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R1 Underpayment Recovery Services Commentary
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Subject Expert
Brittani Oliver
Engagement Partner
KLAS Engagement Partner - Brittani Oliver
 

Commentary Summary

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User Commentary

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Director

When selecting an underpayment recovery services firm, the primary factor that drives the...

Comment Tone Positive
Pillars Relationship, Operations
Evaluation Unrated

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Director

The only room for improvement is that, as R1 RCM has gotten a little bit bigger, we may not see as...

Comment Tone Negative
Pillars Relationship, Services
Evaluation Unrated

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Director

R1 RCM has exceeded our expectations for underpayment recovery. They do a really good job there. The...

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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Director

R1 RCM is focused on whatever needs to be done to recover the initial funds. R1 RCM isn't worried...

Comment Tone Negative
Pillars Relationship, Operations
Evaluation Unrated

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Director

Some of R1 RCM's management is moving up more quickly than they probably should. They are being...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Director

R1 RCM is excellent at follow-up. If we have any questions, R1 RCM is very good at answering,...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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VP/Other Executive

R1 RCM is really good at meeting regularly and going over their findings. There are times when I...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

R1 RCM is pretty on top of things. We have regular meetings with them on the programs we are...

Comment Tone Positive
Pillars Loyalty, Relationship, Value
Evaluation Unrated

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VP/Other Executive

R1 RCM serves up underpayments and tells us what happened, but when the firm was Triage Consulting...

Comment Tone Negative
Pillars Operations, Services
Evaluation Unrated

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VP/Other Executive

We have a pretty good rate with R1 RCM, and anything additional I want them to do does not require...

Comment Tone Positive
Pillars Value
Evaluation Unrated

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VP/Other Executive

In some of my meetings with R1 RCM, their root cause analysis was a little better before than it is...

Comment Tone Negative
Pillars Operations, Value
Evaluation Unrated

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VP/Other Executive

With R1 RCM, there is an iterative process because every organization uses Epic differently and...

Comment Tone Positive
Pillars Operations
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VP/Other Executive

I know someone at R1 RCM whom I can reach out to and tell that we might be missing something because...

Comment Tone Negative
Pillars Loyalty, Operations, Services, Value
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VP/Other Executive

I would rate R1 RCM a little lower on value because they are very expensive. We tried to have caps...

Comment Tone Negative
Pillars Value
Evaluation Unrated

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VP/Other Executive

I would probably still choose R1 RCM. They are really good at identifying underpayments and revenue...

Comment Tone Positive
Pillars Loyalty, Relationship, Operations
Evaluation Unrated

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Director

R1 RCM is very hungry for new business and new opportunities, so sometimes their behavior can be...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Director

It’s debatable whether R1 RCM is still part of our long-term plans. Our organization may make a...

Comment Tone Negative
Pillars Loyalty, Relationship
Evaluation Unrated

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VP/Other Executive

R1 RCM could provide more visibility into smaller accounts. They aren't going to review every...

Comment Tone Negative
Pillars Loyalty, Operations, Services
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VP/Other Executive

The people at R1 RCM are good listeners and are always willing to work with us. They consistently...

Comment Tone Positive
Pillars Relationship, Operations
Evaluation Unrated

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VP/Other Executive

R1 RCM has met my expectations. They are trying to maintain the same high-touch level of service...

Comment Tone Negative
Pillars Relationship, Services
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VP/Other Executive

R1 RCM has good communication. They provide feedback to allow us to improve internally. They have...

Comment Tone Positive
Pillars Relationship, Services
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VP/Other Executive

We have no plans to separate from R1 RCM. They are implementing some AI on the inpatient coding...

Comment Tone Positive
Pillars Loyalty
Evaluation Unrated

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VP/Other Executive

R1 RCM’s pricing is pretty steep. We are pushing for lower rates because everything that is going on...

Comment Tone Negative
Pillars Value
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Director

R1 RCM's solution is no longer only an end-to-end solution. R1 RCM has point solutions as well...

Comment Tone Neutral
Pillars Operations, Services
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Director

R1 RCM is pretty good in the second position because they do find a lot of things, and the rates are...

