R1 Underpayment Recovery Services Commentary
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Subject Expert
Mollie Hunt
Research Director
Commentary Summary
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User Commentary
Loyalty, Services
R1 looks for revenue opportunities that we might have missed, anything from contract reviewing to...
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Loyalty, Relationship
When our organization was selecting an underpayment recovery services firm, the primary factor that...
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Relationship, Services
An R1 executive has to get involved a lot. Also, I don't think R1 is using AI for appeals. I don't...
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Relationship
I would not buy R1's underpayment recovery services again. I was happier with the services we...
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Relationship, Value
I would tell someone looking into the firm that R1 is a good partner for identifying high-dollar...
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Relationship
R1 is starting to move the needle on innovation. In our state, there is a very specific nuance with...
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Relationship, Value
R1 is contingent only. They are awesome, but they are expensive, even with preferred pricing.
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Relationship
R1 has a solid team, and there has been little turnover in the folks who work on our account. That...
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Relationship, Services
R1 exceeding our expectations is almost a double-edged sword. From a vendor-management perspective,...
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Relationship, Services
Sometimes when we want to make some changes with R1, it does take a bit to execute, and R1 has had...
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Relationship, Services
To be innovative, a firm should be cutting edge and putting something else out there that makes them...
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Loyalty, Value
I don't know whether we noticed anything different from our partnership perspective when Cloudmed...
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Relationship, Services
R1 is very much able to give us the reports and deep dive. We can really get into a lot of...
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Operations
When we pick a firm, we look at the caliber of the person doing the work, how well they are trained,...
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Relationship
R1 works with us to integrate things. They do not leave us with a report and walk away. They work...
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Operations
R1 has a great concept and hires sharp people. However they train their employees, they train them...
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Value
We wanted a rate reduction, and R1 had a proposal for one. R1’s rates for the noncommodity services...
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Relationship, Services
R1 does good work. When I compare the work that they do to somebody else doing something similar,...
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Relationship
I have known R1’s executives and staff for a while. In addition to their operations, R1’s culture...
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Loyalty, Services
Being able to drive immediate change very fast through an R1 outsource transition was significant as...
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Value
R1 has a contingency fee, so their reimbursement or fees were appropriate for the work that they...
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Relationship, Services
R1’s biggest strengths are their proprietary databases, proprietary systems, and the way that they...
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Operations
I would like to have additional presentations of areas of opportunity that the firm is seeing....
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Relationship
The firm takes a lot on themselves when they are working with accounts. They handle contacting the...
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Value
The contingency cost might be a little high for what the firm does now as opposed to several years ago....
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Relationship
The firm does a great job. One way they could improve is by finding more trends and being able to...
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Relationship
My only big thing about R1 is the lack of feedback. I started reviewing their invoices more closely...
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Services
R1 does a wonderful job of understanding payer regulations and rules that our end users may not be...
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Relationship
Unfortunately, R1 has a lot of turnover, so there is a transfer of knowledge issue that I have been...
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Relationship
R1 is a wonderful company to have alongside us. They make our organization feel secure in any...
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Services
R1 probably could do more if they were contracted to do more, but they have certain parameters in...
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Relationship
R1 is very knowledgeable. Their knowledge of all the different payment schemes is very valuable, and...
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Relationship
R1 is responsive when we need something or if we even push back. They listen and are very attentive....
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Loyalty, Services
There needs to be more reporting transparency. Once asked, I think the firm will deliver. It is...
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Loyalty, Loyalty, Relationship, Relationship, Value, Value
We implemented Cloudmed because we had an initiative to make sure we were getting the most bang for...
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Relationship, Relationship
I have worked with another firm in the past, and I must say that Cloudmed is better than that firm....
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Relationship, Relationship
We have a strong partnership with Cloudmed. We have met on several occasions and voiced our...
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Relationship, Value
Our contract is set up so that there is a fee per account. When Cloudmed makes an identification,...
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Relationship
We hire Cloudmed to do underpayments for appeals or difficult accounts where we have exhausted all...
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Relationship
We would tell Cloudmed to keep their knowledge and expertise. The firm occasionally rotates...
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Relationship, Value
Cloudmed is a very good partner. We were leery when the original firm changed to Cloudmed, but the...
