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
What R1 RCM does well is their willingness to collaborate when I request something or when we need...
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Relationship, Services
Because R1 RCM has gotten so big, sometimes they don’t follow up quickly on things. We just have to...
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Loyalty, Relationship
We would contract with R1 RCM again since we kind of know them already. However, I would like to see...
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Operations, Value
We get charged for mailing and other things, and that is kind of ridiculous. I don't know why R1 RCM...
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Relationship
We lost our liaison at R1 RCM. We haven't done much with our new one. Our new liaison doesn't really...
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Operations
R1 RCM’s physician advisory services include staff nurses who review each case, assign a score, and...
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Operations
I would say that when it comes to R1 RCM exceeding expectations, they are about 50/50. They exceed...
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Relationship, Services
We meet with R1 RCM regularly to receive their data-consolidation information. That information...
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Services, Value
When hospitals in our system have staffing shortages and knowledge gaps, all the peer-to-peer and...
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Relationship, Operations, Services
There are certain things we use R1 RCM for that give us strong industry knowledge. There are...
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Loyalty, Relationship, Services, Value
Some benefits of working with R1 RCM are their industry knowledge and ability to tap into...
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Relationship
The biggest frustration I have probably had is that every individual who looks at the guidelines...
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Relationship, Operations, Services
There have been some learning challenges with using the nurses for first-level reviews. R1 RCM has...
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Relationship
I highly recommend R1 RCM. We keep increasing what we are using them for, and they are very...
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Relationship, Services
I would call R1 RCM if I had a challenge, but they usually seem to be a step ahead of us with any...
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Operations
R1 RCM can provide a determination of inpatient services. The work they do meets our needs. However,...
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Relationship, Operations, Services
Working with R1 RCM has been a seamless experience. We have had no challenges with them. They are...
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Relationship, Operations, Services
The people from R1 RCM have done some special projects for us when we have reached out, and they...
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Relationship
We had an issue with an R1 RCM provider, and we escalated it to our contact, who addressed it very...
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Loyalty, Relationship
If we are looking at other alternatives that are not an internal physician advisor, R1 RCM is the...
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Relationship
During the week, we can tell that specific, more tenured or experienced physicians worked certain...
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Relationship, Services
When R1 RCM misses a peer-to-peer turnaround time or chalks it up to an expected denial due to...
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Relationship
For the most part, R1 RCM was very consistent regarding what would be appropriate for inpatient or...
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Services
A concern we have with R1 RCM is that when they are billing, if a peer-to-peer case is completed in...
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Relationship, Services
Overall, R1 RCM’s responses and case determinations have been done in a timely manner. However, when...
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Loyalty
We won’t renew our contract with R1 RCM. The decision to move away from R1 RCM was multifactorial....
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Relationship, Operations
I feel like we have a decent system for pushing out reports, as well as meeting and going over...
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Operations
We went live on our new EHR. Our process for engaging R1 RCM didn't change with that new system at...
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Loyalty, Services
We would hire R1 RCM again, but only if there were adjustments. We have seen some opportunities for...
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Operations
From an educational standpoint with R1 RCM, I would like to see fewer invitations to schedule...
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Loyalty, Relationship, Operations
We changed firms. We made the decision based on the new firm’s success rate with one of our partner...
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Operations
R1 RCM does a great job, but payers know who R1 RCM is. Payers won't give the firm the same...
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Operations
R1 RCM provides our trusted physician advisory service. Our organization relies on the services...
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Operations, Value
We have no complaints about the scope of work that R1 RCM delivers. The services are wonderful. Our...
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Relationship, Services, Value
We had a change in our account representative from R1 RCM after working with our previous one for...
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Operations
R1 RCM looked at the difference in prioritizing the cases, and things are coming back in a much...
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Loyalty, Relationship, Services
There are lots of layers to R1 RCM. We have been using certain services for a long time. But when we...
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Operations, Value
R1 RCM is a big firm, but they still offer hospital-specific data, so we get regular reports. They...
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Relationship, Services
R1 RCM has changed a lot of things on their end based on our feedback and other things that they see...
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Relationship, Operations
In the last couple of months, R1 RCM has changed a few of the things that they told us. We miss some...
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Loyalty, Relationship, Services
A lot of other firms have reached out to us about the work we do with R1 RCM, but we have chosen to...
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Operations, Value
I love the ease of submitting cases for R1 RCM to review. Their portal is very straightforward to...
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Operations
R1 RCM really does a great job of sharing data. I would say that the only opportunity they have to...
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Loyalty, Relationship
We have been a long-time customer of R1 RCM. We chose this company because they have very engaging...
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Relationship
Our account representative always goes above and beyond. If we reach out to them in real time with...
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Relationship
The firm has a couple of misses here and there, but for the most part, R1 RCM’s turnaround time is...
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Operations
One issue we have had in the past is the way the firm is set up. When we send a case to be reviewed,...
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Relationship, Services
When we have a denial for a technical reason, like an authorization wasn't obtained or the payer...
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Value
R1 RCM charges for the shipping of appeals rather than just including that as part of the cost of...
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Value
R1 RCM charges us for every little thing. They charge us if they write the appeal, and they charge...
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Relationship
Our account executive is amazing. That person constantly meets with us, forwards our issues, and...
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Relationship, Services
The biggest issue is that R1 RCM doesn't do quality review checks even though they say that they are...
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Relationship, Services
R1 RCM turns around the cases, and they write the letters pretty quickly, but there are several...
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Value
I probably wouldn't buy R1 RCM's services again if I had to make the choice because the firm makes a...
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Services
A patient has to be in the hospital for 48 hours to be considered medically necessary, but there are...
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Relationship
The firm works with us whenever we discuss the issues that their staff has. However, we have had...
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Relationship, Services
R1 RCM’s turnaround time could be improved. I feel like they are not able to manage the rate or...
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Relationship, Services
Sometimes R1 RCM uses an LVN to screen some of our cases, and I'm not too sure if the firm is not...
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Relationship, Operations
Education with physicians will help address our needs, although R1 RCM provides education already...
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Relationship
I like R1 RCM’s executive person; I can email that person anytime, and they do services once in a...
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Value
If there is a better company out there than R1 RCM, then why not go with them? I just don't like...
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Relationship, Services
I would like R1 RCM to provide us with data on a regular basis. I would like collaboration and...
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Services
Whenever R1 RCM does a peer-to-peer review, they need to do it not just based on the documentation...
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Value
We have contractual fees lined out with R1 RCM. The fees are per transaction, but they are very well...
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Relationship, Operations
R1 RCM does good work, and they consistently exceed our expectations in this space. They do really...
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Relationship, Services
R1 RCM has strong associates. Whether they are MDs or RNs, they are very strong in the right skill...
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