R1 Denials Management Services Commentary
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Subject Expert
Mollie Hunt
Research Director
Commentary Summary
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User Commentary
Services
R1 RCM is one of our partners and resources for outsourcing, so as we flex our staffing needs, we...
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Relationship
We recently received some feedback from R1 RCM where they did some auditing and figured out some...
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Operations
R1 RCM’s inventory reports are good. They give us a status of where each account is at so that we...
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Relationship, Operations
We work with R1 RCM because we don't have the resources to do this work in-house. Some other...
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Relationship, Operations
A lot of times, R1 RCM doesn't use electronic resources to submit their appeals. They use snail mail...
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Relationship, Services
R1 RCM is trying because they meet with us and give us what we ask. I feel like some departments at...
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Relationship, Services
I only work with a couple of the R1 RCM representatives such as the contact people. The people I...
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Operations
I would recommend R1 RCM because they do take every single case and attempt to get it overturned....
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Relationship, Services
With R1 RCM, the reasons why cases aren't getting overturned need to be brought back to case...
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Relationship, Operations
R1 RCM could do a better job with their feedback for case management because that is where denials...
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Loyalty, Operations, Value
I don't know what our upper management is expecting with the overturn rate from R1 RCM. We don't...
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Relationship, Operations
R1 RCM doesn't do a lot of meetings or provide feedback. They have recently started planning more...
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Operations, Value
Sometimes we look at new technology like certain add-ons, and we contract the firm to help us with...
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Relationship, Services
When it comes to reporting, I would just like more consistency. We normally get status reports...
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Operations
There are certain times when the volume is high that we have to do follow-ups to check on the status...
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Relationship, Operations, Value
The department I'm in has had a relationship with the firm for many years now, and they were already...
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Relationship, Operations
What makes the firm’s staff so good is that they are just so forthcoming and helpful with their...
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Relationship, Services
R1 RCM has good knowledge. They are able to overturn quite a few of our accounts. They do tweaks...
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Relationship, Services
Some improvements could be made by R1 RCM’s leadership level, or the ones directly with the denials...
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Services
There may be times when the charges in our system don’t line up with the charges we sent out on a...
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Relationship, Services
My open-denials volume is something we have stressed numerous times, and it still continues to be an...
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Relationship
The team members R1 RCM employs are a mixture of onshore and offshore. R1 RCM needs to make sure...
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Services
When we get insurance correspondences, those correspondences get scanned into our EHR, and we don't...
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Relationship, Services
Cloudmed does really well from a reporting perspective. We have found other firms we use are not as...
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Relationship
There is definitely room for improvement with R1 RCM’s overturn rate of accounts, and we continue to...
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Relationship
Over the past year, we have employed the firm to assist us with our utilization management denials...
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Operations, Services
In following up on a high-dollar account, R1 RCM will allow the account to sit there until 45 days...
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Relationship
R1 RCM can definitely do better with preventing denials. They have done well by us working with...
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Relationship
If we know there is a payer issue, we can't help that. We just keep pushing on the payer. But if...
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Relationship, Value
Historically over the entire project, I would say R1 RCM avoids charging, but that is not based on a...
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Loyalty, Relationship
We have been with Cloudmed for a while on a denials project, and that means obviously we are happy...
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Relationship, Services
When we notice trends or issues and bring those forth at least once, our goal and expectation is...
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Relationship
R1 RCM is really a good partner. We have regular meetings with them. They bring us trends. When I...
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Services
R1 RCM could improve their report packaging. For the most part, the firm is our only denials...
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Relationship, Services
It would be helpful if R1 RCM actually worked in our system. Our other vendor has a work queue, and...
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Loyalty, Services
R1 RCM jumps on our high-dollar claims. In all fairness, we have a lot of denials because of our...
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Value
I would choose R1 RCM again. R1 RCM has a broad scope of skilled staff. They have nursing expertise....
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Relationship, Services
We have frequent calls with R1 RCM, and that is where I address any concerns or questions I have for...
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Relationship, Operations
R1 RCM is very good at filing appeals. They are good at that. They are really good at reporting as...
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Operations
One thing about R1 RCM is that they are going to appeal something, but sometimes they appeal things...
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Relationship, Services
R1 RCM could do better when we communicate changes or notice something that they aren't doing as...
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Operations
The only thing that R1 RCM needs improvement on would be certain processes in our workflow. The firm...
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Relationship, Services
R1 RCM does a pretty good job. We have frequent meetings where we can address any issues or concerns...
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Relationship
I don't know whether this is related to the many acquisitions that R1 RCM has gone through, but...
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Relationship, Services
R1 RCM is incredibly efficient. They have all of the in-house expertise needed to do an appeal. If...
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Relationship, Services
Overall, R1 RCM has been a really great partner for us in clinical appeals, and they are always...
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Relationship, Services
We don't use R1 RCM for our entire inventory, so they don't do analytics on the denials. They don't...
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Relationship, Operations
Getting to a place where we were comfortable and satisfied took a while, and that was only on R1...
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Services
R1 RCM gives root cause analysis for denials, and from there, we have to fix the problem in order to...
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Relationship
We meet with R1 RCM often, and they provide us with detailed findings and trends, so the engagement...
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Value
The recoveries that R1 RCM does are pretty much paying for the engagement. We have a contingent...
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Relationship, Services
R1 RCM is easy to work with and regularly interacts with my teams. Any time that we send over...
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Relationship, Services
R1 RCM’s strengths are pretty encompassing. They do a good job with the appeal process, their...
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Loyalty
While we did look at other vendors, R1 RCM had other solutions within our organization. They were...
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Services
I don't think R1 RCM is as far ahead with the denials group as they are with the zero balance...
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Relationship, Services
R1 RCM is super responsive. Any time we reach out, whether it is for an individual account, a...
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Services
R1 RCM’s reporting has been something that we have tried to model with other firms because of their...
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Relationship
R1 RCM meets my expectations. I have pretty high expectations, but the firm is always willing to...
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Relationship
I really don't have any issues with the firm's staff at all. Their CEO is very strategic. We have...
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Loyalty, Relationship
R1 RCM is a very good partner. They have been a really key strategic partner for a very long time....
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Relationship
During COVID-19 or even after COVID-19, many providers found themselves in a place through various...
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Value
One thing that R1 could do to help is keep costs lower for hospitals as that is such a struggle for...
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Relationship
I have enjoyed every one of the firm's employees that I have engaged with from the team to the...
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Relationship
Overall, Cloudmed has just been a wonderful partner for us. I have been very impressed with the...
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Relationship
R1 had a rough time last year with the overturn rate but has turned some things around. They are...
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Relationship, Services
To prevent future denials, we have regular meetings, and R1 gives us specific examples. In an ideal...
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Relationship
R1's responsiveness to emails with my team is not very prompt. They could be better. When we have...
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Relationship, Operations
We have frequent meetings with R1. They asked for meetings where they could interact with us, talk...
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Relationship
R1 is looking at our denials and doing appeals to try and get recoveries in for us. We always look...
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Relationship, Services
The appeals process Cloudmed does has been going very well. I like that they provide meaningful...
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Relationship
R1 is very knowledgeable and responsive. The person I deal with is very knowledgeable regarding the...
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Services
We are currently using R1. Things have been a little complicated because R1 has purchased some of...
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