R1 RCM End-to-End Revenue Cycle Outsourcing Commentary
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Mollie Hunt
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User Commentary

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VP/Other Executive

Relationship, Services

R1 is deploying some specific denial strategies and tactics. It is too early to see whether those...

Jun 2024
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CFO

Relationship, Services

There are aspects that R1 does a good job on, like technology. But generally speaking, they always...

Jun 2024
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VP/Other Executive

Value

R1 looks for opportunities to sell us new things, and they charge us for things that they maybe...

Jun 2024
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CFO

Relationship

In our experience with R1, it is hard to get someone with substantive knowledge who can actually...

Jun 2024
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CFO

Value

R1’s bias is probably to charge for things, but we have forced them to not charge us for certain things....

Jun 2024
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CFO

Relationship, Services

R1 has people who are empowered, but that doesn't always translate to changes.

Jun 2024
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VP/Other Executive

Services

The cash flow has been more inconsistent, meaning we have bad months and then a really great month....

Jun 2024
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VP/Other Executive

Value

My superiors are somewhat disappointed. We are hitting the cash target on a monthly basis, but the...

Jun 2024
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CFO

Services

If someone were planning to outsource their revenue cycle, my likelihood to recommend R1 would be...

May 2024
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CFO

Services, Value

With R1, our A/R days are higher than the industry benchmark. We have seen some incremental...

May 2024
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CFO

Relationship, Services

We have had some gaps regarding R1’s impact on the patient experience on the really high-touch...

May 2024
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CFO

Relationship

We have regular check-ins with R1, and they are very accessible. The senior leadership is engaged. I...

May 2024
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CEO/President

Loyalty

I was very involved in the decision to ultimately go with R1 because they were the best solution for...

May 2024
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CEO/President

Loyalty

R1 needs to continue to make operational improvements. They continue to learn a lot about their...

May 2024
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CEO/President

Loyalty, Services

In R1's business, it is hard to ever consistently exceed expectations. For me, the work is about the...

May 2024
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Director

Relationship

My interface with R1’s regional leaders is good. R1 is great at relationships; they know how to make...

May 2024
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Director

Loyalty, Relationship

Everybody hates their firm at some point when things go bad, but R1 seems able to sell their...

May 2024
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Director

Relationship, Value

When we had to get good faith estimates, R1 led the charge in terms of understanding those, and...

May 2024
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Director

Relationship

When working with R1, clients should get to know the people assigned to their account. There might...

May 2024
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CFO

Operations

I wasn't involved in the decision or the signing of the contract of R1, but I definitely felt the...

Apr 2024
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CFO

Relationship

At first, I didn't feel like we had a partnership with R1, but maybe that is just because we went...

Apr 2024
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CFO

Relationship

We have regular meetings with R1, and there are times when we talk about how the aging is or ask...

Apr 2024
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CFO

Relationship

From the R1 perspective, the team tries very hard, and our representative is very good, but they are...

Apr 2024
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VP/Other Executive

Relationship

Things weren't going extremely well with R1's service, and we were hopeful that the firm would take...

Apr 2024
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VP/Other Executive

Relationship, Value

We don't get charged for every little thing. R1 is fair in that. However, the majority of my time is...

Apr 2024
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VP/Other Executive

Relationship

The offshore service is ineffective, but that is how R1 modeled the project. We have given R1 the...

Apr 2024
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VP/Other Executive

Loyalty, Relationship

For what we signed up for, we are absolutely not pleased with where we are today with R1. We sign up...

Apr 2024
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VP/Other Executive

Relationship, Value

R1’s impact on A/R days is bad. They are not working aged A/R, so the older stuff just hangs out,...

Apr 2024
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VP/Other Executive

Relationship, Services

When R1 wasn’t hitting targets, they tried to skew our collections by changing the way we do our...

Apr 2024
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VP/Other Executive

Relationship, Services

I get daily complaints from patients about R1, and our relationship does not feel like a...

Apr 2024
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VP/Other Executive

Operations

Everything at R1 is siloed. The person that I work with on a day-to-day basis has to go to different...

Apr 2024
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CIO

Relationship, Services

I am not sure we would buy from R1 again. There have been a lot of performance issues with R1's...

Apr 2024
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CIO

Loyalty, Services

With R1, we have some of the digital tools live, but a lot of the tools are not live. The process...

Apr 2024
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CIO

Services

One of our challenges is just that we have multiple EMRs. People like to come in and tell me how...

Apr 2024
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VP/Other Executive

Relationship, Operations

Patients have historically been contacted by local resources onshore, but we transitioned the...

