R1 RCM (RCM) Rating Lowered to Sell at BidaskClub

WINTON GROUP Ltd purchased a new position in shares of R1 RCM in the 3rd quarter worth $139,000. Finally, GSA Capital Partners LLP acquired a …

R1 RCM logoR1 RCM (NASDAQ:RCM) was downgraded by analysts at BidaskClub from a “hold” rating to a “sell” rating in a research note issued on Saturday, January 19th.

Other equities analysts have also recently issued research reports about the company. Zacks Investment Research upgraded R1 RCM from a “sell” rating to a “hold” rating in a research report on Wednesday, October 10th. Citigroup initiated coverage on R1 RCM in a report on Monday, December 10th. They issued a “buy” rating and a $20.00 price target on the stock. One investment analyst has rated the stock with a sell rating, two have issued a hold rating, five have issued a buy rating and one has assigned a strong buy rating to the company’s stock. The stock currently has a consensus rating of “Buy” and an average target price of $12.18.

RCM traded up $0.23 on Friday, hitting $9.18. 970,664 shares of the company traded hands, compared to its average volume of 783,464. The company has a quick ratio of 1.06, a current ratio of 1.06 and a debt-to-equity ratio of 37.41. The company has a market cap of $970.08 million, a PE ratio of -20.86 and a beta of -0.03. R1 RCM has a 12-month low of $4.58 and a 12-month high of $11.00.

In other R1 RCM news, Director Charles J. Ditkoff sold 20,635 shares of the stock in a transaction on Friday, November 16th. The stock was sold at an average price of $8.47, for a total transaction of $174,778.45. The sale was disclosed in a document filed with the SEC, which is available at this link. 59.40% of the stock is currently owned by corporate insiders.

Several institutional investors have recently modified their holdings of RCM. PNC Financial Services Group Inc. raised its position in shares of R1 RCM by 64.5% in the 4th quarter. PNC Financial Services Group Inc. now owns 7,463 shares of the financial services provider’s stock worth $59,000 after buying an additional 2,926 shares during the period. Bank of Montreal Can raised its position in shares of R1 RCM by 1,501.7% in the 4th quarter. Bank of Montreal Can now owns 11,388 shares of the financial services provider’s stock worth $90,000 after buying an additional 10,677 shares during the period. Oppenheimer Asset Management Inc. purchased a new position in shares of R1 RCM in the 3rd quarter worth $126,000. WINTON GROUP Ltd purchased a new position in shares of R1 RCM in the 3rd quarter worth $139,000. Finally, GSA Capital Partners LLP acquired a new stake in R1 RCM in the 2nd quarter valued at $122,000. 57.30% of the stock is currently owned by institutional investors.

R1 RCM Company Profile

R1 RCM Inc provides revenue cycle management (RCM) for healthcare providers in the United States. It offers end-to-end RCM services to manage their revenue cycle operations, which encompass patient registration, insurance and benefit verification, medical treatment documentation and coding, and bill preparation and collection from patients and payers.

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Analyst Recommendations for R1 RCM (NASDAQ:RCM)

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Providence St. Joseph snaps up blockchain-powered RCM platform Lumedic

Lumedic’s next-generation platform uses distributed ledger technology, smart contracts and machine learning with the aim of selling to providers and …

Dive Brief:

  • Providence St. Joseph Health has acquired Lumedic, a blockchain-enabled revenue cycle management platform based in Seattle, for an undisclosed sum.
  • Lumedic’s next-generation platform uses distributed ledger technology, smart contracts and machine learning with the aim of selling to providers and payers looking to increase efficiencies and reduce costs.
  • The deal makes Providence St. Joseph the first integrated provider-payer system with a scalable blockchain tool for RCM, the nonprofit system said Monday at HIMSS 2019 in Orlando, Florida.

Dive Insight:

RCM is an important area to providers, and a number of vendors are seeking to capitalize on it.

In a Connance survey, 70% of providers claimed it took more than a month to collect from patients. A 2017 Advisory Board analysis found the average 350-bed hospital lost up to $22 million due to revenue cycle issues. Respondents in a recent Billing Tree survey ranked collecting on patient bills the No. 1 payment challenge in 2018.

