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R1 RCM Physician Advisory Services Commentary
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Subject Expert
Brittani Oliver
Engagement Partner
KLAS Engagement Partner - Brittani Oliver
 

Commentary Summary

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User Commentary

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VP/Other Executive

R1 RCM does a good job of explaining what the clinical criteria are that they believe are being...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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VP/Other Executive

R1 RCM's staff does a good job. A provider's answer might be different than mine, but from an...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

Our providers often push back on the R1 RCM physicians because they don't know them as well. They...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

R1 RCM is going to continue to be a long-term part of our plan. They have moved into more of an...

Comment Tone Positive
Pillars Loyalty, Relationship
Evaluation Unrated

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VP/Other Executive

R1 RCM is still headed in the right direction. As they expand what they're doing with AI to improve...

Comment Tone Positive
Pillars Loyalty
Evaluation Unrated

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VP/Other Executive

We use R1 RCM primarily as overflow. We started hiring our own physician advisory staff because what...

Comment Tone Positive
Pillars Services
Evaluation Unrated

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VP/Other Executive

R1 RCM's accuracy is pretty good. They keep good records of their overturn rates for different...

Comment Tone Positive
Pillars Services
Evaluation Unrated

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Physician

R1 RCM is exceeding our expectations in their responsiveness. They are a very good group to work...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Physician

R1 RCM has adjusted things over time as we have asked them to, like in their reporting. With some of...

Comment Tone Positive
Pillars Loyalty, Relationship, Services
Evaluation Unrated

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Physician

R1 RCM has made so many improvements. Back in the day, I would have fussed and said their turnaround...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Physician

We have literally found no other group than R1 RCM, and we have not really looked, but we have no...

Comment Tone Positive
Pillars Loyalty
Evaluation Unrated

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Manager

The biggest benefits of using R1 RCM are ease of use for elevating cases to their physician advisors...

Comment Tone Positive
Pillars Services
Evaluation Unrated

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Manager

One improvement I would suggest is to make the response time from the firm's physician advisor...

Comment Tone Neutral
Pillars Relationship, Services
Evaluation Unrated

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Manager

We have a very good relationship with R1 RCM. They exceed our expectations. Whenever we have an...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Manager

We don't always have an in-house physician advisor or utilization review committee person available...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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Director

My recommendation for improvement is more of a process thing. The vendor should ensure that the...

Comment Tone Negative
Pillars Relationship, Operations
Evaluation Unrated

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Director

R1 RCM is very responsive. When we do have issues, they work to correct them. We see sometimes with...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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Director

Our liaison with R1 RCM is very attentive and responsive, and that's a plus. Having that ability to...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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Director

R1 RCM is very good. If we have any issues, we reach out to our liaison, and they are very...

Comment Tone Positive
Pillars Relationship, Operations
Evaluation Unrated

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Director

What R1 RCM does well is their willingness to collaborate when I request something or when we need...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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Director

Because R1 RCM has gotten so big, sometimes they don’t follow up quickly on things. We just have to...

Comment Tone Negative
Pillars Relationship, Services
Evaluation Unrated

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Director

We would contract with R1 RCM again since we kind of know them already. However, I would like to see...

Comment Tone Positive
Pillars Loyalty, Relationship
Evaluation Unrated

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Director

We get charged for mailing and other things, and that is kind of ridiculous. I don't know why R1 RCM...

Comment Tone Negative
Pillars Operations, Value
Evaluation Unrated

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Director

We lost our liaison at R1 RCM. We haven't done much with our new one. Our new liaison doesn't really...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Director

R1 RCM’s physician advisory services include staff nurses who review each case, assign a score, and...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Director

I would say that when it comes to R1 RCM exceeding expectations, they are about 50/50. They exceed...

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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VP/Other Executive

We meet with R1 RCM regularly to receive their data-consolidation information. That information...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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VP/Other Executive

When hospitals in our system have staffing shortages and knowledge gaps, all the peer-to-peer and...

Comment Tone Positive
Pillars Services, Value
Evaluation Unrated

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VP/Other Executive

There are certain things we use R1 RCM for that give us strong industry knowledge. There are...

Comment Tone Positive
Pillars Relationship, Operations, Services
Evaluation Unrated

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VP/Other Executive

Some benefits of working with R1 RCM are their industry knowledge and ability to tap into...

Comment Tone Positive
Pillars Loyalty, Relationship, Services, Value
Evaluation Unrated

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Director

The biggest frustration I have probably had is that every individual who looks at the guidelines...

Comment Tone Neutral
Pillars Relationship
Evaluation Unrated

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Director

There have been some learning challenges with using the nurses for first-level reviews. R1 RCM has...

Comment Tone Positive
Pillars Relationship, Operations, Services
Evaluation Unrated

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Director

I highly recommend R1 RCM. We keep increasing what we are using them for, and they are very...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

I would call R1 RCM if I had a challenge, but they usually seem to be a step ahead of us with any...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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Director

R1 RCM can provide a determination of inpatient services. The work they do meets our needs. However,...

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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Director

Working with R1 RCM has been a seamless experience. We have had no challenges with them. They are...

Comment Tone Positive
Pillars Relationship, Operations, Services
Evaluation Unrated

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Director

The people from R1 RCM have done some special projects for us when we have reached out, and they...

Comment Tone Positive
Pillars Relationship, Operations, Services
Evaluation Unrated

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Manager

We had an issue with an R1 RCM provider, and we escalated it to our contact, who addressed it very...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Manager

If we are looking at other alternatives that are not an internal physician advisor, R1 RCM is the...

Comment Tone Positive
Pillars Loyalty, Relationship
Evaluation Unrated

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Manager

During the week, we can tell that specific, more tenured or experienced physicians worked certain...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Manager

When R1 RCM misses a peer-to-peer turnaround time or chalks it up to an expected denial due to...

Comment Tone Negative
Pillars Relationship, Services
Evaluation Unrated

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Manager

For the most part, R1 RCM was very consistent regarding what would be appropriate for inpatient or...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Manager

A concern we have with R1 RCM is that when they are billing, if a peer-to-peer case is completed in...

Comment Tone Negative
Pillars Services
Evaluation Unrated

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Manager

Overall, R1 RCM’s responses and case determinations have been done in a timely manner. However, when...

Comment Tone Negative
Pillars Relationship, Services
Evaluation Unrated

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Manager

We won’t renew our contract with R1 RCM. The decision to move away from R1 RCM was multifactorial....

Comment Tone Negative
Pillars Loyalty
Evaluation Unrated

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Director

I feel like we have a decent system for pushing out reports, as well as meeting and going over...

Comment Tone Positive
Pillars Relationship, Operations
Evaluation Unrated

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Director

We went live on our new EHR. Our process for engaging R1 RCM didn't change with that new system at...

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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Director

We would hire R1 RCM again, but only if there were adjustments. We have seen some opportunities for...

Comment Tone Negative
Pillars Loyalty, Services
Evaluation Unrated

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Director

From an educational standpoint with R1 RCM, I would like to see fewer invitations to schedule...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Director

We changed firms. We made the decision based on the new firm’s success rate with one of our partner...

Comment Tone Negative
Pillars Loyalty, Relationship, Operations
Evaluation Unrated

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Director

R1 RCM does a great job, but payers know who R1 RCM is. Payers won't give the firm the same...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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