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R1 Denials Management Services Commentary
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Subject Expert
Brittani Oliver
Engagement Partner
KLAS Engagement Partner - Brittani Oliver
 

Commentary Summary

Comment Type Breakout

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User Commentary

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Director

R1 RCM is pretty good at preventing denials, but things just used to be a little more detailed....

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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Director

R1 RCM shows us things in a couple of different ways. They'll show us things based on aging or...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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VP/Other Executive

We have a really good partnership with R1 RCM. They stay on top of everything. Their executive...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

R1 RCM does great work. They have some ebbs and flows. Recently, we have had to push R1 RCM to be a...

Comment Tone Positive
Pillars Operations, Services
Evaluation Unrated

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Director

R1 RCM got taken private, and a lot of people left after that. Prior to that, we had incredible...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Director

R1 RCM pushed us quite a bit toward a portal for accessing information. That portal is probably...

Comment Tone Negative
Pillars Services
Evaluation Unrated

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Director

R1 RCM has been amenable to a lot of requests we have had. We like the volume at which we submit...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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VP/Other Executive

We decided on R1 RCM because they are cost-effective. Their support is doing really well.

Comment Tone Positive
Pillars Loyalty, Value
Evaluation Unrated

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Director

R1 RCM has a much larger team than we do, so they can move quickly, and that is important since many...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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Director

We already recommend R1 RCM to different doctors and CEOs. If they are having problems, the firm is...

Comment Tone Positive
Pillars Loyalty
Evaluation Unrated

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Director

With R1 RCM, we have had some payments that have been difficult to locate in the past. Getting those...

Comment Tone Positive
Pillars Operations, Services
Evaluation Unrated

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Director

Driving outcomes is at the top of R1 RCM’s list because if they don’t get a good outcome, they don’t...

Comment Tone Positive
Pillars Value
Evaluation Unrated

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Director

We could always improve denial reporting in our patient management system. I rely heavily on reports...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Director

When I request education from R1 RCM to help us prevent denials in the future, I am given some...

Comment Tone Negative
Pillars Operations, Services
Evaluation Unrated

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Director

I would completely hire R1 RCM again. The only reason we are switching is because of our executive...

Comment Tone Neutral
Pillars Loyalty, Relationship, Operations
Evaluation Unrated

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Director

I feel like R1 RCM meets expectations. I love that R1 RCM has a contingency-based model. That is my...

Comment Tone Positive
Pillars Relationship, Operations
Evaluation Unrated

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Director

I would tell others considering R1 RCM that using them is a good decision. The firm offers fair...

Comment Tone Positive
Pillars Loyalty, Services, Value
Evaluation Unrated

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Director

I have heard that R1 RCM’s reporting is good, but I haven't seen it. My team would come to me if...

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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Manager

With one appeal, our team felt like R1 RCM’s approach was not the correct approach based on the...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Manager

I really appreciate that R1 RCM works with us. If we ask for something, they are responsive. We ask...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Manager

There are just a few issues between our system and R1 RCM’s system. It took a long time to get R1...

Comment Tone Neutral
Pillars Operations, Services
Evaluation Unrated

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Manager

We accidentally discovered an issue, so I don’t feel 100% confident that when we forward a record,...

Comment Tone Positive
Pillars Services
Evaluation Unrated

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VP/Other Executive

We are going to replace R1 RCM's service. We are building in-house. I don't think that our vendors...

Comment Tone Negative
Pillars Loyalty, Operations, Value
Evaluation Unrated

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VP/Other Executive

R1 RCM is great and delivers a great product. I just wish they would do it at a lower cost to...

Comment Tone Positive
Pillars Operations, Value
Evaluation Unrated

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VP/Other Executive

Outpatient medical necessity is just now turning around. It was a big lift on my part. I had to be...

Comment Tone Negative
Pillars Operations, Services
Evaluation Unrated

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Director

There is not much feedback or education around preventing future denials. The firm just works...