With pressure to boost financials, hospitals are eager for tools to optimize the billing and collection process and improve the customer experience. The major EHR vendors, as well as other companies, are investing in RCM products as demand for these kinds of services grows. Last year, officials at both Cerner and Allscripts touted RCM as strong growth areas.

Demand for RCM tools and services is also fueling consolidation in the market. Among notable deals was R1 RCM’s February 2018 acquisition of Intermedix’s healthcare division, which includes physicians and emergency services RCM, practice management and analytics.

The Lumedic deal is the latest piece in what Providence St. Joseph officials have described as a “broader vision of healthcare.” Earlier this month, the system launched a for-profit population management company called Ayin Health Solutions. The business will assist providers, payers, employers and governmental department seeking to reduce costs, enhance care and improve population health.

“New technologies like blockchain, artificial intelligence, and machine learning give us an opportunity to view the complexities of today’s health systems through a different lens,” Venkat Bhamidipati, Providence St. Joseph’s CFO, said in a statement. “Our acquisition of Lumedic’s innovative platform is yet another example of how we are pursuing all avenues of transformation, allowing us to redirect unnecessary spend towards either patient savings or care.”

Under the deal, Providence St. Joseph will create a new company with Lumedic’s assets and team, while retaining the Lumedic brand. The RCM business and system will work together to identify potential partnerships with providers, payers and other health-related entities.

The acquisition comes as Tenet Healthcare has been mulling the sale of its Conifer Health Solutions RCM subsidiary as part of a target cost-reduction program to bring down debt. The Wall Street Journal reported last summer that UnitedHealth Group was among several entities interested in the business as it continues to build up its Optum services arm through acquisitions.

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46 RCM tips from 2018

Dan Berger, national director of healthcare at AxiaMed, a healthcare financial technology company, advisedhospitals to take steps to ensure …
Written by Kelly Gooch | January 07, 2019 | Print |Email

Here are 46 expert revenue cycle management tips, published by Becker’s Hospital Review in 2018.

1. Tom Romeo, general manager of healthcare IT and Quanum Solutions at Quest Diagnostics, recommended hiring the right staff and utilizing their strengths appropriately.

2. Erica Franko, senior vice president and managing director of advisory and implementation services at RCM company nThrive, recommended that hospitals address patient liability by focusing on the patient experience and staff.

3. Rebecca Farrington, chief revenue officer at Healthcare Administrative Partners, recommended properly educating patients about separate billing at the time of service.

4. Peter Angerhofer, principal at Colburn Hill Group, recommended using advanced technology to target smaller subsets of claims.

5. Deborah VanCleave, vice president of revenue cycle at St. Joseph, Mo.-based Mosaic Life Care, recommended hospitals focus on the patient’s perspective.

6. Ms. VanCleavealso recommended that hospitals view the revenue cycle as a brand ambassador.

7. Dan Berger, national director of healthcare at AxiaMed, a healthcare financial technology company, advised hospitals to take steps to ensure compliance with HIPAA and payment card industry requirements with regard to patient payment collections.

8. Gerilynn Sevenikar, vice president of revenue cycle at San Diego-based Sharp Healthcare, said hospitals need to make sure they give their patients personal, customized service.

9. Parag Shah, president of practice solutions at Integra Connect, a provider of technologies and services for value-based specialty care, advised specialty medical practices to focus on performance optimization and risk management to ensure their revenue cycles meet new value-based care requirements.

10. Elaine Dunn, vice president of system integration for Craneware, a value cycle company, said it is critical that hospitals and health systems examine how the organization’s clinical systems integrate with the chargemaster.

11. Jenna Tropea, online marketing strategist at ImagineSoftware, a provider of billing automation software and revenue management applications, recommended hospitals track claim denial resolve rate to improve revenue cycle performance.

12. Rebecca Marsh, vice president of advisory services at nThrive, a revenue cycle management company, advised hospitals to conduct a comprehensive review of their chargemaster to prepare for the CMS price transparency rule taking effect Jan. 1.

