R1 Denials Management Services Commentary
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Subject Expert
Mollie Hunt
Research Director
Commentary Summary
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User Commentary
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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Relationship, Services
I would tell a peer or friend that R1 has great expertise in this particular area of medical...
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Relationship
R1 sends me a report regularly of their reporting, but I have never had any interaction with them in...
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Services, Value
When I look at the reports, I see a lot of overturned appeals. Our expectation is to get the appeals...
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Relationship
My contacts from R1 are very responsive and get back to me when I have questions or issues. I don't...
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Relationship, Services
We have a lot of older accounts on our outsource list. R1’s rationale behind that is that they are...
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Relationship, Services
The reporting and analytics could be improved to help prevent denials in the future. R1 is great at...
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Relationship
R1’s clinical and legal expertise and ability to craft an argument in the setting of a clinical...
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Loyalty, Relationship
There has been a bit of a decline in the quality of follow-up and staffing and in the ability to...
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Loyalty, Relationship, Value
Cloudmed's overturn rate is pretty accurate. They do a great job for us. Their productivity is...
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Relationship
What I like about R1 is the monthly or quarterly updates that they schedule with us to do web-type...
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Relationship
R1 responds in a very timely manner to any questions or concerns that we may have. When they are not...
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Relationship, Services
With Cloudmed, we repeatedly state some of the issues that we are seeing in accounts. If the firm is...
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Value
The people at the firm are empowered to solve problems, but the question is whether they actually do...
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Relationship, Services
The firm is very system based. We have file feeds that send everything to the firm's system. There...
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Services
There should be periodic reviews of the inventory volume to determine whether the resource levels...
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Relationship, Services
Cloudmed has some amazing reporting tools. We meet on a regular basis to go over the inventory and...
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Loyalty, Relationship
Overall, Cloudmed is a great company. Their team, especially their leadership team, has good...
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Relationship
Helping us prevent future denials is a big area for the firm to improve. I keep pushing them on...
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Value
I think that R1 charges us appropriately. They charge us for everything that is outlined in the...
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Services
There have been a few things that we have stressed to R1 multiple times, such as utilizing the payer...
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Relationship
The people we meet with at R1 are great. I sometimes feel like the information we give them to take...
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Relationship
R1 seems to be engaged with us. They are great communicators and are always able to hop on a call,...
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Relationship
The provider representatives are great. The employees who are working on the denials could be more...
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Relationship, Services
R1 is a great partner. They used to be Praxis, and then they were purchased by R1. We have seen a...
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Relationship
I work with the lower levels of R1’s management team, but there was a person who used to be very...
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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...
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Relationship, Services
R1 has been promising us a new tool that is supposed to give us a little more insight into certain...
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Relationship, Operations
R1 could improve their communication, timely responses, and reporting. We have asked R1 to provide...
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Relationship
R1 is doing a great job. The advantage of working with R1 is that they have a very talented team....
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Operations
R1’s invoicing is sometimes a challenge. We have found errors with their invoicing to the tune of...
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Operations, Services
R1’s portal that they use for some of the programs is not great, and some of their other programs...
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Relationship
R1 has a great team of providers and compliance people. Sometimes we ask R1 to jump on a call if...
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Relationship
I have not noticed a difference in services since Cloudmed was acquired by R1. The service still...
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Relationship
The rate of overturn with R1 has been better than expected. They have overturned some really...
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Relationship, Services
The reporting has been very detailed, and anytime I make suggestions of a different way I would like...
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Relationship, Services
The only room for improvement R1 has is on their closure summaries. Often in reconciliation, I try...
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Relationship
We value our relationship with R1. The person from the firm that we work with is very reactive, and...
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Relationship
The only concern that we had is we looked to the firm to help with some other processes, and they...
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