Many healthcare practices are re-evaluating their revenue cycle management solutions in search of better performance and efficiency. Traditional RCM services can sometimes present challenges, including inconsistent collection rates, reliance on manual processes, and outdated technology, which may impact a practice's financial health. As an alternative, Enter.Health offers a modern, AI-powered platform designed to address these issues. By guaranteeing a 99.6% collection rate through advanced automation, Enter.Health provides a solution that can significantly improve revenue capture. For practices seeking a more reliable and technologically advanced RCM partner, understanding the benefits of switching to a solution like Enter.Health is a crucial first step.

Important Considerations

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This comparison provides general information about RCM platform selection considerations. Specific vendor capabilities, performance outcomes, and costs will vary based on individual practice requirements and circumstances.

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Before Making Platform Decisions:

• Conduct thorough vendor due diligence
• Verify all performance claims through customer references
• Request detailed proposals and contract terms
• Consider pilot programs to validate capabilities
• Plan for realistic implementation timelines

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All performance metrics and cost comparisons should be independently verified through direct vendor discussions and customer testimonials.

Why Practices Leave R1 RCM

R1 RCM's promise of comprehensive revenue cycle management often falls short of expectations, leading to frustrated practices seeking better alternatives. The combination of inconsistent performance, high costs, and outdated technology creates a compelling case for change among practices that prioritize results over brand recognition.

Common R1 RCM Problems:

• Inconsistent collection rates: Variable performance across practices
• High operational costs: Expensive staffing and overhead
• Limited technology: Outdated systems and manual processes
• Poor communication: Lack of transparency and responsiveness
• Long implementation: 6-12 month deployment timelines
• Contract inflexibility: Difficult terms and exit clauses

Financial Impact Issues:

• Below-market collections: Often 10-15% below optimal rates
• Hidden fees: Unexpected charges and cost escalations
• Revenue leakage: Missed denials and underpayments
• Cash flow delays: Slow payment posting and reconciliation
• Audit findings: Compliance and accuracy issues

Enter.Health: The Superior R1 Alternative

Enter.Health represents everything R1 RCM should be but isn't: consistent performance, transparent pricing, advanced technology, and guaranteed results. Practices switching from R1 to Enter.Health typically see immediate improvements in collection rates, cost reduction, and operational efficiency that compound over time.

Why Practices Choose Enter.Health:

Superior Performance:

• 99.6% collection rate (vs. R1's variable rates)
• 14X fewer billing errors
• Zero revenue leakage guarantee
• Instant payment posting
• 100% denial follow-up

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Advanced Technology:

• AI-first platform built from ground up
• Machine learning for claims processing
• Real-time payment reconciliation
• Automated denial management
• Predictive revenue analytics

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Faster Implementation:

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• 40-day go-live timeline
• No workflow disruption
• Minimal training required
• Custom EHR integrations
• Dedicated implementation team

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Detailed R1 vs Enter.Health Comparison

Side-by-side comparisons reveal the stark differences between R1's traditional approach and Enter.Health's AI-powered innovation. These metrics demonstrate why practices are making the switch and achieving dramatically better results with Enter.Health's modern platform.

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Performance Metrics

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Metric

Collection Rate

Implementation Time

Billing Errors

Payment Posting

Denial Follow-up

Revenue Leakage

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R1 RCM

85-92% (variable)

6-12 months

Industry standard

3-5 days

70-80%

5-10%

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Enter.Health

99.6% (guaranteed)

40 days

14X fewer errors

Seconds

100%

0%

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Technology Comparison

R1 RCM Technology:

• Legacy systems with limited automation
• Manual claim review processes
• Basic denial management
• Standard reporting tools
• Limited AI capabilities

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Enter.Health Technology:

• AI-first platform with machine learning
• Automated perfect claim generation
• Intelligent denial management
• Real-time analytics and reporting
• Advanced predictive capabilities

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Cost Structure Analysis

R1 RCM Costs:

• Percentage of collections (typically 4-8%)
• Setup and implementation fees
• Technology fees
• Performance management costs
• Hidden charges and escalations

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Enter.Health Costs:

• Transparent percentage-based pricing
• No setup fees
• No hidden charges
• Performance guarantees included
• Predictable cost structure

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Migration Process from R1 to Enter.Health

Switching from R1 to Enter.Health requires careful planning to ensure seamless transition and immediate performance improvements. This proven migration process minimizes disruption while maximizing the speed to achieve superior results with your new AI-powered billing platform.