Mar 2024
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VP/Other Executive

Relationship

The transition has been challenging. My experience with R1 so far is that they aren't very...

Mar 2024
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VP/Other Executive

Services

With this engagement with R1, the success predominantly resides where we are able to implement some...

Mar 2024
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VP/Other Executive

Relationship, Services

I interact with R1 often for various things. We have a lot of technology that is still being...

Mar 2024
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VP/Other Executive

Relationship, Services

R1 does a good job around revenue capture. They do revenue integrity for us. It is in scope, so the...

Mar 2024
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VP/Other Executive

Relationship, Services

There are a few areas for improvement, but the largest opportunity for improvement is A/R...

Mar 2024
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Director

Services

One of the bigger disappointments with R1 was that they came a few years ago touting themselves as...

Mar 2024
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Director

Relationship

R1 is certainly attentive and will address any items that we bring forward. Sometimes they put...

Mar 2024
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Director

Relationship

There is certainly a good cadence of touchpoints, and we can express our concerns and provide...

Mar 2024
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Director

Relationship, Services

R1 does well with some of their revenue integrity and analytics focus.

Mar 2024
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VP/Other Executive

Relationship, Services, Value

R1's business model is that they try to squeeze all of the expenses out of organizations that they...

Feb 2024
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VP/Other Executive

Relationship

R1 has good individuals, and I like the R1 folks who are on-site at our organization. They...

Feb 2024
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VP/Other Executive

Loyalty, Relationship, Value

We struggle to get outcomes from R1's services. The firm's individuals who manage operations want to...

Feb 2024
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VP/Other Executive

Relationship

A lot of the way an organization engages with R1 depends on the organization and what they are...

Feb 2024
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VP/Other Executive

Services

Our accounts with R1 aren't being worked in as timely of a manner as they should be. That delays...

Feb 2024
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VP/Other Executive

Services

R1 has a lot of technology that they try to use well, and that technology is functional. The firm...

Feb 2024
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VP/Other Executive

Services

We hired R1 for end-to-end revenue cycle services. They do preservice and post-service work and...

Feb 2024
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VP/Other Executive

Services, Value

We have talked to other vendors and have done benchmarking, and R1 is average for end-to-end...

Feb 2024
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VP/Other Executive

Loyalty, Services

Years ago, we were not collaborating with R1 on denials, and we were not on a very good trajectory....

Feb 2024
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VP/Other Executive

Relationship

R1’s inability to actually resolve problems through customer service and quickly find the root cause...

Feb 2024
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VP/Other Executive

Relationship

R1 is not meeting our expectations in terms of relationship management and execution. The drive to...

Feb 2024
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VP/Other Executive

Value

If I were to buy R1 again, I would change some things about the arrangement of certain pieces. But...

Feb 2024
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VP/Other Executive

Relationship

R1’s executive involvement varies pretty widely. The folks that I interact with are empowered to...

Feb 2024
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VP/Other Executive

Relationship, Services

Our strength of partnership with R1 has decreased due to performance and the macroeconomic pressure...

Feb 2024
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VP/Other Executive

Value

We do receive our money's worth with R1 because the cost is lower, and there is a give and take in...

Feb 2024
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VP/Other Executive

Loyalty, Services

To help our satisfaction with R1 increase, they need to improve their driving performance, be...

Feb 2024
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Director

Relationship, Operations

R1 was hired to help with our company’s revenue cycle operations, and they pretty much came in and...

Jan 2024
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Director

Relationship

I think that a customer's experience depends on who they work with at R1. I work with the R1 team...

Jan 2024
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Director

Services

Being part of a bigger health system complicates the job. Revenue cycle work is a hard job. We have...

Jan 2024
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Director

Relationship

We are a large company, and R1 is a large company as well, as they work throughout the country....

Jan 2024
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Director

Loyalty, Relationship, Relationship

R1 has some very good people on their team, and if there is something wrong, we text or call each...

Dec 2023
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Director

Relationship, Relationship, Value, Value

I appreciate that R1 wants to collect as much A/R as possible and handle the cash, but after a...

Dec 2023
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Director

Operations, Operations, Services, Services

We recently had a system upgrade. In other patient accounting upgrades, there were always a lot of...

Dec 2023
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CFO

Relationship, Relationship

A lot of times, the success of a firm depends on the amount of effort we are willing to put in to...

Dec 2023
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CFO

Relationship, Relationship

I am happy with R1 in general and all my contacts at the firm. We have what feels like a good...

Dec 2023
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CFO

Relationship, Relationship

My contacts at R1 are empowered to solve my problems. Depending on the depth of the problem, when I...

