Platform-Led Performance is not a vendor model where you outsource your RCM. It is purely a software asset that follows your infrastructure logic. As a matter of fact, it becomes part of your infrastructure, which makes it an ideal choice for MSOs and private equity-based organizations.
Platform-Led Performance (Power My Team)
Boost your revenue production without outsourcing any part of it with AltuMED. Deploy our Platform-Led Performance infrastructure and provide your RCM team with the best revenue production model for maximum yield.
Why Enterprise Health Organizations Cannot Outsource RCM
Large healthcare organizations and MSOs deal with highly sensitive patient information, which requires them to adhere to:
01
Security policies that prohibit external data access
02
Governance covenants that necessitate internal control over every financial workflow
03
HIPAA or SOC2 plus frameworks that demand strict data encryption and transmission protocols
With these restrictions, they can’t work with RCM vendors as it essentially means handing them over sensitive patient data. Sure, they maintain large billing teams to keep the cash flow running. But they must remain committed to conservative methods that sometimes hold back revenue production from reaching its full potential.
Gradually, this revenue infrastructure becomes weak or obsolete as it is unable to keep up with payer contract changes and regulatory updates.
AltuMED’s smart RCM Engine is designed to help organizations that must live with this strategic constraint. This system, once deployed, adapts to your revenue infrastructure and protocols. And the best part is you don’t need an external team to run it. It is easily operable by your own revenue department.
Platform-Led Performance: The Control Is Yours
Platform-led Performance is AltuMED’s software deployment plan specifically designed to help large healthcare organizations with strict data security requirements. Under this plan, we train your staff to operate our Smart RCM Engine. We install the engine inside your revenue infrastructure. And your staff operates every zone of it from Capture through Recover.
The Smart RCM Engine has all the features you need locally to meet your operational and scalability requirements. These features mainly include:
Intelligent routing
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Predictive scrubbing
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Adaptive protocol deployment
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How It Benefits Your Team
Your revenue team needs a solid infrastructure that doesn’t require manual protocol adjustments. It must be a system that would amplify their knowledge and take care of execution. Platform-Led Performance builds that infrastructure for them by providing:
Enterprise-grade automation
Through predictive claim scrubbing, automated underpayment detection, real-time payer intelligence, and dynamic workflow routing.
Self-optimizing mechanism
That uses intel from every encounter to adjust workflow for improvement.
Revealer dashboard
To provide thorough visibility into KPIs like unbilled AR, denial rates, cash flow trends, and zone-by-zone performance.
How Platform-Led Performance Improves ROI
For this reason, the evaluation of Platform-Led Performance is not like assessing an RCM vendor. It must be treated as a capital investment that sits on your balance sheet as infrastructure. This makes it an asset that improves your EBITDA through efficiency rather than becoming a service expense.
But how does Platform-Led Performance improve efficiency?
The answer to this question lies in the technical aspects of this model. The Smart RCM Engine deployment in this model essentially eliminates the need for additional staff, no matter how much your claims increase. The engine adjusts its protocols and handles a substantial volume without overburdening the workforce.
Is Platform-Led Performance The Right Model For Your Organization?
You can benefit from Platform-Led Performance only if your operational foundation can support it. The reason is that this model is an accelerant rather than a rescue service. If your existing billing team and data governance structure are already strong but require a future-proof performance adjustment, this model is for you. The types of setups that can benefit more from this model include:
Existing billing teams that want to improve efficiency through intelligent automation
Private equity-based practices that must keep their revenue production workflows up-to-date without outsourcing
Organizations that must follow strict data security protocols
This list tells who the primary beneficiaries of Platform-Led Performance are. Now, you may wonder for whom this model is not the right fit.
This list tells who the primary beneficiaries of Platform-Led Performance are. Now, you may wonder for whom this model is not the right fit.
Generally speaking, platform-led performance is not for practices that do not have a functional revenue team or those dealing with unsustainable denial rates. Such practices can select FullStack RCM, under which they delegate their entire revenue operations to AltuMED.
Platform-Led Performance is also not for practices with a mid-maturity revenue team that is competent but not enough to handle a new infrastructure on its own. Such practices can use Co-Managed RCM, a model to augment their team with Smart RCM Engine and AltuMED’s revenue experts.
How We Deploy Performance-Led Platform Inside Your Environment
The deployment of Platform-Led Performance is a step-by-step process involving evaluation, installation, training, and support. This process takes time, but it helps ensure that it provides the intended benefits your organization has been longing for.
Step 01
Phase 1: Infrastructure assessment and integration planning
We evaluate your existing EHR and practice management system to build an integration architecture. This step helps prepare the Smart RCM Engine for your unique revenue cycle mechanism.
Step 02
Phase 2: Deployment
Once the assessment is complete, we install the RCM Engine on your infrastructure. This step mainly involves loading your payer contracts, denial data, and existing workflows into the system. This supplies the engine with the fundamental data in order to start functioning.
Step 03
Phase 3: Team training and enablement
We teach your billing team to run revenue operations through the platform. We provide specific training on features like predictive scrubbing, KPI dashboard, and workflow routing.
Step 04
Phase 4: Internal governance and ongoing support
We set up the Revealer dashboard for the leadership. This allows them to get complete workflow insights. We also provide technical support to keep your revenue operations smooth. This involves updating payer rule databases and algorithmic improvements.
Increase Your Yield Without Having Your Data Leave The Building
Cannot outsource your revenue operations due to data security reasons? This shouldn’t be the reason for operational constraints. AltuMED’s Platform-Led Performance offers a self-improving, software-based infrastructure that works with your existing team to improve your revenue production. The best part, your data remains inside your walls.
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AltuMED proudly serves healthcare providers across the United States. We understand regional billing regulations and payer relationships in all 50 states.