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Relationship
Cloudmed consistently exceeds our expectations; they participate in our calls. Aside from working...
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Relationship, Relationship
The staff from R1 that we deal with is available at all times to address any of our questions or...
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Loyalty, Loyalty, Relationship, Relationship, Services, Services
To improve, the firm could look at claims more holistically. They could review more than just the...
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Relationship, Relationship
R1 is a good company to work with. I have worked with other firms, and they are good too, but R1's...
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Relationship, Relationship
As I network with my counterparts, I receive some really good reviews and recommendations regarding...
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Value, Value
Cloudmed is underperforming. They oversold what they could do for us. We are getting some good value...
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Relationship, Relationship, Services, Services
R1 is dabbling in different things and has had some failed experiments. They should stick to the...
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Relationship
R1 fancies themselves as experts in the revenue cycle. We listened to their sales pitch, and it...
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Relationship, Relationship, Value
The firm might identify things that are happening with the payers in terms of where the payers are...
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Relationship, Relationship, Value, Value
One thing I like about R1 is that they work denials and DRGs. If there is an account where the firm...
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Relationship, Relationship
The acquisition of Cloudmed by R1 has not impacted my experience. We are still working with the same...
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Loyalty, Loyalty, Relationship, Relationship, Value, Value
We saw an opportunity to get increased revenue because we were maybe undercoding DRGs. We brought...
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Services, Services, Value, Value
Sometimes R1 puts a charge into multiple buckets even though it should only be in one. We have to...
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Relationship, Relationship, Value, Value
R1 finds things that we may otherwise miss, so they definitely drive tangible outcomes. Also, the...
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Relationship, Relationship, Services, Services
R1’s reimbursement model is not effort based. Making one phone call is way different than having to...
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Services
R1 reviews our accounts for reimbursement opportunities. If they identify an underpayment, they...
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Value
R1 is focused on what they can recover. They charge us contingent rates, so they look at...
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Relationship
R1 has been a very good partner. I don't interact with R1 much, but they are good in my experience....
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Relationship, Relationship
Our relationship with R1 is great. We recently had a meeting with them to go over some of our...
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Relationship, Relationship
R1 is aware of some wrinkles that our coders don't recognize initially or misinterpret. The firm is...
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Relationship, Relationship
If I have a concern with R1, it is that they tend to roll through their staff very quickly. I have...
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Services, Services, Services
We sometimes question R1’s reviews and whether they are picking and choosing on the data file that...
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Relationship, Relationship, Relationship
We usually have regular meetings with R1, and they do not charge us for certain costs, so they do...
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Services, Services, Services
The process improvements in the examples that R1 provides when they do their analytical review and...
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Services, Services, Services
If anyone is looking to work with R1 and loves analytics, one of the main strengths that R1 has is...
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Relationship, Relationship, Operations, Operations
R1’s launching and product delivery are always seamless. I have worked with other firms, and a lot...
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Services, Services
Cloudmed gives me data that is actionable. As an example, when one of our departments went down in...
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Services, Services, Value, Value
Cloudmed uses AI and charges. One of the unique things about Cloudmed is the fact that they...
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Value, Value
As we increase our volume, R1 changes their pricing for a review and the appeals and breaks things...
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Relationship, Relationship
R1 doesn't change the leadership too often, and that helps me. I have worked with the same...
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Relationship, Relationship, Services, Services
R1 is an excellent partner. I would call them a partner, not a vendor. They have been with us for a...
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Value, Value
R1 is very fair, and they monitor their costs with the resources that we utilize. If we are...
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Relationship, Relationship, Services, Services
R1 is constantly inventing new things. Right now, we are having a discussion on preauthorization...
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Value, Value
Cloudmed’s costs are all pretty straightforward and contingency based. As long as we reconcile the...
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Services, Services
Cloudmed is meeting my expectations in some areas. If our focus is purely on underpayments, they are...
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Relationship, Relationship
Cloudmed has been very responsive to us in terms of organization. The initiatives that we have...
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Relationship, Relationship
Cloudmed is doing a very good job and is a good partner. Their leadership team has been inclusive,...
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Relationship, Relationship
R1 has done a great job for us. They have really done a nice job of doing annual project planning...