13. Mark Mele, vice president of sales at Casetabs, a cloud-based surgery coordination technology provider, said hospitals should remember the importance of reducing operating room delays and last-minute cancellations as they seek to improve financially.

14. Kevin Smith, vice president of product management at nThrive, recommended hospitals use online estimator tools to help patients understand their potential out-of-pocket costs.

15. Gary Long, executive vice president and chief commercial officer of R1 RCM, a provider of technology-enabled healthcare revenue cycle management services, advisedhospitals to include both clinical interactions and nonclinical interactions when considering net promoter scores.

16. Allen Latham, vice president of revenue cycle management at TriZetto Provider Solutions, a Cognizant Company, said hospitals should focus their revenue cycles on healthcare consumers as well as healthcare “prosumers,” who gather their own health data via a wearable or sensor.

17. Dr. Dar Griffeth, senior vice president of revenue cycle management services at Pulse Systems, said lowering the number of days a bill is in accounts receivable is one way to reduce the cost to collect on the bill.

18. Bo Shi, assistant professor of finance at Morehead (Ky.) State University, said data analytics — using technology to examine and make conclusions from data sets — can help hospitals and health systems improve revenue cycle performance.

19. Scott Friesen, CEO of Newport Credentialing Solutions, an outsourced provider for privileging and credentialing solutions, said credentialing software — which helps manage the process of establishing a provider’s qualifications, board certifications, work history and references — should be integrated with provider-payer contract data.

20. Lyman Sornberger, president and CEO of consulting firm Lyman Health Care Solutions, said that hospitals should “capture insurance coverage at the benefit level” and “invest in pre-service validation with the patient and insurance for high-end service.”

21. Jay Garmon, product manager of patient responsibility at Waystar, said hospitals should establish programs to help patients pay their medical expenses. He gave the example of consistently offering cost estimates to patients before procedures, so they can financially plan for their out-of-pocket costs and seek financial assistance if needed.

22. Jonathan Wiik, author of Healthcare Revolution: The Patient is the New Payerand principal for healthcare strategy at TransUnion Healthcare, said hospitals should use technology to evaluate propensity to pay.

23. Paul Shorrosh, founder and CEO of AccuReg Software, said standardizing and automating front-end processes, such as registration, helps eliminate revenue cycle errors.

24. Paul Brient, CEO of PatientKeeper, said it’s important that healthcare executives cultivate an atmosphere that fosters collaboration with physicians toward hospital goals.

25. David Shelton, CEO of PatientMatters, said hospitals should consider a patient’s traits when establishing a payment plan. Establishing payment plans that include current credit information, payment history for financial obligations, residual income and other unique patient statistics should all be considered in the billing process, he said.

26. Erica Franko, senior vice president and managing director of advisory and implementation services at nThrive, recommended hospitals address patient liability by focusing on the patient experience and staff. “Many patients remember the days of the co-pay and are now confronted with more complex forms of liabilities. Ensuring that your staff is prepared to explain these liabilities is paramount to patient and staff satisfaction,” Ms. Franko told Becker’s. “Be sure to also prioritize point-of-service collections. Patients are more likely to pay upfront, especially if they understand how much and why they owe, and they are provided support options, if needed.”

27. Jim Dougherty, CEO of Madaket Health, recommended cutting out manual, error-prone processes in payer-provider transactions. He said healthcare organizations should automate enrollments necessary for payments.

28. Lyman Sornberger, vice president of client development at Charles J. Hilton and Associates law firm, provided three operational processes in revenue cycle management to respond to insurance claim denials. These processes include informal and formal appeals. He said providers also may bring in a third-party healthcare attorney to respond to denials.

29. Kevin Smith, vice president of product management at nThrive, said hospitals should use technology to examine changes before bills are sent to patients and identify areas of potential charge discrepancies.

30. Heather Bassett, MD, CMO of Xsolis, recommended using objective analytics to work with payers during case management.

31. Tyler Kurasek, a principal at Colburn Hill Group, an end-to-end revenue cycle solutions firm, recommended looking to analytics when using robotic process automation to improve RCM. “Using analytics to find patterns of claims that may not have the same characteristics, but require the same next step, is one way to build a volume of tasks that justifies using a robot,” he said. “Once the patterns are identified, and the robot is built, managers need to monitor its use and activity to ensure not only that all claims which qualify are being processed, but also that any new populations which should qualify are included.”

