R1 RCM Physician Advisory Services Commentary
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Subject Expert
Mollie Hunt
Research Director
Commentary Summary
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User Commentary
Relationship, Services
The cases that we do send to R1 RCM have a fair recommendation coming back. The physicians who are...
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Relationship, Services
We use R1 RCM quite a bit for physician advisor reviews on the level of care. When our internal...
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Relationship, Value
R1 RCM has exceeded my expectations by allowing me to have access to my contact at the firm. I can...
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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...
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Services
A lot of times, R1 kind of bases their statuses around the two-midnight rule, and then when we...
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Relationship
I love our account manager. They are very helpful with whatever I need. I will get a phone call or...
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Services
R1’s web portal was a very good enhancement they did compared to when we first entered into the...
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Value
We have had some things that are a courtesy, like physician education. Those things are just a part...
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Relationship, Services
R1 is doing excellent work for us. We love having them as another resource for secondary-level...
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Services
One of the other solutions that we use R1 for is utilization review, and with the changes that we...
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Relationship, Value
R1 does a fantastic job of not charging for everything. They are wonderful. I would rate R1 the...
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Relationship
R1 will absolutely come on-site, and the relationship that we have been able to build has been so...
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Relationship
R1 is one of the few companies where I don't feel like I have a new account representative every six...
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Relationship
R1 has a quick turnaround, even when sometimes we have them look at something preadmission for some...
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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...
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Loyalty
We looked at several different firms who offered this service and when we looked at R1, they weren't...
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Services
It would be nice to receive more timely information on the identification of trends with specific...
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Relationship
R1’s customer service is excellent. They are quick to ask how they can help. And even if something...
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Relationship
I have worked with R1’s executive team on a few issues that were on our side, and they were very...
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Relationship
We had an account representative assigned to us from R1 for years, so they knew our organization...
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Operations
R1 does constant webinars and emails, and they offer personal or customized training for our...
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Relationship
Our R1 representative is phenomenal. They are always on top of everything when I have a question or...
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Value
R1’s charge structure is okay. The only area that I find a little confusing is peer-to-peer reviews....
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Services
The problem we see with R1’s accuracy of determinations is that the physicians don't always receive...
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Relationship
R1 has been an invaluable resource for our team since the beginning. They quickly respond to...
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Relationship
Everything is going well with R1. The firm is very responsive. They get back to us quickly. I love...
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Relationship
R1 needs to improve their processes. We have a good relationship with them, and they are very...
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Value
Our overturn rate from R1 is too low considering that they are supposed to have trained physician...
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Value
R1 charges for every little thing, even for mailing. They basically charge us for just looking at...
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Relationship
We would recommend R1 with some caveats. We trust them, and they have been a partner for a long...
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Relationship, Operations
We meet with R1, and they choose about three or four cases that have been denied and upheld. Then we...
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Relationship, Services
The system just doesn't work as well as we would like. We would like for R1 to have real-time...
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Operations, Services
R1 does a great job providing documentation for determinations. I'm very pleased with R1. What R1...
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Relationship
I would like to see R1 work on some of their turnaround times. They get overwhelmed, and it takes a...
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Relationship
Everybody at the firm has been able to resolve most of our problems. There is just a matter of...
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Loyalty, Relationship, Value
The firm is not losing us money, but they are not making us money. They are maintaining things and...
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Relationship, Value
R1 could make some process improvements, and there could be some more communication on payment and...
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Loyalty, Relationship, Services
Physician billing is complicated, but there are a lot of things we already know how to do. The firm...
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Relationship
If I hire a firm, get on a call with them, and ask a question that 9 times out of 10 they should...
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Services
R1 could be more aggressive in ensuring that they are scheduling routine touch bases to hold me...
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Operations, Services
I want the education to be in snippets versus massive numbers of videos. I want the firm to just...
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Relationship
We really appreciate R1’s timeliness and more aggressive approach to concurrently and...
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Value
We have some opportunities with appeals and denials management and physician training. Within our...
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Relationship
R1 exceeds our expectations in terms of being responsive to queries, doing peer-to-peer requests,...
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Relationship
R1 is a great partner and is completely different from the firm we used previously. We can go to...
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Relationship
R1 is an expert in the physician advisory space, and I look to them as an expert. They have a wealth...
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Value
With R1, there are additional costs with each appeal level. That is one thing the firm should look...
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Relationship, Value
The firm has been extremely responsive. Their reporting has been very helpful. It is partly my...
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Relationship
Whenever we have questions, the firm is quick to get back to us through email. We have been...
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Relationship
I have been pleased with every aspect of our work with R1, and everyone at our company has been very...
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Relationship
My only recommendation for the firm is to continue their excellent customer service. They are prompt...
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Relationship
R1 is always ready to improve if we need anything. If we have any clarifying questions, they are...
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Value
I don't think that R1 charges for the reports that they give us access to. We are just charged per...
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Relationship
R1’s staff has been amazing at keeping us on board and taking care of everything we question them...
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Relationship
R1 is continually offering new products and making sure we are aware of the products we don't...
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Relationship
R1 is not afraid of getting the top-level C-suite involved if they need to. R1 has opened the doors...
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Relationship, Services
Even though R1 sends denial letters to payers, they still give us access to those letters. We have...
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Relationship
The firm goes above and beyond what we pay for. They have a small company feel even though they...
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Relationship, Services
R1 does a really great job of not only focusing on writing the appeals; the firm has highly skilled...
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Relationship, Services
R1 definitely has some of the same resource challenges as others in the industry. The most immediate...
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Relationship
I like R1’s customer service people. The account representatives are super responsive. If there is...
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Relationship, Services
I would love to see R1’s cycle times be shorter. If they were an hour, that would be awesome. That...
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Operations
When we first were getting together, things were really tough. We didn't know how to use the...
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Loyalty, Relationship
R1 has been amazing. We worked with firms in the past that did not collaborate, problem-solve, or...
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Relationship
This past year, we have liked working with R1. The biggest change has been in their cycle times....
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Relationship, Services
R1 gives good, detailed reviews. They do a good job of explaining their rationale, and that helps us...
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Relationship
One of the things I really like about R1 is their timeliness. R1 is a very good but very large...
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Operations
We have never really had a full-time physician advisor in our organization. We have always used a...
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Relationship
R1 is very engaged in all the different societies they can join, and they are probably one of the...
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Services
Within case management, we have a utilization management department, and our goal is for that...
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