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Relationship, Relationship
Compared to some previous relationships that we have had, the work and the recoveries have been a...
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Relationship, Relationship, Services, Services
If I were to suggest things for R1 to improve, I would suggest having an easier alignment,...
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Relationship
R1 is a role model for partnerships in all aspects, including engagement, reports, and...
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Relationship, Relationship, Services, Services, Value, Value
R1 has really helped our team to find some things that we would not have found had the firm not been...
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Relationship, Relationship, Value, Value
There is still a lot of value in what R1 does for us, but sometimes they bring forward things that...
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Relationship, Relationship, Value
R1 was quick with their overall level of execution. They were in, out, and done, and we started...
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Relationship, Relationship
I haven't worked with R1’s frontline staff much, but when I have, I usually have to get back to an...
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Relationship, Relationship, Services, Services
Since the R1 acquisition of Cloudmed, the players have changed significantly, and I think that some...
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Relationship, Relationship, Value, Value
Cloudmed's services are certainly not inexpensive to use, but we find that the quality of their work...
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Relationship, Relationship
Generally, the people from R1 are very good to work with. They are very knowledgeable and...
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Relationship, Value
We have had a great experience with the firm. We have seen significant ROI from our engagement with...
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Relationship, Relationship
One of R1’s strengths is transparency in sharing their knowledge and the opportunities that they see...
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Services, Services
R1’s greatest weakness is the ability to look at lower-dollar populations. I understand the whole...
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Services, Services, Value, Value
R1 is very flexible in terms of understanding when we run into potential overlap. If some of the...
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Relationship, Relationship
I appreciate R1’s partnership with our organization. They are transparent and self-sufficient. We...
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Relationship, Relationship
R1 meets my expectations. I don't know whether they exceed them. With the transition from Revint...
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Value
We have used R1 for many years, and we have a very favorable contracted rate with them. We have a...
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Relationship, Relationship
Overall, things are going well with R1. R1 is a valuable resource when we have an issue with a payer...
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Operations
Cloudmed hires really high-quality people that I wish I could hire. They have a very thorough...
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Relationship, Relationship
I love Cloudmed because it is obvious that the people they hire are incredibly knowledgeable....
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Relationship, Relationship, Operations, Operations
The firm hosts education sessions with us if we request them. If we are struggling with something...
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Relationship, Relationship
Cloudmed is great. I have contacts at various levels in the firm’s organization, from our regular...
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Loyalty, Loyalty
Cloudmed has been acquired, but I am confident we will work things out. I hope that nothing will change....
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Relationship, Relationship, Value
I am stunned that Cloudmed is Best in KLAS. When we started poking around and asking some questions...
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Relationship, Relationship
We have so many different touchpoints. I would say Cloudmed’s support is decentralized and spotty at...
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Services, Services
We would expect to get at least quarterly if not monthly reports on performance from a third-party...
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Services, Services
Expectations haven't been met related to Cloudmed, visit pay, or anesthesia outsourcing. Reputation...
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Relationship, Relationship, Value
In consulting, typically a firm will sit down, talk to us about our business problem, give us a...
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Services, Services
If I were Cloudmed, I would try to get with the higher-ups of the organizations I work with and talk...
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Operations, Operations, Value, Value
With regard to cash and liquidating A/R, early on things with Cloudmed were pretty good. But from an...
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Relationship, Relationship
We do not have a partnership conversation with Cloudmed where we touch base on a regular basis. Some...
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Value, Value
Having a contingency-based agreement, I think that we have focused on near-term opportunities or...
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Services, Services
We have been very impressed with Cloudmed's underpayment recovery services for years. Cloudmed is...
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Loyalty, Loyalty, Relationship, Relationship
The Cloudmed transition to R1 has been interesting. They offer more solutions. We are seeing more...
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Relationship
The folks that have come from Cloudmed’s merger are fantastic. The staff members that have come from...
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Relationship, Services
Cloudmed spends a little time on their reporting packages. There is a caveat for an organization...
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Relationship
Cloudmed is open to feedback. I don't think any part of them doesn't seek to address feedback. They...
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Relationship
A component that Cloudmed could be better at is working with the trends they identify for their...