Comment Tone Positive
Pillars Services
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Director

We have regular discussions with R1 RCM, and they are pretty advanced on the reporting side across...

Comment Tone Positive
Pillars Relationship
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VP/Other Executive

From an underpayment standpoint, R1 RCM is our safety net. They come behind another vendor to...

Comment Tone Positive
Pillars Relationship, Services
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VP/Other Executive

R1 RCM changes their name more than I change clothes. For the most part, though, they have kept the...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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Director

R1 RCM has demonstrated that they have our long-term interests at heart, particularly through their...

Comment Tone Positive
Pillars Loyalty, Relationship, Services, Value
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Director

For our letter of agreement, or single-case agreement, as others refer to it, R1 RCM was very...

Comment Tone Positive
Pillars Loyalty, Operations, Value
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Manager

There are minimal areas for improvement with R1 RCM. I haven’t seen anything that isn’t worth...

Comment Tone Positive
Pillars Loyalty, Relationship, Operations, Services, Value
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Manager

Based on what R1 RCM already does for us, the additional conversations we have had, and the tangible...

Comment Tone Positive
Pillars Relationship, Value
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Manager

Right now, reporting in R1 RCM's solution is still very individualized because certain areas aren’t...

Comment Tone Negative
Pillars Operations
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Manager

For one of the identifications, R1 RCM provided details, and we were comfortable with their...

Comment Tone Negative
Pillars Operations
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Manager

My preference would be for R1 RCM to receive full training on our Epic environment, how it works,...

Comment Tone Negative
Pillars Operations
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Director

For R1 RCM, they have been able to fulfill everything we have requested, and they have requested...

Comment Tone Positive
Pillars Relationship, Operations, Services
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Director

We have been with the firm for a long time, since they were a different firm, and they have changed...

Comment Tone Positive
Pillars Loyalty, Operations
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Analyst/Coordinator

Each R1 RCM person I have worked with has been fabulous, but they switch roles a lot. That is...

Comment Tone Positive
Pillars Relationship
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Analyst/Coordinator

For underpayment, R1 RCM tends to go off of systemic issues that they already know and not just...

Comment Tone Negative
Pillars Relationship, Services
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Analyst/Coordinator

Our engagement with R1 RCM costs a percentage of whatever they find. They definitely find things....

Comment Tone Positive
Pillars Value
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Analyst/Coordinator

R1 RCM has often reached out to tell us about new lines of business or things that they are looking...

Comment Tone Positive
Pillars Relationship
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Analyst/Coordinator

One primary factor that organizations have to think about when selecting an underpayment recovery...

Comment Tone Positive
Pillars Loyalty
Evaluation Unrated

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Analyst/Coordinator

R1 RCM identified an opportunity for us, but it went against the Medicare and CCI policy manual....

Comment Tone Negative
Pillars Relationship
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Analyst/Coordinator

We can't get reporting on a lot of the fields from R1 RCM. It is very manual work, and we have had...

Comment Tone Negative
Pillars Services
Evaluation Unrated

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Analyst/Coordinator

I don't think we have plans to discontinue our arrangement with R1 RCM. Their findings have been...

Comment Tone Positive
Pillars Loyalty, Relationship
Evaluation Unrated

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VP/Other Executive

The firm's executive involvement has been at the next level. A couple of the higher-ups have been...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

There are a few determining factors we consider when we select an underpayment recovery firm. One is...

Comment Tone Positive
Pillars Loyalty, Relationship, Value
Evaluation Unrated

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VP/Other Executive

R1 RCM is a good partner. I have worked with them in other organizations, and I have not had a top...

Comment Tone Positive
Pillars Relationship, Operations, Services
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Manager

R1 RCM has done a very good job. Anytime we ask them to make changes, they respond. They have their...

Comment Tone Positive
Pillars Operations, Services, Value
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Manager

The primary factors for us when selecting an underpayment recovery services firm are collaboration...

Comment Tone Positive
Pillars Loyalty, Relationship
Evaluation Unrated

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VP/Other Executive

It would be nice if R1 RCM would do what they do before we build a claim, not just...

