R1 Denials Management Services Commentary
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Subject Expert
Mollie Hunt
Research Director
Commentary Summary
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User Commentary
Loyalty, Value
We decided on R1 RCM because they are cost-effective. Their support is doing really well.
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Relationship, Services
R1 RCM has a much larger team than we do, so they can move quickly, and that is important since many...
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Loyalty
We already recommend R1 RCM to different doctors and CEOs. If they are having problems, the firm is...
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Operations, Services
With R1 RCM, we have had some payments that have been difficult to locate in the past. Getting those...
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Value
Driving outcomes is at the top of R1 RCM’s list because if they don’t get a good outcome, they don’t...
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Operations
We could always improve denial reporting in our patient management system. I rely heavily on reports...
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Operations, Services
When I request education from R1 RCM to help us prevent denials in the future, I am given some...
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Loyalty, Relationship, Operations
I would completely hire R1 RCM again. The only reason we are switching is because of our executive...
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Relationship, Operations
I feel like R1 RCM meets expectations. I love that R1 RCM has a contingency-based model. That is my...
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Loyalty, Services, Value
I would tell others considering R1 RCM that using them is a good decision. The firm offers fair...
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Operations
I have heard that R1 RCM’s reporting is good, but I haven't seen it. My team would come to me if...
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Relationship
With one appeal, our team felt like R1 RCM’s approach was not the correct approach based on the...
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Relationship
I really appreciate that R1 RCM works with us. If we ask for something, they are responsive. We ask...
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Operations, Services
There are just a few issues between our system and R1 RCM’s system. It took a long time to get R1...
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Services
We accidentally discovered an issue, so I don’t feel 100% confident that when we forward a record,...
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Loyalty, Operations, Value
We are going to replace R1 RCM's service. We are building in-house. I don't think that our vendors...
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Operations, Value
R1 RCM is great and delivers a great product. I just wish they would do it at a lower cost to...
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Operations, Services
Outpatient medical necessity is just now turning around. It was a big lift on my part. I had to be...
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Operations, Services
There is not much feedback or education around preventing future denials. The firm just works...
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Services, Value
R1 RCM is a little expensive in some sites. However, they go above and beyond around the charging...
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Relationship, Operations
We have had very good results in the space with executives, so they are very attentive. The firm...
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Operations
R1 RCM’s formatting is nonexistent to us. They report in our style and our metrics.
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Operations, Services
I'm comfortable with R1 RCM’s regular, day-to-day work. There have been some challenges. We always...
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Relationship, Operations, Services
The denials side has been going well, but there is a lack of reporting depth. The reports are not...
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Relationship
I don’t think the firm has ever helped us prevent a denial. They have the right knowledge, but they...
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Relationship, Services
We have regular meetings with R1 RCM, and they go over all the different reports and data that they...
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Operations
With R1 RCM, there are some appeals that seem to fall through the cracks that don't get followed up...
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Relationship, Services
R1 RCM is really good about doing regular reviews. They brought an opportunity to us through their...
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Operations, Services, Value
We worked with R1 RCM on a project where they helped us understand that our reimbursement would be...
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Relationship, Services
R1 RCM was very responsive and transparent, and they tried to stay engaged; I appreciated that. And...
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Relationship, Operations, Value
With some of the accounts that we gave R1 RCM, there was really only a prayer that they could...
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Relationship, Value
R1 RCM’s overturn rate was better than we expected. They were successful, and we are still getting...
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Relationship
Our R1 RCM client success manager is very involved, and they address my problems.
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Relationship, Services
R1 RCM has good reports, but I often have to ask for additional details. The firm gives us the root...
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Operations
R1 RCM overestimated what they would be able to successfully appeal for us. I don't think they took...
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Relationship
R1 RCM has had some different changes in leadership, and they have made a lot of improvements in...
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Relationship, Services
R1 RCM has gone above and beyond on the payer escalations. Most firms would say that they are there...
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Relationship, Services
R1 RCM has a pretty good overturn rate, and we have continued to enhance that with the process...
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Relationship
Working with R1 RCM takes some strong partnership and strong oversight because we need somebody who...
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Services
R1 RCM does exceed expectations, but they do not consistently exceed expectations. I have very high...
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Loyalty, Relationship
R1 RCM has lost a lot of folks of late. The handoff process is fine. We won't see the effect of it...
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Relationship, Services
R1 RCM is so tactically focused on denials management that they don't necessarily step up, look at...
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Relationship
In a realm where a lot of firms are not great, R1 RCM is better than the rest. When I give R1 RCM my...
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Relationship, Services
In terms of preventing denials in the future, I would say the firm is very adaptable. They will...
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Value
When we initially brought the firm in, they knocked things out of the park and brought in quite a...
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Relationship
The only challenge is that the firm has had some staff changes. A number of folks have left and...
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Relationship, Services
In the past with a number of coders, nurses, and other associates, we saw some really quality...
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Relationship, Services
We have created some more enhanced internal processes, and some of our initial issues have dwindled...
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Services
In terms of reporting, the only thing that I would say that could use improvement is the bucketing...
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Relationship
We met with another firm that does similar work, but what was unique was that that firm wouldn’t...
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Relationship, Operations
Things are going really well with R1 RCM's denials management services. The work they are doing is...
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Operations
We really haven't had trending meetings with R1 RCM yet, so I don't have a good indication of how...
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Operations
The only piece of the firm's services that I wouldn’t rate very high is our aged A/R bucket that R1...
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Operations
R1 RCM hasn’t quite developed their reporting for denials management. They meet with us sometimes to...
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Relationship
Our engagement with the firm has lessened recently, but that is just because we are trying to keep...
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Operations
The only issue that we have is not in the book-of-business work. It is more between their company...
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Relationship, Value
R1 RCM is definitely delivering on what they have promised. They have run at a very high overturn...
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Services
We occasionally get people who mess up our accounts. But R1 RCM is very attentive to that. So as...
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Relationship, Operations
R1 RCM is very successful at active A/R denials. We really appreciate their feedback on those, and...
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Loyalty, Operations
We decided to leave R1 RCM. As we grew and learned more about different denial populations, we were...
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Relationship, Operations
We would like more timely submissions, more timely follow-up, and more flexibility to follow our...
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Relationship, Operations
We had a particular payer that denied all of our appeals for a certain procedure, and our main...
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Relationship, Operations
When we first started working with the firm, we used to have a lot of executive contact; the people...
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Relationship, Services
When Cloudmed was acquired by R1 RCM, we noticed a dip in quality, and I don't know whether they...
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Relationship, Operations
R1 RCM’s reporting was fine. They worked with us to do their reporting. It was hard to get them to...
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Loyalty, Relationship
Things are going pretty well with R1 RCM. I would say they are meeting our expectations. I see our...
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Services
I don't know whether other companies do this, but R1 RCM prepares a presentation for me to present...
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