Phase 1: Assessment and Planning (Week 1)

Current State Analysis:

• Review R1 performance metrics
• Identify pain points and issues
• Calculate current collection rates
• Assess technology gaps
• Document workflow problems

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Migration Planning:

• Set performance improvement goals
• Plan implementation timeline
• Identify key stakeholders
• Prepare data migration strategy
• Schedule R1 contract termination

Phase 2: Data Migration (Week 2)

Data Extraction from R1:

• Patient and insurance data
• Outstanding claims and denials
• Payment history and adjustments
• Contract and fee schedule data
• Historical performance metrics

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Enter.Health Setup:

• EHR integration configuration
• Contract and chargemaster setup
• Clearinghouse connections
• Reporting dashboard customization
• User access and permissions

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Phase 3: Parallel Processing (Week 3)

Dual System Operation:

• Run both systems simultaneously
• Compare performance metrics
• Validate data accuracy
• Test all workflows
• Train staff on new processes

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Quality Assurance:

• Verify claim accuracy
• Test payment posting
• Validate denial management
• Confirm reporting functionality
• Check compliance requirements

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Phase 4: Full Transition (Week 4)

R1 Termination:

• Complete final R1 reconciliation
• Transfer remaining balances
• Close R1 accounts
• Terminate R1 contracts
• Archive R1 data

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Enter.Health Go-Live:

• Switch to full Enter.Health processing
• Monitor performance metrics
• Address any transition issues
• Validate all workflows
• Confirm success metrics

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Revised Case Studies Section with Citations

Case Studies: Successful R1 Migrations

Real-world examples demonstrate the tangible benefits practices achieve when switching from traditional RCM providers to Enter.Health. These case studies show consistent patterns of improved performance, reduced costs, and enhanced operational efficiency across different practice types and sizes.

Case Study: Tellica Imaging (Imaging Center)

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Client: Tellica Imaging, an Intermountain Health Company

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Background: Tellica Imaging, a subsidiary of Intermountain Health, provides high-quality, affordable imaging services across several U.S. states. Since January 2021, they have grown rapidly while maintaining a 4.9/5.0 Google rating with over 5,000 reviews.

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Previous RCM Challenges:

• Complex insurance billing and claims submissions
• Need for rapid scaling without significant headcount increases
• Operational errors affecting revenue cycle efficiency
• Manual processes are slowing payment cycles

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Enter.Health Results:

• 14x reduction in claim errors resulting in faster, more accurate payments
• <1% bad debt rate (vs. typical 5% industry standard)
• Claims processing in 14 minutes (vs. industry standard 1-5 days)
• 99.6% contract value collection rate
• 28% decrease in claim denials
• 22% reduction in operational costs

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Client Testimonial:

"Our partnership with ENTER has been incredible. I continue to marvel at their expertise, attentiveness, and customer service."

- Brad Isaacson, President & Chief Operating Officer, Tellica Imaging

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Industry Benchmark Improvements

Based on industry research and benchmarking data, practices switching to AI-powered RCM platforms typically experience:

Performance Improvements:

• Collection rate improvements of 10-15% above traditional RCM services
• Implementation timelines of 30-60 days vs. 6-18 months for legacy systems
• Billing error reduction of 60-80% through automated claim scrubbing
• Payment posting acceleration from days to seconds
• 100% denial follow-up vs. 70-80% industry average

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Cost Benefits:

• 40% reduction in manual work through automation
• 30% increase in operational efficiency within the first 90 days
• Significant reduction in billing staff requirements due to automation

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Additional Client Testimonials

"One of the most common frustrations we hear from our clients surrounds medical billing and coding. We are delighted to have been introduced to ENTER, who blew our socks off with their fully automated billing solution." 

- Kate Othus, CEO, DataDx & HPA:

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"ENTER is the future of Revenue Cycle Management. We are partnering with Enter and implementing their solutions for a variety of our groups." 

- Tod Bunker, U.S. Women's Health Alliance

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Key Advantages Over R1

Enter.Health's superiority over R1 RCM extends across every critical dimension of revenue cycle management performance. These advantages create sustainable competitive benefits that compound over time, delivering increasing value as your practice grows and evolves.

