinical and legal expertise and ability to craft an argument in the setting of a clinical...
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Loyalty, Loyalty, Relationship, Relationship, Relationship
There has been a bit of a decline in the quality of follow-up and staffing and in the ability to...
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Loyalty, Relationship, Relationship, Relationship, Value, Value
Cloudmed's overturn rate is pretty accurate. They do a great job for us. Their productivity is...
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Relationship, Relationship, Relationship
What I like about R1 is the monthly or quarterly updates that they schedule with us to do web-type...
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Relationship, Relationship, Relationship
R1 responds in a very timely manner to any questions or concerns that we may have. When they are not...
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Relationship, Services
With Cloudmed, we repeatedly state some of the issues that we are seeing in accounts. If the firm is...
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Value
The people at the firm are empowered to solve problems, but the question is whether they actually do...
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Relationship, Services
The firm is very system based. We have file feeds that send everything to the firm's system. There...
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Services
There should be periodic reviews of the inventory volume to determine whether the resource levels...
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Relationship, Services
Cloudmed has some amazing reporting tools. We meet on a regular basis to go over the inventory and...
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Loyalty, Relationship
Overall, Cloudmed is a great company. Their team, especially their leadership team, has good...
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Relationship
Helping us prevent future denials is a big area for the firm to improve. I keep pushing them on...
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Value, Value
I think that R1 charges us appropriately. They charge us for everything that is outlined in the...
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Services, Services
There have been a few things that we have stressed to R1 multiple times, such as utilizing the payer...
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Relationship, Relationship
The people we meet with at R1 are great. I sometimes feel like the information we give them to take...
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Relationship, Relationship
R1 seems to be engaged with us. They are great communicators and are always able to hop on a call,...
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Relationship, Relationship
The provider representatives are great. The employees who are working on the denials could be more...
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Relationship, Relationship, Services
R1 is a great partner. They used to be Praxis, and then they were purchased by R1. We have seen a...
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Relationship, Relationship
I work with the lower levels of R1’s management team, but there was a person who used to be very...
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Loyalty, Relationship, Relationship
R1 does a very good job. For the main project they do for us, R1 does an excellent job, so I can’t...
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Relationship, Relationship, Services, Services
R1 has been promising us a new tool that is supposed to give us a little more insight into certain...
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Relationship, Relationship, Operations
R1 could improve their communication, timely responses, and reporting. We have asked R1 to provide...
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Relationship, Relationship
R1 is doing a great job. The advantage of working with R1 is that they have a very talented team....
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Operations
R1’s invoicing is sometimes a challenge. We have found errors with their invoicing to the tune of...
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Operations, Services, Services
R1’s portal that they use for some of the programs is not great, and some of their other programs...
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Relationship, Relationship
R1 has a great team of providers and compliance people. Sometimes we ask R1 to jump on a call if...
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Relationship, Relationship
I have not noticed a difference in services since Cloudmed was acquired by R1. The service still...
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Relationship, Relationship
The rate of overturn with R1 has been better than expected. They have overturned some really...
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Relationship, Relationship, Services, Services
The reporting has been very detailed, and anytime I make suggestions of a different way I would like...
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Relationship, Relationship, Services, Services
The only room for improvement R1 has is on their closure summaries. Often in reconciliation, I try...
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Relationship, Relationship
We value our relationship with R1. The person from the firm that we work with is very reactive, and...
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Relationship, Relationship
The only concern that we had is we looked to the firm to help with some other processes, and they...
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Relationship
Cloudmed does things they don't have to do as a courtesy at times. The relationship is very good. We...
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Services
Cloudmed has done an excellent job with their legal counsel. We don’t have the nurses, doctors, and...
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Relationship, Relationship
Cloudmed has regularly scheduled meetings with us. They have agendas. They come prepared with the...
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Relationship, Relationship, Value, Value
Cloudmed has been able to accommodate large volumes of claims for us at a time when we really needed...
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Relationship
I have a long history with Cloudmed. I haven't seen a huge change in quality or anything like that,...
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Relationship
I enjoy Cloudmed’s offerings. I enjoy the partnership. There are always opportunities for...
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Relationship
Cloudmed’s leadership is phenomenal. All the leaders I have met at Cloudmed, and even the sales...
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Relationship
Cloudmed’s reporting is fantastic. They are learning what I expect them to, and I'm learning what...
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Loyalty, Relationship
We decided to engage with Cloudmed because we needed a partner to help us manage some of our A/R and...
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Operations, Services
The help we get from Cloudmed depends on who is working on the account. There are times when...
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Operations, Services
When we hired the firm, they were very honest. They claim things that they receive payments for, but...
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Relationship, Relationship, Relationship
The firm is incredibly collaborative. They are not there just to say they are going to collect. They...
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Relationship, Relationship, Relationship, Value, Value, Value
Like everybody else, we went remote during COVID-19. We returned to the office and lost a lot of...
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Relationship, Relationship, Relationship, Value
The firm is very accommodating. There are sometimes issues where we discover part of the issue and...
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Relationship, Relationship, Relationship, Services
The staff is great. The firm is definitely the best service provider that we work with across the board....
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Relationship, Relationship, Relationship, Services, Services, Services
It is hard to ascertain or understand how many staff members are deployed to work the A/R, what...
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Relationship, Relationship, Relationship, Services, Services, Services
If Cloudmed has any clinical expertise, they haven't been able to show us that. They haven't been...
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Relationship, Relationship, Relationship, Operations
Unfortunately, there are such poor options out there that I guess I would buy the services from...
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Loyalty, Loyalty, Loyalty, Relationship, Relationship, Relationship
Cloudmed is in it for the long haul. They are not trying to just turn a quick dollar out of the...
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Loyalty, Loyalty, Relationship, Relationship, Relationship, Services, Services, Services
Cloudmed could be doing better. I don't have dissatisfaction with Cloudmed, but I still feel like...
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Relationship, Relationship, Relationship
We were surprised when Cloudmed was acquired by R1. We didn't know there was an acquisition...
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Relationship, Relationship, Relationship, Services, Services, Services
Cloudmed handles all of our authorization denials and helps us with documentation. They educate us...
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Relationship, Relationship, Relationship, Operations, Operations
In the very beginning, Cloudmed worked to death to make sure we were satisfied. And all of a sudden,...
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Relationship, Relationship, Relationship, Services, Services, Services
Cloudmed's performance has dipped a little in the last several months. I don't know whether there...
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Relationship, Value
We have a clause in our contract with Cloudmed, and I will chalk that up to a misunderstanding. We...
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Relationship, Relationship, Relationship
Cloudmed has some good people who are responsive. My team members at the lower level say they are...
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