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Physician Advisory Services 2021
Physicians Helping Physicians
Physician advisory services firms fill providers’ needs for peer-to-peer review, utilization review, and/or other help sorting through rules and regulations to ensure the right care decisions are made and are properly reimbursed (e.g., observation or admission). This report examines some of the market’s more prominent physician advisory services firms and how they are differentiating themselves with services and technology.
XSOLIS’ Standout CORTEX Technology Drives High Satisfaction
XSOLIS stands out for their innovative technology platform CORTEX, used by all physician advisory services clients. The solution helps users quickly identify which patients need care most urgently and what type of care they need, helping providers both prioritize patient care and decrease denials. Clients also praise XSOLIS for being innovative and quick to listen and respond to feedback. The firm’s physician advisors are noted for being available, knowledgeable, and always willing to listen to and train the client providers.
Organizations using Sound Physicians are particularly satisfied with the physician advisors who work in their hospitals. Respondents say these physicians are strong communicators, are highly engaged, and have built personal relationships in the organization. According to clients, Sound Physicians is also willing to listen to feedback and is always looking for ways to improve their service wto better meet expectations. Clients report the firm has helped them improve internal processes, resulting in higher efficiency and good money’s worth.
Clients generally feel that R1 RCM is highly communicative and responsive and that the firm’s peer-to-peer reviews with payers have helped free up providers’ time and led to a better denials rate than clients could get on their own. Several clients are less satisfied—they feel the firm has left them somewhat in the dark regarding the recent ransomware attack that temporarily shut down R1 RCM’s services.
All Firms’ On-Site Advisors Execute Very Well; Strategic Ability of Sound Physicians’ Remote Advisors Can Be Hit or Miss
R1 RCM, Sound Physicians, and XSOLIS all deliver strong client partnerships. Each firm’s client base feels that they have great communication, that their firm is receptive to feedback, and that on-site physician advisors go out of their way to ensure providers’ needs are met and their services deliver value. XSOLIS clients say the firm’s strong strategic ability is demonstrated through their physician advisors and the firm’s innovative scoring system. All interviewed clients say the firm has exceeded their expectations; one said XSOLIS’ tools are “how we will change healthcare.” Organizations using R1 RCM report the firm provides high-quality physician advisors who partner closely with the clients, offering on-site physician training to help providers keep up with changing rules and regulations. Sound Physicians is rated high overall for their strength of partnership, and clients speak very highly of the on-site physician advisors. However, the firm’s scores for strategic ability are pulled down somewhat by a minority of less-satisfied clients who report hit-or-miss quality from remote physician advisors depending on the individual advisor.
Firm Profiles
R1 RCM
R1 RCM, known widely for their revenue cycle services offerings, is viewed by most physician advisory services clients as a partner that brings significant value to their organizations. The firm’s team of on-site physician advisors and remote physicians helps organizations make informed, evidence-based decisions about how to best treat patients. Clients appreciate R1 RCM’s willingness to work with their organization to offer provider training. The firm is also available and willing to help with peer-to-peer reviews and payer denials. Respondents appreciate the high-quality reporting the firm brings to the table. Account representatives are also willing to sit down and work with clients when concerns arise. Providers appreciate the firm’s service, describing it as “top notch,” and feel that they are getting their money’s worth from the relationship with R1 RCM. The very few negative comments from clients relate to the recent ransomware attack that brought down the firm’s remote services; while the incident was ultimately resolved, clients expressed some frustration about insufficient communication at the time of the event.
Sound Physicians
Organizations using Sound Physicians report on-site physician advisors are very helpful and well trained and have developed personal relationships in the organization. On-site physician advisors are highly engaged, responsive, and knowledgeable—several respondents say their physician advisors couldn’t be better. When it comes to remote physician advisors, several clients report that the quality is somewhat lacking. These organizations cite long turnaround times and say the quality of these resources can vary depending on who they are connected with. Regarding training, most clients are satisfied, and several respondents are very satisfied, saying the firm has helped fine-tune their internal processes; a few others wish Sound Physicians would provide more on-site training for providers to increase value.
Sound Physicians
XSOLIS holds a unique position among physician advisory services firms—they are the only firm in this report to offer both advisory services as well as a standalone software solution, CORTEX, to help clients make more informed decisions when delivering care to patients. Clients appreciate the innovative scoring system in CORTEX, which makes it clear to users which patients need care most urgently and which need to be admitted or left for observation. Providers using XSOLIS say the firm “thinks outside of the box” in delivering new services and products that work as promised. Clients also report the firm’s physician advisors are very knowledgeable and personable and are always willing to help train providers on new and upcoming changes or regulations that may impact how or when patients are admitted for care.
About This Report
Each year, KLAS interviews thousands of healthcare professionals about the IT products and services their organizations use. These interviews are conducted using a standard quantitative evaluation, and the scores and commentary collected are shared in reports like this one and online in real time so that other providers and IT professionals can benefit from their peers’ experiences. To enable readers to more quickly understand high-level differences in vendor performance and give better context as to how each product compares to other offerings in the market, KLAS has organized the questions from the standard evaluation into five customer experience pillars—loyalty, operations, services, relationship, and value.
The data in this report comes from KLAS’ standard evaluations and was collected over the last 12 months; the number of unique responding organizations is given in the chart below.
What Does “Limited Data” Mean?
Some services are used in only a small number of facilities, some firms are resistant to providing client lists, and some respondents choose not to answer particular questions. Thus a firm’s sample size may vary from question to question and may not reach KLAS’ required threshold of 10 unique respondents. When a firm’s sample size for a particular question is less than 10, the score for that question is marked with an asterisk (*) or otherwise designated as “limited data.” If the sample size is less than 5, no score is shown. Note that when a firm has a low number of reporting sites, the possibility exists for KLAS scores to change significantly as new surveys are collected.
Overall scores are measured on a 100-point scale and represent the weighted average of several yes/no questions as well as other questions scored on a 9-point scale.
Writer
Amanda Wind
Project Manager
Natalie Jamison
This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2024 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.