R1 RCM

JSON twin: https://www.healthaidb.com/software/r1-rcm.json

Company Name

R1 RCM

Product URL

https://www.r1rcm.com

Company URL

https://www.r1rcm.com

Categories

• administrative Operations
• patient Facing
• diagnostic Support
• clinical Care
• financial Management
• healthcare It
• revenue Cycle
• patient Engagement
• healthcare Operations
• health Data Analytics
• Administrative
• Diagnostic
• Clinical
• Financial
• Revenue Cycle Management
• Healthcare Analytics

Summary

R1 RCM offers comprehensive revenue cycle management solutions to healthcare providers, enhancing financial performance and patient experience through advanced technology and expertise.

Description

R1 RCM provides end-to-end revenue cycle management services, including patient access, coding, billing, denial management, and analytics, aiming to improve financial outcomes and patient satisfaction for healthcare organizations.

Api Available

yes

Certifications

• FDA 510(k)
• CE/MDR
• ONC
• ISO

Company Founding

2017

Company Offices

• United States
• Canada
• United Kingdom
• Australia
• Germany
• France
• Italy
• Spain
• Netherlands
• Sweden

Compliance

• HIPAA
• GDPR
• HITECH
• SOC 2
• ISO 27001

Customers

Data Residency

US/EU regions

Data Standards

• FHIR
• HL7 v2
• DICOM
• SNOMED
• ICD-10

Deployment Model

• SaaS
• on_prem
• hybrid

Features

• End-to-end revenue cycle management
• Physician revenue cycle management
• Community business office solutions
• Patient experience solutions
• Denials recovery
• Complex claim referrals
• Accounts receivable recovery
• Early out services
• Prior authorization services
• Charge capture
• DRG validation
• Insurance discovery
• Transfer DRG
• Underpayment recovery
• Physician advisory solutions
• Coding management
• Clinical documentation improvement (CDI) solutions
• Hierarchical condition category (HCC) capture
• 340B recovery
• Medicare bad debt services

Id

SW2117

Integration Partners

Integrations

• Epic
• Cerner
• PACS
• Billing systems
• Microsoft Azure OpenAI Service
• Palantir AI
• VisitPay
• PINC AI
• ScionHealth
• St. Clair Health

Languages Supported

• English
• Spanish
• French
• German
• Italian
• Dutch
• Swedish
• Norwegian
• Danish
• Finnish
• Belgian Dutch
• Swiss German
• Austrian German
• Irish English
• New Zealand English
• Japanese
• Korean
• Chinese
• Portuguese
• Russian

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• Regulatory navigation services
• Disproportionate share hospital services
• Worksheet S-10 services
• SSI redetermination services

Os Platforms

• Web
• iOS
• Android
• Windows
• macOS
• Linux

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• BAA available
• Consent management
• Anonymization
• Data minimization

Product Code

SW2117

Product Name

R1 RCM

Ratings

• 0.0 out of 5 on G2

Regions Available

• United States
• Canada
• United Kingdom
• Australia
• Germany
• France
• Italy
• Spain
• Netherlands
• Sweden
• Norway
• Denmark
• Finland
• Belgium
• Switzerland
• Austria
• Ireland
• New Zealand
• Japan
• South Korea

Related Urls

• https://elion.health/products/r1-rcm

Release Year

""

Security Features

• Encryption
• RBAC
• SSO/SAML
• Audit logs
• 2FA
• DLP

Specialties

• Acute Care
• Non-acute Care
• Specialty Practices
• Long-term Acute Care Hospitals
• Community Hospitals
• Physician Practices
• Health Systems
• Medical Groups
• Ambulatory Care
• Post-acute Care
• Healthcare It
• Revenue Cycle Management
• Patient Engagement
• Healthcare Operations
• Healthcare Analytics
• Coding Management
• Denial Management
• Patient Access
• Billing
• Analytics

Support Channels

System Requirements

Major OS/DB/hardware needs, or empty if SaaS-only

Target Users

• clinicians
• nurses
• patients
• admins
• payers
• healthcare providers
• physician groups
• health systems
• medical groups
• hospital administrators

Training Options

Type

product

User Reviews

• There is so much promise in the IMX billing platform, but unfortunately it just can't live up to the expectations put on it. I like parts of the Super CodeQ, and the sweep function can be helpful, but there are far more cons than pros for me with this system.
• Nightly batching limits; no control over what happens to your system or information because changes and updates are global. Some processes are automated and some aren't; very difficult to manually move accounts from one workflow another (which, you really can't in reality; we have just made a ton of workarounds).
• The system will hold accounts from filing claims via hidden edits that are only discoverable via reports. There is so, so much more that I could add to this list but I've already passed the 10-minute guideline for this review.

