R1 RCM Physician Advisory Services Commentary
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Mollie Hunt
Research Director
KLAS Research Director - Mollie Hunt
 
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User Commentary

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Director

Relationship, Services

The cases that we do send to R1 RCM have a fair recommendation coming back. The physicians who are...

Jul 2024
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Director

Relationship, Services

We use R1 RCM quite a bit for physician advisor reviews on the level of care. When our internal...

Jul 2024
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Director

Relationship, Value

R1 RCM has exceeded my expectations by allowing me to have access to my contact at the firm. I can...

Jul 2024
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Director

Relationship, Services, Value

We have had R1 for a long time now. We used to use them to help with peer-to-peer appeals and...

Jul 2024
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Director

Services

A lot of times, R1 kind of bases their statuses around the two-midnight rule, and then when we...

Jul 2024
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Director

Relationship

I love our account manager. They are very helpful with whatever I need. I will get a phone call or...

Jul 2024
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Director

Services

R1’s web portal was a very good enhancement they did compared to when we first entered into the...

Jul 2024
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Director

Value

We have had some things that are a courtesy, like physician education. Those things are just a part...

Jul 2024
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Director

Relationship, Services

R1 is doing excellent work for us. We love having them as another resource for secondary-level...

Jul 2024
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Manager

Services

One of the other solutions that we use R1 for is utilization review, and with the changes that we...

Jul 2024
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Manager

Relationship, Value

R1 does a fantastic job of not charging for everything. They are wonderful. I would rate R1 the...

Jul 2024
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Manager

Relationship

R1 will absolutely come on-site, and the relationship that we have been able to build has been so...

Jul 2024
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Director

Relationship

R1 is one of the few companies where I don't feel like I have a new account representative every six...

Jul 2024
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Director

Relationship

R1 has a quick turnaround, even when sometimes we have them look at something preadmission for some...

Jul 2024
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Director

Relationship, Operations

We don't typically ask for a lot of education from R1. But we have had a lot of flux and changes in...

Jul 2024
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Director

Loyalty

We looked at several different firms who offered this service and when we looked at R1, they weren't...

Jul 2024
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Director

Services

It would be nice to receive more timely information on the identification of trends with specific...

Jul 2024
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Director

Relationship

R1’s customer service is excellent. They are quick to ask how they can help. And even if something...

Jul 2024
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Manager

Relationship

I have worked with R1’s executive team on a few issues that were on our side, and they were very...

Jul 2024
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Manager

Relationship

We had an account representative assigned to us from R1 for years, so they knew our organization...

Jul 2024
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Manager

Operations

R1 does constant webinars and emails, and they offer personal or customized training for our...

Jul 2024
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Director

Relationship

Our R1 representative is phenomenal. They are always on top of everything when I have a question or...

Jun 2024
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Director

Value

R1’s charge structure is okay. The only area that I find a little confusing is peer-to-peer reviews....

Jun 2024
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Director

Services

The problem we see with R1’s accuracy of determinations is that the physicians don't always receive...

Jun 2024
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Director

Relationship

R1 has been an invaluable resource for our team since the beginning. They quickly respond to...

Apr 2024
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Director

Relationship

Everything is going well with R1. The firm is very responsive. They get back to us quickly. I love...

Jan 2024
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Director

Relationship

R1 needs to improve their processes. We have a good relationship with them, and they are very...

Dec 2023
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Director

Value

Our overturn rate from R1 is too low considering that they are supposed to have trained physician...

Dec 2023
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Director

Value

R1 charges for every little thing, even for mailing. They basically charge us for just looking at...

Dec 2023
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Director

Relationship

We would recommend R1 with some caveats. We trust them, and they have been a partner for a long...

Dec 2023
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Director

Relationship, Operations

We meet with R1, and they choose about three or four cases that have been denied and upheld. Then we...

Dec 2023
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Director

Relationship, Services

The system just doesn't work as well as we would like. We would like for R1 to have real-time...

Dec 2023
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Director

Operations, Services

R1 does a great job providing documentation for determinations. I'm very pleased with R1. What R1...

Dec 2023
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Director

Relationship

I would like to see R1 work on some of their turnaround times. They get overwhelmed, and it takes a...

Dec 2023
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Director

Relationship

Everybody at the firm has been able to resolve most of our problems. There is just a matter of...