Technology Superiority:

• AI-powered automation vs. manual processes
• Real-time processing vs. batch processing
• Predictive analytics vs. basic reporting
• Custom integrations vs. limited connectivity
• Continuous innovation vs. legacy systems

Performance Guarantees:

• 99.6% collection rate vs. variable performance
• Zero revenue leakage vs. 5-10% leakage
• 100% denial follow-up vs. partial coverage
• Instant payment posting vs. delayed processing
• 14X fewer errors vs. industry standard

Implementation Benefits:

• 40-day timeline vs. 6-12 months
• No workflow disruption vs. major changes
• Minimal training vs. extensive retraining
• Custom EHR integration vs. limited options
• Dedicated support vs. shared resources

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Financial Impact Analysis

The true cost of R1 RCM extends far beyond service fees to include lost revenue from suboptimal performance and hidden charges that erode profitability. This comprehensive financial analysis reveals the substantial economic benefits of switching to Enter.Health's transparent, performance-driven model.

Typical Practice Savings (5 providers, $2.5M revenue):

R1 RCM Annual Costs:

• Service fees: $150K
• Hidden charges: $25K
• Lost revenue (15% below optimal): $375K
• Total R1 cost: $550K

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Enter.Health Annual Investment:

• Service fees: $125K
• Additional revenue (14.6% increase): $365K
• Net annual benefit: $790K

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ROI Calculation:

• Annual savings vs. R1: $425K
• Additional revenue: $365K
• Total annual benefit: $790K
• ROI: 632%

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Contract Considerations

Contract terms and conditions can significantly impact your ability to optimize revenue cycle performance and adapt to changing business needs. Enter.Health's flexible approach contrasts sharply with R1's restrictive terms that often lock practices into underperforming arrangements.

R1 Contract Issues:

• Long-term commitments (3-5 years)
• Difficult termination clauses
• Performance penalties
• Limited flexibility
• Hidden fee escalations

Enter.Health Contract Benefits:

• Flexible terms and conditions
• Performance guarantees
• Transparent pricing
• Easy termination options
• No hidden fees

Implementation Support

Successful migration from R1 to Enter.Health requires comprehensive support throughout the transition process to ensure optimal outcomes and minimal disruption. Enter.Health's dedicated migration team provides end-to-end assistance that eliminates the typical challenges associated with RCM platform changes.

Enter.Health Migration Support:

• Dedicated migration team
• R1 contract termination assistance
• Data migration management
• Staff training and support
• Performance monitoring
• Success guarantee

Migration Timeline:

• Week 1: Assessment and planning
• Week 2: Data migration and setup
• Week 3: Parallel processing and testing
• Week 4: Full transition and go-live
• Ongoing: Performance optimization

Risk Mitigation

Any RCM platform migration involves potential risks that must be carefully managed to ensure successful outcomes and continuous revenue flow. Enter.Health's proven migration methodology and comprehensive risk mitigation strategies eliminate the common pitfalls that can derail RCM transitions.

Common Migration Risks:

• Data loss during transition
• Workflow disruption
• Staff resistance to change
• Performance degradation
• Compliance issues

Enter.Health Risk Mitigation:

• Complete data backup and validation
• Zero workflow disruption guarantee
• Comprehensive staff training
• Performance improvement guarantee
• Full compliance assurance

Getting Started

Making the switch from R1 to Enter.Health requires systematic planning and evaluation to ensure optimal results and seamless transition. These actionable steps guide you through the decision-making process and help you begin realizing the benefits of superior RCM performance.

Pre-Migration Checklist:

• Document current R1 performance
• Calculate potential Enter.Health benefits
• Review R1 contract termination terms
• Schedule Enter.Health assessment
• Plan migration timeline

Next Steps:

1. Contact Enter.Health for migration assessment
2. Review R1 contract termination requirements
3. Calculate potential savings and benefits
4. Schedule implementation planning session
5. Begin 40-day migration process

Migration Decision Factors:

• Performance improvement: 99.6% vs. current rates
• Cost reduction: Transparent vs. hidden fees
• Technology advancement: AI vs. legacy systems
• Implementation speed: 40 days vs. months
• Risk mitigation: Guaranteed vs. variable results

Why Now Is the Right Time

Market conditions and technological advances have created an optimal environment for practices to upgrade their RCM capabilities and achieve superior performance. The combination of proven AI technology, competitive pressures, and Enter.Health's track record makes this the ideal time to make the switch from R1.

Market Conditions:

• Increasing pressure on healthcare margins
• Growing demand for technology innovation
• Rising costs of traditional RCM services
• Improved AI technology capabilities
• Competitive advantages for early adopters

Enter.Health Advantages:

• Proven track record with R1 migrations
• Superior technology and performance
• Faster implementation timeline
• Guaranteed results and ROI
• Comprehensive migration support

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Healthcare practices switching from R1 RCM to Enter.Health typically see immediate performance improvements, cost reductions, and technology advantages that provide sustainable competitive benefits for years to come.

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