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "R1 RCM",
  "company_name": "R1 RCM",
  "product_url": "https://www.r1rcm.com",
  "company_url": "https://www.r1rcm.com",
  "related_urls": [
    "https://elion.health/products/r1-rcm"
  ],
  "product_code": "SW2117",
  "summary": "R1 RCM offers comprehensive revenue cycle management solutions to healthcare providers, enhancing financial performance and patient experience through advanced technology and expertise.",
  "description": "R1 RCM provides end-to-end revenue cycle management services, including patient access, coding, billing, denial management, and analytics, aiming to improve financial outcomes and patient satisfaction for healthcare organizations.",
  "categories": [
    "administrative Operations",
    "patient Facing",
    "diagnostic Support",
    "clinical Care",
    "financial Management",
    "healthcare It",
    "revenue Cycle",
    "patient Engagement",
    "healthcare Operations",
    "health Data Analytics",
    "Administrative",
    "Patient-facing",
    "Diagnostic",
    "Clinical",
    "Financial",
    "Healthcare It",
    "Revenue Cycle Management",
    "Patient Engagement",
    "Healthcare Operations",
    "Healthcare Analytics"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "clinicians",
    "nurses",
    "patients",
    "admins",
    "payers",
    "healthcare providers",
    "physician groups",
    "health systems",
    "medical groups",
    "hospital administrators"
  ],
  "specialties": [
    "Acute Care",
    "Non-acute Care",
    "Specialty Practices",
    "Long-term Acute Care Hospitals",
    "Community Hospitals",
    "Physician Practices",
    "Health Systems",
    "Medical Groups",
    "Ambulatory Care",
    "Post-acute Care",
    "Healthcare It",
    "Revenue Cycle Management",
    "Patient Engagement",
    "Healthcare Operations",
    "Healthcare Analytics",
    "Coding Management",
    "Denial Management",
    "Patient Access",
    "Billing",
    "Analytics"
  ],
  "regions_available": [
    "United States",
    "Canada",
    "United Kingdom",
    "Australia",
    "Germany",
    "France",
    "Italy",
    "Spain",
    "Netherlands",
    "Sweden",
    "Norway",
    "Denmark",
    "Finland",
    "Belgium",
    "Switzerland",
    "Austria",
    "Ireland",
    "New Zealand",
    "Japan",
    "South Korea"
  ],
  "languages_supported": [
    "English",
    "Spanish",
    "French",
    "German",
    "Italian",
    "Dutch",
    "Swedish",
    "Norwegian",
    "Danish",
    "Finnish",
    "Belgian Dutch",
    "Swiss German",
    "Austrian German",
    "Irish English",
    "New Zealand English",
    "Japanese",
    "Korean",
    "Chinese",
    "Portuguese",
    "Russian"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Contact vendor for pricing information.",
  "license": "commercial",
  "company_offices": [
    "United States",
    "Canada",
    "United Kingdom",
    "Australia",
    "Germany",
    "France",
    "Italy",
    "Spain",
    "Netherlands",
    "Sweden"
  ],
  "company_founding": "2017",
  "deployment_model": [
    "SaaS",
    "on_prem",
    "hybrid"
  ],
  "os_platforms": [
    "Web",
    "iOS",
    "Android",
    "Windows",
    "macOS",
    "Linux"
  ],
  "features": [
    "End-to-end revenue cycle management",
    "Physician revenue cycle management",
    "Community business office solutions",
    "Patient experience solutions",
    "Denials recovery",
    "Complex claim referrals",
    "Accounts receivable recovery",
    "Early out services",
    "Prior authorization services",
    "Charge capture",
    "DRG validation",
    "Insurance discovery",
    "Transfer DRG",
    "Underpayment recovery",
    "Physician advisory solutions",
    "Coding management",
    "Clinical documentation improvement (CDI) solutions",
    "Hierarchical condition category (HCC) capture",
    "340B recovery",
    "Medicare bad debt services"
  ],
  "optional_modules": [
    "Regulatory navigation services",
    "Disproportionate share hospital services",
    "Worksheet S-10 services",
    "SSI redetermination services"
  ],
  "integrations": [
    "Epic",
    "Cerner",
    "PACS",
    "Billing systems",
    "Microsoft Azure OpenAI Service",
    "Palantir AI",
    "VisitPay",
    "PINC AI",
    "ScionHealth",
    "St. Clair Health"
  ],
  "data_standards": [
    "FHIR",
    "HL7 v2",
    "DICOM",
    "SNOMED",
    "ICD-10"
  ],
  "api_available": "yes",
  "system_requirements": "Major OS/DB/hardware needs, or empty if SaaS-only",
  "compliance": [
    "HIPAA",
    "GDPR",
    "HITECH",
    "SOC 2",
    "ISO 27001"
  ],
  "certifications": [
    "FDA 510(k)",
    "CE/MDR",
    "ONC",
    "ISO"
  ],
  "security_features": [
    "Encryption",
    "RBAC",
    "SSO/SAML",
    "Audit logs",
    "2FA",
    "DLP"
  ],
  "privacy_features": [
    "BAA available",
    "Consent management",
    "Anonymization",
    "Data minimization"
  ],
  "data_residency": "US/EU regions",
  "customers": [],
  "user_reviews": [
    "There is so much promise in the IMX billing platform, but unfortunately it just can't live up to the expectations put on it. I like parts of the Super CodeQ, and the sweep function can be helpful, but there are far more cons than pros for me with this system.",
    "Nightly batching limits; no control over what happens to your system or information because changes and updates are global. Some processes are automated and some aren't; very difficult to manually move accounts from one workflow another (which, you really can't in reality; we have just made a ton of workarounds).",
    "The system will hold accounts from filing claims via hidden edits that are only discoverable via reports. There is so, so much more that I could add to this list but I've already passed the 10-minute guideline for this review."
  ],
  "ratings": [
    "0.0 out of 5 on G2"
  ],
  "support_channels": [],
  "training_options": [],
  "release_year": "\"\"",
  "integration_partners": [],
  "id": "SW2117",
  "slug": "r1-rcm",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/r1-rcm.json"
  }
}