Dec 2023
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CFO

Relationship, Relationship, Services, Services, Value, Value

I am very satisfied with R1’s impact on cash collections, A/R days, and denials. R1 does very well....

Dec 2023
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CFO

Relationship, Relationship, Services, Services

I find R1 flexible and willing to do what we would like to see done. If a standalone hospital or a...

Dec 2023
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CFO

Services, Services, Value, Value

R1 has deteriorated a lot. Our A/R days have gotten worse, and our denials have increased. All the...

Dec 2023
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CFO

Relationship, Relationship, Services, Services

R1’s middle management team seems to struggle with embracing different methodologies. However, their...

Dec 2023
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CFO

Relationship, Relationship

We meet regularly with R1’s senior team and discuss the status of A/R, denials, and such. The firm...

Dec 2023
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CFO

Loyalty, Relationship, Relationship, Operations

It is still too early for us to say that R1 is incompetent and that things won't get better, but we...

Dec 2023
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CEO/President

Services, Services, Services

We would like to take back the front end from R1 because they are not doing a very good job. We want...

Nov 2023
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CEO/President

Relationship, Relationship, Relationship

R1 has some challenges with their workflows and resources and the amount of labor they have going...

Nov 2023
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CEO/President

Services, Services, Services

R1 outsources a lot of functions offshore, such as scheduling, patient registration, and insurance...

Nov 2023
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CEO/President

Value, Value, Value

R1’s pricing is out of the market from what I'm used to. I also feel like R1 struggles if their...

Nov 2023
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CEO/President

Relationship, Relationship, Relationship

I have had better experiences and results from other firms in terms of customer communications...

Nov 2023
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CEO/President

Services, Services, Services, Value, Value, Value

R1 does well with coding and clinical documentation and with the middle revenue cycle. We have seen...

Nov 2023
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CEO/President

Relationship, Relationship, Relationship

Our partnership with R1 isn't on great terms. Our hospital leadership does not have confidence or...

Nov 2023
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VP/Other Executive

Services, Services

R1 itemizes functionality, and we want to do billing and cash post all the different functions. R1...

Nov 2023
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VP/Other Executive

Relationship, Relationship, Services, Services

We would have expected to see some deterioration in the performance metrics just because of all the...

Nov 2023
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VP/Other Executive

Relationship, Relationship, Services, Services

I am disappointed that R1 isn't more structured with our performance improvement. We had a very...

Nov 2023
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VP/Other Executive

Relationship, Relationship

R1 has lots of project management and structure around the transition activities, but they don't...

Nov 2023
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VP/Other Executive

Relationship, Relationship

I have regular conversations with some of R1’s people, and they are generally pretty responsive. We...

Nov 2023
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VP/Other Executive

Loyalty, Loyalty, Relationship, Relationship

We have been holding onto our people and waiting for R1 to get their technology up and going so that...

Nov 2023
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CEO/President

Operations, Services

R1 is performing reasonably well according to their contract. However, their actual deliverables in...

Nov 2023
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CEO/President

Operations, Services, Services

R1 has stated that they go after buffalos and not squirrels in terms of collections, meaning they...

Nov 2023
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VP/Other Executive

Relationship, Relationship, Value, Value

We have expanded the services with R1 primarily because of their Cloudmed acquisition. There are...

Sep 2023
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VP/Other Executive

Relationship, Relationship, Operations, Value

R1’s customer operations need to be overhauled, especially in terms of the firm's approach to who...

Sep 2023
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CFO

Relationship, Relationship

So far, the experience with R1 has been good. The firm has put forth the effort in building...

Sep 2023
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CFO

Relationship, Relationship, Services, Services

R1 has done a good job of establishing metrics to monitor their performance. The firm always hits...

Sep 2023
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CFO

Relationship, Relationship, Operations, Operations

We had a big transition with R1, and there were some bumps. If some things, like how they handled...

Sep 2023
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VP/Other Executive

Loyalty, Loyalty, Value, Value

All of the service lines that R1 is over have actually deteriorated and have cost us a considerable...

Sep 2023
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VP/Other Executive

Value, Value

R1 will actually push the envelope or charge for additional services when it is favorable for them,...

Sep 2023
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VP/Other Executive

Relationship, Relationship

The executive involvement at R1 is pretty broad, and we don’t get to the executive level. We have a...

Sep 2023
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CEO/President

Relationship, Relationship, Operations, Operations

There has been a failure to follow through on R1's initial claims for what they could do. They...

Sep 2023
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CEO/President

Services

A positive thing with the firm is that I can get ahold of somebody when I want to. I may not always...

