R1 Denials Management 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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VP/Other Executive

Value

One thing that R1 could do to help is keep costs lower for hospitals as that is such a struggle for...

Jul 2024
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VP/Other Executive

Relationship

I have enjoyed every one of the firm's employees that I have engaged with from the team to the...

Jul 2024
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VP/Other Executive

Relationship

Overall, Cloudmed has just been a wonderful partner for us. I have been very impressed with the...

Jul 2024
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Director

Relationship

R1 had a rough time last year with the overturn rate but has turned some things around. They are...

May 2024
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Director

Relationship, Services

To prevent future denials, we have regular meetings, and R1 gives us specific examples. In an ideal...

May 2024
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Director

Relationship

R1's responsiveness to emails with my team is not very prompt. They could be better. When we have...

May 2024
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Director

Relationship, Operations

We have frequent meetings with R1. They asked for meetings where they could interact with us, talk...

May 2024
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Manager

Relationship

R1 is looking at our denials and doing appeals to try and get recoveries in for us. We always look...

Apr 2024
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Manager

Relationship, Services

The appeals process Cloudmed does has been going very well. I like that they provide meaningful...

Apr 2024
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Manager

Relationship

R1 is very knowledgeable and responsive. The person I deal with is very knowledgeable regarding the...

Apr 2024
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Manager

Services

We are currently using R1. Things have been a little complicated because R1 has purchased some of...

Apr 2024
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Analyst/Coordinator

Relationship, Services

I would tell a peer or friend that R1 has great expertise in this particular area of medical...

Jan 2024
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Analyst/Coordinator

Relationship

R1 sends me a report regularly of their reporting, but I have never had any interaction with them in...

Jan 2024
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Analyst/Coordinator

Services, Value

When I look at the reports, I see a lot of overturned appeals. Our expectation is to get the appeals...

Jan 2024
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Analyst/Coordinator

Relationship

My contacts from R1 are very responsive and get back to me when I have questions or issues. I don't...

Jan 2024
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Analyst/Coordinator

Relationship, Services

We have a lot of older accounts on our outsource list. R1’s rationale behind that is that they are...

Jan 2024
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Director

Relationship, Services

The reporting and analytics could be improved to help prevent denials in the future. R1 is great at...

Dec 2023
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Director

Relationship

R1’s clinical and legal expertise and ability to craft an argument in the setting of a clinical...

Dec 2023
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Director

Loyalty, Relationship

There has been a bit of a decline in the quality of follow-up and staffing and in the ability to...

Dec 2023
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Director

Loyalty, Relationship, Value

Cloudmed's overturn rate is pretty accurate. They do a great job for us. Their productivity is...

Dec 2023
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Manager

Relationship

What I like about R1 is the monthly or quarterly updates that they schedule with us to do web-type...

Dec 2023
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Manager

Relationship

R1 responds in a very timely manner to any questions or concerns that we may have. When they are not...

Dec 2023
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Director

Relationship, Services

With Cloudmed, we repeatedly state some of the issues that we are seeing in accounts. If the firm is...

Nov 2023
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Director

Value

The people at the firm are empowered to solve problems, but the question is whether they actually do...

Nov 2023
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Director

Relationship, Services

The firm is very system based. We have file feeds that send everything to the firm's system. There...

Nov 2023
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Director

Services

There should be periodic reviews of the inventory volume to determine whether the resource levels...

Nov 2023
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Director

Relationship, Services

Cloudmed has some amazing reporting tools. We meet on a regular basis to go over the inventory and...

Nov 2023
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Director

Loyalty, Relationship

Overall, Cloudmed is a great company. Their team, especially their leadership team, has good...

Nov 2023
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Director

Relationship

Helping us prevent future denials is a big area for the firm to improve. I keep pushing them on...

Nov 2023
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Analyst/Coordinator

Value

I think that R1 charges us appropriately. They charge us for everything that is outlined in the...

Nov 2023
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Analyst/Coordinator

Services

There have been a few things that we have stressed to R1 multiple times, such as utilizing the payer...