32. Tom Romeo, general manager of healthcare IT and Quanum Solutions at Quest Diagnostics, said hospitals and health systems must identify the cause of insurance claim denials to ensure proper and timely payment.

33. Tara Dwyer, vice president of audit operations at Xsolis, recommendedhospitals prioritize claim denial appeals based on the clinical merit of individual cases.

34. Monte Sandler, executive vice president of revenue cycle management at DocuTAP, recommended healthcare providers follow appropriate billing guidelines for each contract with third-party payers.

35. Rebecca Haymaker, director of Epic services at Parallon Technology Solutions, recommendedhospitals educate patients and staff to achieve a successful point-of-service collections program.

36. Jason Considine, senior vice president of patient access, collections and engagement for Experian Health, recommended hospitals closely examine online reviews from patients to gain insights to improve customer satisfaction and boost payments.

37. Amber Luliano, product manager of denial management at Waystar, recommended that hospitals invest in an effective denials program to prevent denials and ensure they recoup maximum revenue for services.

38. Eric Nilsson, chief technology officer of the SSI Group, a revenue cycle solutions company, recommended that hospitals improve cybersecurity by implementing an established security framework that meets organizational needs without being overbearing.

39. Deepti Sharma, director of product management at HSBlox, said blockchain and advanced artificial intelligence algorithms provide the answer for healthcare organizations seeking to reduce claims denials and ensure maximum provider reimbursement.

40. Rebecca Farrington, chief revenue officer at Healthcare Administrative Partners, recommended that hospitals gain insight by collaborating with hospital-based physicians.

41. Andrew Trechsel, senior associate at executive search firm Witt/Kieffer’s healthcare practice, said career stability and ambition should be a key focus for revenue cycle consultants.

42. Ryan O’Hara, chief revenue officer of Flagstaff-based Northern Arizona Healthcare, recommended focusing more on yield with respect to clinical documentation integrity.

43. Kenneth Miller, senior revenue cycle management specialist at Cantata Health, recommended using a hospital’s RCM team to gain various insights that can result in improved performance.

44. Eric Ritchie, COO of Grantsville, W.Va.-based Minnie Hamilton Health System, recommended using one platform to keep track of revenue cycle management processes.

45. Kevin Lathrop, president of TriZetto Provider Solutions, a Cognizant company, said hospitals and health systems should focus on price transparency as they pursue the retail-like financial experience patients seek in today’s healthcare environment.

46. Leonard Wenyon, vice president of revenue cycle management solutions at IKS Health, said focusing on insurance verification can help providers improve patient payments.

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244933 Shares in R1 RCM Inc (RCM) Acquired by Point72 Asset Management LP

WINTON GROUP Ltd purchased a new stake in R1 RCM during the 3rd quarter valued at $139,000. GSA Capital Partners LLP purchased a new stake …

R1 RCM logoPoint72 Asset Management L.P. purchased a new stake in shares of R1 RCM Inc (NASDAQ:RCM) in the 3rd quarter, according to the company in its most recent Form 13F filing with the SEC. The institutional investor purchased 244,933 shares of the financial services provider’s stock, valued at approximately $2,489,000. Point72 Asset Management L.P. owned 0.22% of R1 RCM as of its most recent SEC filing.

Other institutional investors and hedge funds have also recently made changes to their positions in the company. Oppenheimer Asset Management Inc. purchased a new stake in R1 RCM during the 3rd quarter valued at $126,000. WINTON GROUP Ltd purchased a new stake in R1 RCM during the 3rd quarter valued at $139,000. GSA Capital Partners LLP purchased a new stake in R1 RCM during the 2nd quarter valued at $122,000. Teacher Retirement System of Texas bought a new position in R1 RCM in the 2nd quarter worth $147,000. Finally, Cubist Systematic Strategies LLC raised its holdings in R1 RCM by 49.5% in the 2nd quarter. Cubist Systematic Strategies LLC now owns 20,946 shares of the financial services provider’s stock worth $182,000 after purchasing an additional 6,938 shares in the last quarter. 57.42% of the stock is owned by institutional investors and hedge funds.