Sep 2023
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CEO/President

Relationship, Relationship, Services, Services

With the performance reviews, R1 needs to have people who are operators who understand and know the...

Sep 2023
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CEO/President

Relationship, Relationship

I don’t know the backgrounds of R1's people who sit on the reviews and are our main contacts, but...

Sep 2023
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CEO/President

Relationship, Relationship, Operations, Operations

The firm needs better oversight and accountability around their collections teams, especially the...

Sep 2023
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VP/Other Executive

Value, Value

R1 has a notion of prioritization, and we always have that in the revenue cycle. If we have a choice...

Aug 2023
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VP/Other Executive

Relationship, Relationship, Operations, Value, Value

In our relationship with R1, the incentive isn't there for them to add resources or bring in...

Aug 2023
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VP/Other Executive

Relationship, Relationship

We are struggling with a few things with R1. The firm presented themselves to our senior leadership...

Aug 2023
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VP/Other Executive

Relationship, Relationship, Services, Services

R1 is very driven by KPIs and contractual outcomes. As a public company, they are very focused on...

Aug 2023
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VP/Other Executive

Relationship, Relationship, Operations

My negative sentiments have developed over the last several months. I'm not afraid of issues or...

Aug 2023
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VP/Other Executive

Relationship, Relationship

We have had some significant issues where R1 has fallen flat. Our executive leadership has had to...

Aug 2023
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VP/Other Executive

Relationship, Relationship

Depending on who we talk to, there is a fair level of frustration with R1, and it varies based on...

Aug 2023
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VP/Other Executive

Loyalty, Loyalty

The arrangement we have with R1 has many more nuances to it than just a typical revenue cycle...

Aug 2023
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VP/Other Executive

Services, Services

R1 doesn't have expertise in appeals and denials. They have some, but most of their teams deal with...

Aug 2023
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VP/Other Executive

Relationship, Relationship, Services, Services

R1 has incredibly smart people and good tools. They are just too focused on outcomes as opposed to...

Aug 2023
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VP/Other Executive

Relationship, Relationship, Services, Services

We have had a lot of challenges with the performance of R1. There have been some disconnects between...

Aug 2023
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VP/Other Executive

Value, Value

We have lost a lot of revenue as a result of some of the inefficient processes and focuses that R1...

Aug 2023
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Director

Services, Services

The firm's technology is a big piece end to end. There are different sections or components within...

Aug 2023
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Director

Relationship, Relationship, Operations, Services

Some things that need improvement are staffing, hiring, and training as well as the quality of work...

Aug 2023
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VP/Other Executive

Relationship, Relationship, Relationship

R1 is not proactive at all. If there's new regulations, we're the ones that tell them. Then, they go...

Aug 2023
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VP/Other Executive

Relationship

The executives that I work with are very nice people, and they're very attentive. The problem they...

Aug 2023
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VP/Other Executive

Operations, Services

R1 has improved on the metrics that I am directly responsible for, but it's been a very long road....

Aug 2023
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VP/Other Executive

Relationship, Relationship, Relationship, Operations, Value

R1 has a lot of gaps in the revenue cycle, and they are unable to close the gap. I hear a lot of...

Aug 2023
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VP/Other Executive

Relationship, Relationship, Relationship, Operations

The challenges have been with staffing and processes. The problem on the front end is definitely due...

Aug 2023
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VP/Other Executive

Relationship, Relationship, Relationship, Operations, Services

R1 is very technical-driven versus people-driven. If something doesn't work in their technology,...

Aug 2023
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VP/Other Executive

Relationship, Operations, Operations, Operations

While the vendor’s technology is a bright spot, the implementations of those technologies have not...

Aug 2023
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VP/Other Executive

Loyalty, Loyalty, Loyalty, Services, Services, Services

We are in a pretty tough spot with R1 as things relate to cash and A/R performance. The main issue...

Aug 2023
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VP/Other Executive

Services, Services, Services, Value, Value, Value

Our A/R has increased significantly at some of our facilities. It is bad. The deterioration has...

Aug 2023
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VP/Other Executive

Relationship, Relationship, Relationship

The R1 model is that we don't go directly to operations to address issues or go over performance....

Aug 2023
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VP/Other Executive

Loyalty, Loyalty, Loyalty, Services, Services, Services

There have been challenges with R1. There have been some growing pains, which are to be expected in...

Aug 2023
||
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VP/Other Executive

Services, Services, Services

There are some bright spots with R1, such as the state-of-the-art technology that they bring to the...