Nov 2023
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Analyst/Coordinator

Relationship

The people we meet with at R1 are great. I sometimes feel like the information we give them to take...

Nov 2023
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Analyst/Coordinator

Relationship

R1 seems to be engaged with us. They are great communicators and are always able to hop on a call,...

Nov 2023
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Analyst/Coordinator

Relationship

The provider representatives are great. The employees who are working on the denials could be more...

Nov 2023
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Director

Relationship, Services

R1 is a great partner. They used to be Praxis, and then they were purchased by R1. We have seen a...

Nov 2023
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Director

Relationship

I work with the lower levels of R1’s management team, but there was a person who used to be very...

Nov 2023
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Director

Loyalty, Relationship

R1 does a very good job. For the main project they do for us, R1 does an excellent job, so I can’t...

Nov 2023
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Director

Relationship, Services

R1 has been promising us a new tool that is supposed to give us a little more insight into certain...

Nov 2023
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Director

Relationship, Operations

R1 could improve their communication, timely responses, and reporting. We have asked R1 to provide...

Nov 2023
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Director

Relationship

R1 is doing a great job. The advantage of working with R1 is that they have a very talented team....

Nov 2023
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VP/Other Executive

Operations

R1’s invoicing is sometimes a challenge. We have found errors with their invoicing to the tune of...

Nov 2023
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VP/Other Executive

Operations, Services

R1’s portal that they use for some of the programs is not great, and some of their other programs...

Nov 2023
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VP/Other Executive

Relationship

R1 has a great team of providers and compliance people. Sometimes we ask R1 to jump on a call if...

Nov 2023
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Director

Relationship

I have not noticed a difference in services since Cloudmed was acquired by R1. The service still...

Nov 2023
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Director

Relationship

The rate of overturn with R1 has been better than expected. They have overturned some really...

Nov 2023
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Director

Relationship, Services

The reporting has been very detailed, and anytime I make suggestions of a different way I would like...

Nov 2023
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Director

Relationship, Services

The only room for improvement R1 has is on their closure summaries. Often in reconciliation, I try...

Nov 2023
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Director

Relationship

We value our relationship with R1. The person from the firm that we work with is very reactive, and...

Nov 2023
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Director

Relationship

The only concern that we had is we looked to the firm to help with some other processes, and they...

Nov 2023
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VP/Other Executive

Relationship

Cloudmed does things they don't have to do as a courtesy at times. The relationship is very good. We...

Oct 2023
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VP/Other Executive

Services

Cloudmed has done an excellent job with their legal counsel. We don’t have the nurses, doctors, and...

Sep 2023
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VP/Other Executive

Relationship

Cloudmed has regularly scheduled meetings with us. They have agendas. They come prepared with the...

Sep 2023
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VP/Other Executive

Relationship, Value

Cloudmed has been able to accommodate large volumes of claims for us at a time when we really needed...

Sep 2023
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Manager

Relationship

I have a long history with Cloudmed. I haven't seen a huge change in quality or anything like that,...

Aug 2023
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Manager

Relationship

I enjoy Cloudmed’s offerings. I enjoy the partnership. There are always opportunities for...

Aug 2023
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Manager

Relationship

Cloudmed’s leadership is phenomenal. All the leaders I have met at Cloudmed, and even the sales...

Aug 2023
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Manager

Relationship

Cloudmed’s reporting is fantastic. They are learning what I expect them to, and I'm learning what...

Aug 2023
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Manager

Loyalty, Relationship

We decided to engage with Cloudmed because we needed a partner to help us manage some of our A/R and...

Aug 2023
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Manager

Operations, Services

The help we get from Cloudmed depends on who is working on the account. There are times when...

Aug 2023
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Manager

Operations, Services

When we hired the firm, they were very honest. They claim things that they receive payments for, but...

Aug 2023
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Manager

Relationship

The firm is incredibly collaborative. They are not there just to say they are going to collect. They...

Aug 2023
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