Comment Tone Negative
Pillars Operations, Services
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VP/Other Executive

R1 RCM is a big firm; they offer lots of services, and they give us good advice on things they don't...

Comment Tone Positive
Pillars Operations, Value
Evaluation Unrated

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VP/Other Executive

R1 RCM continues to develop their product and add more rules to their engine. I would say that they...

Comment Tone Positive
Pillars Relationship, Operations, Value
Evaluation Unrated

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VP/Other Executive

When our organization was selecting an underpayment recovery services firm, the primary factor that...

Comment Tone Positive
Pillars Loyalty, Relationship
Evaluation Unrated

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VP/Other Executive

There are a lot of drug-charging and claim-presentation issues in our system, specifically related...

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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VP/Other Executive

The one thing that jumps out about strategic ability is that R1 RCM has partnered with us in recent...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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VP/Other Executive

R1 RCM’s scope of work inherently drives measurable outcomes. R1 RCM exceeds expectations by...

Comment Tone Positive
Pillars Operations, Services
Evaluation Unrated

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VP/Other Executive

R1 RCM’s approach to pricing is primarily contingent. I will say that when we saw that the firm was...

Comment Tone Positive
Pillars Services, Value
Evaluation Unrated

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VP/Other Executive

We always want to reduce the fees that the firm is collecting. We intend to keep the relationship...

Comment Tone Positive
Pillars Operations, Value
Evaluation Unrated

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VP/Other Executive

The advice I would give to someone just starting out with R1 RCM is to have open dialogue and ensure...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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VP/Other Executive

An impressive thing about R1 RCM is that, over the years, we have expanded the scope of work. We...

Comment Tone Positive
Pillars Relationship, Operations, Value
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VP/Other Executive

We were looking for a partner that could run behind our revenue operation and identify and convert...

Comment Tone Positive
Pillars Loyalty, Operations
Evaluation Unrated

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Director

When selecting an underpayment recovery service firm, the primary factors that drive the process are...

Comment Tone Positive
Pillars Loyalty, Relationship, Operations
Evaluation Unrated

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Director

One piece where R1 RCM has exceeded my expectations is the account management that we work with...

Comment Tone Positive
Pillars Relationship, Operations, Services
Evaluation Unrated

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Director

We have not had any issues with R1 RCM reaching out, giving data, presenting, and being responsive...

Comment Tone Positive
Pillars Loyalty, Relationship, Services, Value
Evaluation Unrated

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Director

R1 RCM continues to ebb and flow with what is happening in the market. They know that they won't be...

Comment Tone Positive
Pillars Relationship, Operations
Evaluation Unrated

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Director

Generally, the data specification takes the longest to load and get going with R1 RCM. When we...

Comment Tone Positive
Pillars Loyalty, Operations
Evaluation Unrated

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Director

I would buy R1 RCM's services again. They were easy to work with, and they had the background and...

Comment Tone Positive
Pillars Loyalty, Value
Evaluation Unrated

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Director

We asked for some specified reporting. R1 RCM has met that and has the data, but their team...

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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VP/Other Executive

R1 RCM is great to work with. They are great at handling appeals for denials. Their staff and...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

We will replace R1 RCM in the future. We plan to build our own AI or use another vendor....

Comment Tone Neutral
Pillars Loyalty
Evaluation Unrated

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Director

R1 RCM does not try to nickel-and-dime us for everything. They are open to feedback in...

Comment Tone Positive
Pillars Value
Evaluation Unrated

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Director

A lot of times, when R1 RCM identifies something, it points us in a good direction. My boss...

Comment Tone Positive
Pillars Relationship, Services
Evaluation Unrated

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Director

R1 RCM has exceeded our expectations by being very responsive, communicating well, and being...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

We don't see all the consultants behind the scenes, but our main points of contact with R1 RCM are...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

The quality varies depending on the coder. The quality is influenced by training and can fluctuate....

Comment Tone Neutral
Pillars Relationship
Evaluation Unrated

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Director

What we really like about R1 RCM is how well they work with our team. Coding can involve strong...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

Some improvements in R1 RCM’s technology would be helpful for them. For example, R1 RCM doesn't use...