Aug 2023
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VP/Other Executive

Operations, Operations, Operations, Services, Services, Services

We have a few different EMRs, so when we pull data or implement any integration or technology, there...

Aug 2023
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VP/Other Executive

Services, Services, Services

R1’s reporting system is pretty slick. I really like it. It is not the most user-friendly system,...

Aug 2023
||
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VP/Other Executive

Value, Value, Value

When we contracted with R1 and did the transition, the expectation was that no process would be...

Aug 2023
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VP/Other Executive

Relationship, Relationship, Relationship, Operations

R1 is inconsistent in their approach to client relationships. I think the client-facing individuals...

Aug 2023
||
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VP/Other Executive

Value, Value, Value

If I were to go with R1 again, there are things that I would do, but I probably wouldn't do...

Aug 2023
||
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VP/Other Executive

Relationship, Relationship, Relationship

We have a great client executive from R1. They work really hard for us, but I don't know how...

Aug 2023
||
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VP/Other Executive

Loyalty, Loyalty, Loyalty, Services, Services, Services

R1 has great technology. We are excited to get the patient experience and the front office technologies....

Aug 2023
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VP/Other Executive

Relationship, Relationship, Relationship

R1 is a good partner. They are committed to making things work. I can tell the folks I interact with...

Aug 2023
||
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VP/Other Executive

Relationship, Relationship, Operations, Services, Services, Services

R1 lacks deeper revenue cycle experience. If the technology isn't working well or doesn't fit their...

Aug 2023
||
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VP/Other Executive

Relationship, Relationship, Operations, Services, Services, Services

R1 has grown too fast. They are a technology company. They are lacking in terms of the fundamental...

Aug 2023
||
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VP/Other Executive

Loyalty, Loyalty, Relationship, Relationship

The firm could do better in terms of cash collections. Things have improved, but they are still...

Jul 2023
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VP/Other Executive

Value, Value

I would not buy this service again because looking back on the deals years later, we realize the...

Jul 2023
||
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VP/Other Executive

Value, Value

The firm has been very flexible with what they charge. I did an outsourcing deal with another firm...

Jul 2023
||
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VP/Other Executive

Relationship, Relationship

Small rural hospitals aren’t going to be moneymakers for RI. When we are dealing with large RCM...

Jul 2023
||
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VP/Other Executive

Relationship, Relationship

The firm is sincere in trying to get to the more sensitive complaints. But when it comes to issues...

Jul 2023
||
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VP/Other Executive

Loyalty, Loyalty, Relationship, Relationship

I am optimistic that things will get better with the new leadership. They are really good and...

Jul 2023
||
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Director

Relationship, Relationship, Relationship

R1's collaboration is their greatest strength. I feel as though I have hired employees to work for...

Jul 2023
||
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Director

Relationship, Relationship, Operations, Services, Value, Value, Value

R1 has a lot of offshore workers, and that can put people off, but I would tell others to give R1 a...

Jul 2023
||
(0)
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Director

Relationship, Relationship, Relationship, Services, Services, Services

R1 has a lot of analytics that they promote, and sometimes there is too much. We have regular...

Jul 2023
||
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Director

Relationship, Relationship, Relationship, Value, Value, Value

I would never recommend full outsourcing. In our engagement, we retain full authority over all of...

Jun 2023
||
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Director

Relationship, Relationship, Relationship, Services, Services, Services

I am very happy with certain aspects of R1. There are other aspects we have had to fight through...

Jun 2023
||
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Director

Value, Value, Value

For the most part, R1 avoids charging for every little thing. They are reasonable when we raise...

Jun 2023
||
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Director

Loyalty, Loyalty, Loyalty, Value, Value, Value

If our system worked appropriately, we wouldn’t need R1. Our organization is doing everything we can...

Jun 2023
||
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Director

Relationship, Relationship, Relationship, Value, Value, Value

R1’s frontline staff is in the middle of the road. They struggle as we do with fighting the company...

Jun 2023
||
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Director

Relationship, Relationship, Relationship

Because of their business, R1 absolutely has knowledge that I don’t have, and they try to share that...

Jun 2023
||
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Director

Services, Services, Services

We are doing well on the coding side of things. Our DNFC is good, and I attribute a lot of that to...

Jun 2023
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Director

Relationship, Relationship, Relationship, Services, Services, Services

I have pretty high expectations, and I don’t think R1 exceeds them. But they meet my expectations,...

Jun 2023
||
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Director

Relationship, Relationship, Relationship, Services, Services, Services

Any relationship with a firm takes time to develop. At this point, we are hitting our stride with...

Jun 2023
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