Comment Tone Negative
Pillars Operations, Services
Evaluation Unrated

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Director

R1 RCM is a little expensive in some sites. However, they go above and beyond around the charging...

Comment Tone Positive
Pillars Services, Value
Evaluation Unrated

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Director

We have had very good results in the space with executives, so they are very attentive. The firm...

Comment Tone Positive
Pillars Relationship, Operations
Evaluation Unrated

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Director

R1 RCM’s formatting is nonexistent to us. They report in our style and our metrics.

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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Director

I'm comfortable with R1 RCM’s regular, day-to-day work. There have been some challenges. We always...

Comment Tone Negative
Pillars Operations, Services
Evaluation Unrated

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Director

The denials side has been going well, but there is a lack of reporting depth. The reports are not...

Comment Tone Negative
Pillars Relationship, Operations, Services
Evaluation Unrated

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Director

I don’t think the firm has ever helped us prevent a denial. They have the right knowledge, but they...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Analyst/Coordinator

We have regular meetings with R1 RCM, and they go over all the different reports and data that they...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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Analyst/Coordinator

With R1 RCM, there are some appeals that seem to fall through the cracks that don't get followed up...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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VP/Other Executive

R1 RCM is really good about doing regular reviews. They brought an opportunity to us through their...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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Manager

We worked with R1 RCM on a project where they helped us understand that our reimbursement would be...

Comment Tone Positive
Pillars Operations, Services, Value
Evaluation Unrated

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Manager

R1 RCM was very responsive and transparent, and they tried to stay engaged; I appreciated that. And...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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Manager

With some of the accounts that we gave R1 RCM, there was really only a prayer that they could...

Comment Tone Positive
Pillars Relationship, Operations, Value
Evaluation Unrated

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Manager

R1 RCM’s overturn rate was better than we expected. They were successful, and we are still getting...

Comment Tone Positive
Pillars Relationship, Value
Evaluation Unrated

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VP/Other Executive

Our R1 RCM client success manager is very involved, and they address my problems.

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

R1 RCM has good reports, but I often have to ask for additional details. The firm gives us the root...

Comment Tone Neutral
Pillars Relationship, Services
Evaluation Unrated

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VP/Other Executive

R1 RCM overestimated what they would be able to successfully appeal for us. I don't think they took...

Comment Tone Neutral
Pillars Operations
Evaluation Unrated

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Director

R1 RCM has had some different changes in leadership, and they have made a lot of improvements in...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

R1 RCM has gone above and beyond on the payer escalations. Most firms would say that they are there...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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Director

R1 RCM has a pretty good overturn rate, and we have continued to enhance that with the process...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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Director

Working with R1 RCM takes some strong partnership and strong oversight because we need somebody who...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

R1 RCM does exceed expectations, but they do not consistently exceed expectations. I have very high...

Comment Tone Negative
Pillars Services
Evaluation Unrated

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VP/Other Executive

R1 RCM has lost a lot of folks of late. The handoff process is fine. We won't see the effect of it...

Comment Tone Negative
Pillars Loyalty, Relationship
Evaluation Unrated

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VP/Other Executive

R1 RCM is so tactically focused on denials management that they don't necessarily step up, look at...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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VP/Other Executive

In a realm where a lot of firms are not great, R1 RCM is better than the rest. When I give R1 RCM my...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

In terms of preventing denials in the future, I would say the firm is very adaptable. They will...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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Director

When we initially brought the firm in, they knocked things out of the park and brought in quite a...

Comment Tone Positive
Pillars Value
Evaluation Unrated

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Director

The only challenge is that the firm has had some staff changes. A number of folks have left and...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

In the past with a number of coders, nurses, and other associates, we saw some really quality...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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Director

We have created some more enhanced internal processes, and some of our initial issues have dwindled...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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Director

In terms of reporting, the only thing that I would say that could use improvement is the bucketing...

Comment Tone Negative
Pillars Services
Evaluation Unrated

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Director

We met with another firm that does similar work, but what was unique was that that firm wouldn’t...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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