Shares of RCM stock opened at $7.55 on Wednesday. R1 RCM Inc has a one year low of $3.97 and a one year high of $11.00. The company has a current ratio of 1.06, a quick ratio of 1.06 and a debt-to-equity ratio of 37.41.

R1 RCM (NASDAQ:RCM) last announced its quarterly earnings results on Wednesday, November 7th. The financial services provider reported ($0.17) earnings per share (EPS) for the quarter, missing analysts’ consensus estimates of ($0.05) by ($0.12). The company had revenue of $250.40 million for the quarter, compared to analysts’ expectations of $240.09 million. R1 RCM had a negative net margin of 10.70% and a negative return on equity of 132.32%. The business’s revenue was up 103.2% compared to the same quarter last year. During the same period in the previous year, the business earned ($0.08) EPS. On average, sell-side analysts forecast that R1 RCM Inc will post -0.18 earnings per share for the current fiscal year.

Several research analysts have commented on the stock. Citigroup assumed coverage on shares of R1 RCM in a report on Monday, December 10th. They issued a “buy” rating and a $20.00 price objective for the company. Zacks Investment Research lowered shares of R1 RCM from a “hold” rating to a “sell” rating in a report on Friday, November 16th. BidaskClub lowered shares of R1 RCM from a “buy” rating to a “hold” rating in a report on Saturday, October 13th. TheStreet upgraded shares of R1 RCM from a “d+” rating to a “c” rating in a report on Tuesday, September 4th. Finally, Chardan Capital assumed coverage on shares of R1 RCM in a report on Tuesday, September 4th. They issued a “buy” rating and a $17.00 price objective for the company. One research analyst has rated the stock with a sell rating, two have given a hold rating, four have issued a buy rating and one has issued a strong buy rating to the company’s stock. The company presently has a consensus rating of “Buy” and a consensus price target of $12.54.

In related news, Director Charles J. Ditkoff sold 20,635 shares of the firm’s stock in a transaction that occurred on Friday, November 16th. The shares were sold at an average price of $8.47, for a total value of $174,778.45. The transaction was disclosed in a filing with the SEC, which is available at this hyperlink. Company insiders own 59.40% of the company’s stock.

WARNING: “244,933 Shares in R1 RCM Inc (RCM) Acquired by Point72 Asset Management L.P.” was first reported by Fairfield Current and is the sole property of of Fairfield Current. If you are viewing this piece of content on another publication, it was illegally stolen and reposted in violation of United States & international trademark and copyright laws. The legal version of this piece of content can be viewed at https://www.fairfieldcurrent.com/news/2018/12/26/244933-shares-in-r1-rcm-inc-rcm-acquired-by-point72-asset-management-l-p.html.

About R1 RCM

R1 RCM Inc provides revenue cycle management (RCM) for healthcare providers in the United States. It offers end-to-end RCM services to manage their revenue cycle operations, which encompass patient registration, insurance and benefit verification, medical treatment documentation and coding, and bill preparation and collection from patients and payers.

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Want to see what other hedge funds are holding RCM?Visit HoldingsChannel.com to get the latest 13F filings and insider trades for R1 RCM Inc (NASDAQ:RCM).

Institutional Ownership by Quarter for R1 RCM (NASDAQ:RCM)

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Acadian Asset Management LLC Has $2.23 Million Holdings in R1 RCM Inc (NASDAQ:RCM)

Acadian Asset Management LLC reduced its stake in R1 RCM Inc (NASDAQ:RCM) by 4.2% in the 3rd quarter, according to the company in its most …

R1 RCM logoAcadian Asset Management LLC reduced its stake in R1 RCM Inc (NASDAQ:RCM) by 4.2% in the 3rd quarter, according to the company in its most recent filing with the Securities & Exchange Commission. The institutional investor owned 219,568 shares of the financial services provider’s stock after selling 9,745 shares during the quarter. Acadian Asset Management LLC owned approximately 0.20% of R1 RCM worth $2,231,000 at the end of the most recent quarter.

