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FullStack RCM (Run It For Me)

Outsource Your Entire Revenue Cycle. Keep Control Of The Outcomes.

Clinical teams aren’t trained to manage exceptions. Yet the top leadership of most practices finds itself dealing with the revenue rabbit hole. CFOs and practice managers engaging in billing team standups that have nothing to do with patient care is a typical example of this.

AltuMED addresses this very issue with FullStack RCM. Under this model, we deploy our flagship Smart RCM Engine and a specialist revenue team to handle every function of your revenue infrastructure. This way, we assume operational liability for the yield. And you get the performance visibility and autonomy to ensure optimal patient care.

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The Cost Of Running Revenue Cycle In-House

Most healthcare practices perceive the cost of in-house billing as the wages they pay to the revenue team. But that is not the real cost. The true cost is more systemic than administrative. The in-house billing infrastructure can fundamentally affect performance in a way that wouldn’t appear on a standard profit and loss statement.

The Hidden Costs Outside Payroll

The direct costs of in-house billing are obvious and can be easily anticipated: salaries, benefits, software licenses, and clearinghouse fees.
The challenge lies in the indirect costs that usually escape documentation. And they can be more damaging. For instance, your monthly financial sheets won't document the top management overseeing the billing staff.

But this will certainly lead to overlooked growth and clinical strategy. Its negative impact will appear on your clinical performance.

When In-House RCM Fails To Scale

An in-house RCM department can support the practice’s revenue only up to a certain point. After that, it becomes structurally inadequate. This translates into the revenue team’s inability to scale as patient volume increases. And a specialty expansion that introduces new CPT and ICD-10 coding requirements renders the revenue infrastructure more obsolete for the job. At such an inflection point, the question is no longer about whether you have a competent billing team. Instead, it is more about the system you provide to that team. And to be honest, it is extremely difficult for most growing practices to give their teams a system that can align with clinical expansion without significant structural modification.

AltuMED’s FullStack RCM is the perfect model to address these challenges. The main component of this model is our RCM Engine, which functions as the core production infrastructure. Our revenue team operates this engine and handles any manual processes that the system routes to them. And you get the desired outcome across your entire revenue cycle.

OPERATIONAL OWNERSHIP

What AltuMED Owns
Under FullStack RCM

FullStack RCM is an end-to-end model that allows you to delegate your entire revenue operations to AltuMED. From there, we assume the responsibility for all your workflows from patient registration to coding to final payment posting.

We do not merely run your revenue processes under this model — we put them in a smart ecosystem where they can communicate with each other. This eliminates the risk of data discrepancies, which are common when front-end workflows and backend RCM work in silo.

01 What You Retain

02 The Accountability Model

01

What You Retain

As mentioned above, FullStack RCM keeps you in control of your practice revenue. This means you retain:

Strategic visibility: Our Revealer dashboard provides real-time updates on unbilled ARs, denial rates, cash flow trends, and speed of collections.
Clinical autonomy: We never make your clinical decisions. We just optimize your production to help you get all the yield from the care you provide.
Performance governance: Monthly scorecards and quarterly reviews give you an accurate top-level view of your practice's financial performance — the data you need for strategic decisions.

02

The Accountability Model

Our contractual performance guardrails give you the ultimate authority to assess your revenue performance at any time. We assign a dedicated account director who provides revenue production support. Our standardized scorecard generates real-time performance reports on metrics like clean claim rate, coding accuracy, first-pass acceptance, AR days, and NCR. A drop in metrics below agreed thresholds triggers an escalation protocol that prioritizes root cause analysis and pushes the revenue team to work on a remediation plan.

FullStack RCM ROI Evaluation

For forward-thinking CFOs, an RCM model’s price tag is the last item on the list when they evaluate a revenue cycle strategy. Their primary attention remains on capital allocation, risk management, and yield optimization.

The fundamental principle here is to view your revenue cycle as a core financial engine rather than an administrative line item. If you go against this basic requirement, you will not be able to identify and remove structural inefficiencies that continuously drag your operating margins down. The ultimate impact of this will be restricted strategic growth.

With these factors in mind, you will realize why evaluating FullStack RCM requires looking beyond surface-level fees.

Pricing Model

Fixed vs. Variable Cost Structure

The cost of running an in-house team is fixed. You must pay salaries and benefits regardless of whether your collections rise or drop. Software, training, and turnover costs also affect your bottom line.

FullStack RCM is a revenue model that works on a percentage-of-collections structure — a perfect alternative for a lacking in-house team, because it fundamentally aligns its incentives with yours.

Percentage-of-Collections

We do not charge you based on processing volume — our model is built entirely around a percentage of what you actually collect.

Aligned Incentives

We profit from enhancing your yield, not your volume. This way, you pay for our service based on your collections.

Implementation Timeline

The Transition Economics

One of the main questions most practices ask when adopting a new revenue model is usually about the time that model takes to fully align with clinical operations. They ask this question to determine the financial impact of the transition and whether the deployment causes any operational disruption.

AltuMED answers this question about FullStack RCM through the following transition plan:

Months 1–2: Diagnostic & Parallel Run

We run a subset of claims alongside your existing operations in order to establish baseline metrics.

Months 3–6: Optimization Phase

The Smart RCM Engine's intelligence layer identifies and prevents systemic errors. You see a noticeable decline in exceptions.

Months 6 and Beyond: Steady Yield Improvement

Improvement continues as the RCM Engine processes each encounter.

Risk Mitigation

What If The System Doesn't Work?

Most vendors dilute the answer to this question with uncalled-for promises. AltuMED answers it explicitly, as we believe practices should not face the exit risk.

Transition Protection

We continue to run FullStack alongside your new revenue infrastructure until the transition is complete.

Data Portability

You get all your data back upon service conclusion. We bind ourselves legally not to keep a copy of your healthcare records.

Is FullStack RCM The Right Framework For Your Organization?

The answer to this question lies in your RCM requirements. But generally speaking, FullStack RCM is for growing practices that view their revenue cycle as more like a constraint than a growth driver.

FullStack RCM is specifically designed for the following organizations:

Growing Practices where patient volume is increasing and billing complexity is outpacing staff capacity

Practices with limited or underperforming billing teams due to high turnover and inadequate training

Organizations where denial rework is consuming most of the staff hours

FullStack RCM helps these facilities by creating a self-learning system that works on exceptions proactively and accelerates cash flow to bring in a predictable yield.

Financial Outcomes Across Active FullStack Deployments

The KPIs below should give a brief yet enlightening overview of what you can achieve with our FullStack RCM model:

Metric	Performance	Board Translation
Clean Claim Rate	99%	No more dedicated resources required for claim rework and resubmission.
Coding Accuracy	97.35%	Ensured compliance and audit readiness.
First-Pass Acceptance	97.35%	Predictable cash flow with faster payment cycles
Average Collection Increase	+30%	Increased ROI due to direct revenue recovery.

What These Metrics Translate Into

Reduces days in AR

Higher net collection rates

Minimal underpayment leakage

Predictable cash flow

Are You Ready?

Turn Your Revenue Cycle Into A Predictable Production Line

Your revenue cycle is a liability if it is consuming more resources than it should and still doesn't accelerate your cash flow. Get registered for a FullStack demo to see how we can convert this liability into a leak-proof production system.

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