Comment Tone Negative
Pillars Relationship, Operations
Evaluation Unrated

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VP/Other Executive

R1 RCM is very much in the mode of solutioning and problem-solving as opposed to just trying to sell...

Comment Tone Positive
Pillars Relationship, Operations
Evaluation Unrated

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VP/Other Executive

The R1 RCM consultants are very high-quality. One positive thing is that R1 RCM brings each one of...

Comment Tone Positive
Pillars Relationship, Services
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VP/Other Executive

When we ask R1 RCM for reports, they don't nickel-and-dime us. We changed a process, and that...

Comment Tone Positive
Pillars Services, Value
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VP/Other Executive

I think that R1 RCM is trying to stay on top of technology changes, but they are such a big firm...

Comment Tone Negative
Pillars Operations
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VP/Other Executive

Having worked with R1 RCM through a much bigger account and company, I saw that the R1 RCM...

Comment Tone Neutral
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

The outcome we see from R1 RCM is improved net revenue. In the charge integrity, R1 RCM has...

Comment Tone Positive
Pillars Operations, Value
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Director

R1 RCM does a really good job of recovering money for us. They are amazing. They are really worth...

Comment Tone Positive
Pillars Relationship, Value
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Director

I know Cloudmed has been bought out by R1 RCM, but they are very distinct; we don’t work with R1...

Comment Tone Positive
Pillars Relationship
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Director

R1 RCM is fantastic. They just recover money. It is pretty impressive. We have had a partnership for...

Comment Tone Positive
Pillars Relationship, Services, Value
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Director

We didn’t have the manpower to manage downgrades, audit all the cases, and find errors, so we hired...

Comment Tone Positive
Pillars Relationship, Operations
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Director

R1 RCM identifies opportunities when our coders may not have coded procedures correctly. That can...

Comment Tone Positive
Pillars Operations
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Director

R1 RCM is not afraid to follow up when something needs to be checked. They are extremely responsive....

Comment Tone Positive
Pillars Relationship, Operations
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Director

I'm satisfied with R1 RCM’s work in a certain space. I am frustrated with their implementation, and...

Comment Tone Negative
Pillars Loyalty, Operations, Value
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Director

On the DRG side, R1 RCM does a good job of identifying opportunities for us to improve our internal...

Comment Tone Negative
Pillars Loyalty, Operations
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Director

We actually use more reporting from R1 RCM in this space than we do with denials.

Comment Tone Positive
Pillars Operations
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Director

The transfer DRG work is going really well. That was great initially. There was some back-and-forth...

Comment Tone Negative
Pillars Operations, Services, Value
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Director

At the end of the day, the key factor that makes us stay with the firm is results. The firm is...

Comment Tone Positive
Pillars Loyalty, Relationship
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Director

When R1 RCM went private, a lot of people we worked with either got paid out or left for other...

Comment Tone Negative
Pillars Loyalty, Relationship
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Director

The firm’s overall approach exceeds our expectations. They find things. We ask that they put...

Comment Tone Positive
Pillars Relationship
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Director

The firm doesn’t nickel-and-dime us for anything. They have gone after things that we later had to...

Comment Tone Positive
Pillars Value
Evaluation Unrated

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Director

The executive involvement is the only thing that I don't love. A year ago, I would have given the...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Director

The firm’s work is really impressive and spot-on. I have some negative feedback about R1 RCM in...

Comment Tone Positive
Pillars Loyalty
Evaluation Unrated

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Manager

We have been with the firm through a few of their name changes. At times, we do notice a change in...

Comment Tone Negative
Pillars Relationship, Operations
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Manager

I'm not quite sure whether R1 RCM is part of our long-term plans. They have been a good partner, but...

Comment Tone Negative
Pillars Loyalty, Operations
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Manager

The firm invoiced me for an account that was duplicated. They are good at making corrections,...

Comment Tone Negative
Pillars Operations, Value
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Manager

R1 RCM keeps us informed. We constantly get updates via email, or the firm sends reports with...