Oct 2023
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Director

Loyalty, Relationship, Value

The firm is not losing us money, but they are not making us money. They are maintaining things and...

Oct 2023
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Director

Relationship, Value

R1 could make some process improvements, and there could be some more communication on payment and...

Oct 2023
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Director

Loyalty, Relationship, Services

Physician billing is complicated, but there are a lot of things we already know how to do. The firm...

Oct 2023
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Director

Relationship

If I hire a firm, get on a call with them, and ask a question that 9 times out of 10 they should...

Oct 2023
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Director

Services

R1 could be more aggressive in ensuring that they are scheduling routine touch bases to hold me...

Oct 2023
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Director

Operations, Services

I want the education to be in snippets versus massive numbers of videos. I want the firm to just...

Oct 2023
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Director

Relationship

We really appreciate R1’s timeliness and more aggressive approach to concurrently and...

Oct 2023
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Director

Value

We have some opportunities with appeals and denials management and physician training. Within our...

Oct 2023
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Director

Relationship

R1 exceeds our expectations in terms of being responsive to queries, doing peer-to-peer requests,...

Oct 2023
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Manager

Relationship

R1 is a great partner and is completely different from the firm we used previously. We can go to...

Sep 2023
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Manager

Relationship

R1 is an expert in the physician advisory space, and I look to them as an expert. They have a wealth...

Sep 2023
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Manager

Value

With R1, there are additional costs with each appeal level. That is one thing the firm should look...

Sep 2023
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Director

Relationship, Value

The firm has been extremely responsive. Their reporting has been very helpful. It is partly my...

Sep 2023
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Director

Relationship

Whenever we have questions, the firm is quick to get back to us through email. We have been...

Sep 2023
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Director

Relationship

I have been pleased with every aspect of our work with R1, and everyone at our company has been very...

Sep 2023
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Director

Relationship

My only recommendation for the firm is to continue their excellent customer service. They are prompt...

Sep 2023
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Nurse

Relationship

R1 is always ready to improve if we need anything. If we have any clarifying questions, they are...

Aug 2023
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Nurse

Value

I don't think that R1 charges for the reports that they give us access to. We are just charged per...

Aug 2023
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Nurse

Relationship

R1’s staff has been amazing at keeping us on board and taking care of everything we question them...

Aug 2023
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Nurse

Relationship

R1 is continually offering new products and making sure we are aware of the products we don't...

Aug 2023
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Nurse

Relationship

R1 is not afraid of getting the top-level C-suite involved if they need to. R1 has opened the doors...

Aug 2023
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Nurse

Relationship, Services

Even though R1 sends denial letters to payers, they still give us access to those letters. We have...

Aug 2023
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Nurse

Relationship

The firm goes above and beyond what we pay for. They have a small company feel even though they...

Aug 2023
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Director

Relationship, Services

R1 does a really great job of not only focusing on writing the appeals; the firm has highly skilled...

Aug 2023
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Director

Relationship, Services

R1 definitely has some of the same resource challenges as others in the industry. The most immediate...

Aug 2023
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Physician

Relationship

I like R1’s customer service people. The account representatives are super responsive. If there is...

Aug 2023
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Physician

Relationship, Services

I would love to see R1’s cycle times be shorter. If they were an hour, that would be awesome. That...

Aug 2023
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Physician

Operations

When we first were getting together, things were really tough. We didn't know how to use the...

Aug 2023
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Physician

Loyalty, Relationship

R1 has been amazing. We worked with firms in the past that did not collaborate, problem-solve, or...

Aug 2023
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Physician

Relationship

This past year, we have liked working with R1. The biggest change has been in their cycle times....

Aug 2023
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Physician

Relationship, Services

R1 gives good, detailed reviews. They do a good job of explaining their rationale, and that helps us...

Aug 2023
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VP/Other Executive

Relationship

One of the things I really like about R1 is their timeliness. R1 is a very good but very large...

Jul 2023
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VP/Other Executive

Operations

We have never really had a full-time physician advisor in our organization. We have always used a...

Jul 2023
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VP/Other Executive

Relationship

R1 is very engaged in all the different societies they can join, and they are probably one of the...

Jul 2023
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VP/Other Executive

Services

Within case management, we have a utilization management department, and our goal is for that...

Jul 2023
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