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Relationship
I would score Cloudmed above average in terms of the typical firm in the underpayment recovery...
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Relationship, Value
I would say that Cloudmed is above the rest. For any executive who has to go out there and look for...
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Relationship
Cloudmed has big strengths. They have a good executive presence and involvement in engagements. They...
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Relationship, Relationship, Value, Value
We have liked working with Cloudmed. They have been amenable to the feedback we have provided. We...
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Relationship, Relationship, Services, Services
Cloudmed has done a good job with rolling out a new platform. They became part of R1, so we got some...
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Relationship, Relationship, Operations, Operations
It would be nice if Cloudmed were a bit faster in implementing the feedback we have. Sometimes on...
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Relationship, Relationship, Value, Value
We use Cloudmed for underpayments. Cloudmed finds an account that we have received an underpayment...
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Relationship, Relationship
To be honest, Cloudmed tells me what to do, and they tell me how to split the claims. I am not...
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Relationship, Relationship, Relationship
Cloudmed always brings top talent and helps us avoid issues in the future. Our teams are really...
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Services, Services, Value
It is hard to show a visible return with Cloudmed because everyone has to have a claims system, and...
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Services, Services, Services
Cloudmed looks at post-insurance payment balances, and then the firm reviews things through their...
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Relationship, Relationship, Relationship
Cloudmed is very successful at what they do. They work very well with their client partners....
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Relationship, Relationship, Relationship, Services, Services, Services
The firm lets us have access to some of their reports, and that helps me to get reporting out to our...
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Relationship, Relationship, Relationship
Cloudmed has been really great to work with. They have great people. Whenever I talk to my main...
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Relationship, Relationship, Relationship
The overall experience with Cloudmed has been very positive, and they have been a wonderful firm to...
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Relationship, Relationship, Relationship
The only beef I have with Cloudmed is that they tend to switch roles a lot in terms of who is...
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Relationship, Relationship, Relationship, Services, Services, Services
Cloudmed’s staff is all very knowledgeable and well read in terms of billing and charge-capture...
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Relationship, Relationship, Relationship, Services, Services, Services
Cloudmed’s turnaround time has been excellent based on the amount of data we give them. In the past,...
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Relationship, Relationship, Relationship
I have worked with a few of Cloudmed’s competitors in the past, and what makes Cloudmed stand out is...
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Relationship, Relationship
Cloudmed continues to be a wonderful partner. They have always had primary contacts who were very...
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Services, Services
We believe that R1 has more tools and technology than Cloudmed had on their own, so Cloudmed has...
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Relationship, Services
We don't always agree with Cloudmed's interpretation of contracts or regulations when it comes to...
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Relationship, Relationship
We feel like Cloudmed's people are empowered to solve our problems, specifically our account representative....
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Value, Value
The cash we collect is very important, but that is a double-edged sword because we want cash, but we...
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Relationship
What stands out with the firm is that they follow up very directly if they need a specific...
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Relationship
The firm has one person appointed for our relationship and all our lines of business. From there, we...
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Relationship
Whenever the firm has done some type of research and provided it back, they have definitely seemed...
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Loyalty
We used to have Cloudmed's services as a secondary solution. We felt more comfortable with their...
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Relationship, Relationship, Relationship, Services, Services, Services
I like Cloudmed’s data analytics and responsiveness. I like the fact that Cloudmed can get down to...
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Relationship, Relationship, Relationship
Cloudmed has had some recent turnover, and they have done nothing to communicate that and alleviate...
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Relationship, Relationship, Relationship
If another organization were looking for someone to do zero-balance work, I would recommend...
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Relationship, Relationship, Relationship, Services, Services, Services
Cloudmed continues to share details about their findings. They don't just send over the spreadsheets...
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Relationship
Cloudmed sticks to the terms of the contract. They are very good at looking for areas of...
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Relationship, Relationship, Relationship
Cloudmed brings knowledge articles to us about different things going on in the industry, especially...
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Relationship, Relationship, Relationship
Cloudmed now has several lines of business, and we have a few with them, but we need to see how they...
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Relationship, Relationship, Relationship, Services, Services, Services
I would like to see more from the Cloudmed team on items that they are finding potentially, such as...
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