Comment Tone Positive
Pillars Relationship
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Manager

I have dealt with a few firms over the years, and our relationship with R1 RCM is one of the best...

Comment Tone Positive
Pillars Relationship
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Manager

We chose R1 RCM because we had an existing relationship, and underpayment is a field where the firm...

Comment Tone Positive
Pillars Loyalty
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VP/Other Executive

R1 RCM brings a little bit of knowledge that we don't have, but most of what we are giving to the...

Comment Tone Neutral
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

I expect a lot, but I have no reason to say R1 RCM doesn't exceed our expectations. I’m satisfied...

Comment Tone Positive
Pillars Services
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Director

R1 RCM charges for everything. We get our money's worth with R1 RCM, but we could get a better rate.

Comment Tone Neutral
Pillars Value
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Director

R1 RCM exceeds our expectations. Every time we ask a question, the firm's people are all experts in...

Comment Tone Positive
Pillars Services
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Director

I would highly recommend R1 RCM. R1 RCM’s client success team is very organized. They have good...

Comment Tone Positive
Pillars Loyalty, Relationship
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Director

I’m not saying we are currently doing a bad job with reporting; I just haven’t heard about...

Comment Tone Negative
Pillars Relationship, Services
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Director

We have had a challenge with some things not being brought over, and some things were too generic....

Comment Tone Negative
Pillars Services
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Director

The stuff R1 RCM comes back with and finds is well above what we have been looking at. Some of that...

Comment Tone Positive
Pillars Operations
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Director

R1 RCM has driven substantial revenue to our organization over the course of our partnership. Over...

Comment Tone Positive
Pillars Loyalty, Operations, Value
Evaluation Unrated

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Director

We have the legacy Cloudmed relationship. Since the firm changed to R1 RCM, I have noticed that a...

Comment Tone Neutral
Pillars Loyalty, Relationship
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Director

We have had a really nice experience with R1 RCM. Every year, they exceed their revenue projections....

Comment Tone Positive
Pillars Loyalty, Relationship, Value
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Director

R1 RCM has an individual product leader for each solution and a client services director who is over...

Comment Tone Positive
Pillars Relationship, Services
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Director

One of the things I appreciate most about R1 RCM is their consistency. The same team members have...

Comment Tone Positive
Pillars Relationship, Operations
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Director

With R1 RCM, there are occasional challenges with reporting, access, and timing of information, as...

Comment Tone Positive
Pillars Relationship, Operations, Services
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Director

R1 RCM has been an extremely strong partner with a broad scope of services and resources that we...

Comment Tone Positive
Pillars Relationship, Operations
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Manager

There is nothing in the system that allows me to pull the PCS originally coded to compare to the...

Comment Tone Negative
Pillars Operations
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Manager

I like that the firm is paid a percentage of the opportunities found. I really like the reporting...

Comment Tone Neutral
Pillars Operations, Value
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Manager

The ongoing communication we have between our leadership and R1 RCM's leadership is great, but I do...

Comment Tone Negative
Pillars Relationship, Operations
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Manager

I have personally been part of the work with the firm since we started with the transfer DRGs. We...

Comment Tone Positive
Pillars Relationship, Operations
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Manager

There is always room for improvement, and there were multiple opportunities that were brought to us...

Comment Tone Negative
Pillars Relationship, Operations
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Director

We would like R1 RCM to get through more volume. I don't think they always get through the...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Director

R1 RCM identifies opportunities to improve our internal processes. They are very good, but I would...

Comment Tone Negative
Pillars Relationship, Services
Evaluation Unrated

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Director

R1 RCM's reporting is very good. They have a dashboard and a portal, and they are fantastic. If the...

Comment Tone Positive
Pillars Relationship, Operations
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Director

We like the level of personal support that we get from our client services person from R1 RCM. They...

Comment Tone Positive
Pillars Relationship, Services
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Director

We have a strategic partnership with R1 RCM. When R1 RCM finds an issue, they let us know. When we...

Comment Tone Positive
Pillars Relationship, Operations
Evaluation Unrated

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