A number of other large investors also recently modified their holdings of RCM. Citadel Advisors LLC grew its holdings in shares of R1 RCM by 188.7% during the 2nd quarter. Citadel Advisors LLC now owns 150,547 shares of the financial services provider’s stock worth $1,307,000 after purchasing an additional 98,396 shares during the period. Unterberg Capital LLC grew its holdings in shares of R1 RCM by 10.0% during the 3rd quarter. Unterberg Capital LLC now owns 550,000 shares of the financial services provider’s stock worth $5,588,000 after purchasing an additional 50,000 shares during the period. Swiss National Bank purchased a new position in shares of R1 RCM during the 2nd quarter worth $1,259,000. Millennium Management LLC purchased a new position in shares of R1 RCM during the 1st quarter worth $1,692,000. Finally, Public Employees Retirement System of Ohio purchased a new position in shares of R1 RCM during the 2nd quarter worth $1,471,000. Institutional investors own 54.08% of the company’s stock.

RCM has been the subject of a number of research analyst reports. Chardan Capital initiated coverage on R1 RCM in a report on Tuesday, September 4th. They set a “buy” rating and a $17.00 price target for the company. TheStreet upgraded R1 RCM from a “d+” rating to a “c” rating in a report on Tuesday, September 4th. Zacks Investment Research cut R1 RCM from a “hold” rating to a “sell” rating in a report on Friday, November 16th. BidaskClub cut R1 RCM from a “buy” rating to a “hold” rating in a report on Saturday, October 13th. Finally, Cantor Fitzgerald raised their target price on R1 RCM from $10.00 to $11.00 and gave the company an “overweight” rating in a report on Friday, August 10th. One analyst has rated the stock with a sell rating, two have given a hold rating, three have assigned a buy rating and one has issued a strong buy rating to the company’s stock. The company has an average rating of “Buy” and a consensus target price of $11.05.

In other R1 RCM news, Director Charles J. Ditkoff sold 20,635 shares of R1 RCM stock in a transaction that occurred on Friday, November 16th. The stock was sold at an average price of $8.47, for a total transaction of $174,778.45. The transaction was disclosed in a document filed with the SEC, which is available at the SEC website. Also, Director Albert Rene Zimmerli purchased 10,000 shares of the business’s stock in a transaction on Thursday, September 6th. The shares were purchased at an average cost of $9.73 per share, for a total transaction of $97,300.00. Following the transaction, the director now owns 10,000 shares of the company’s stock, valued at $97,300. The disclosure for this purchase can be found here. 59.40% of the stock is currently owned by company insiders.

Shares of NASDAQ RCM traded up $0.16 during midday trading on Monday, hitting $9.00. 543,200 shares of the company’s stock were exchanged, compared to its average volume of 640,291. The company has a debt-to-equity ratio of 37.41, a quick ratio of 1.06 and a current ratio of 1.06. R1 RCM Inc has a twelve month low of $3.71 and a twelve month high of $11.00. The firm has a market capitalization of $974.49 million, a PE ratio of -20.44 and a beta of -0.32.

R1 RCM (NASDAQ:RCM) last issued its earnings results on Wednesday, November 7th. The financial services provider reported ($0.17) earnings per share for the quarter, missing the consensus estimate of ($0.05) by ($0.12). R1 RCM had a negative return on equity of 132.32% and a negative net margin of 10.70%. The business had revenue of $250.40 million for the quarter, compared to analyst estimates of $240.09 million. During the same period last year, the business posted ($0.08) EPS. R1 RCM’s revenue was up 103.2% on a year-over-year basis. On average, sell-side analysts forecast that R1 RCM Inc will post -0.18 earnings per share for the current fiscal year.

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R1 RCM Company Profile

R1 RCM Inc provides revenue cycle management (RCM) for healthcare providers in the United States. It offers end-to-end RCM services to manage their revenue cycle operations, which encompass patient registration, insurance and benefit verification, medical treatment documentation and coding, and bill preparation and collection from patients and payers.

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Institutional Ownership by Quarter for R1 RCM (NASDAQ:RCM)

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