Logo of AltuMED featuring a stylized letter A and the tagline Smarter, Healthier Revenue in blue and gray text.

Healthcare Providers

Transform margins with AI-powered RCM precision solutions by AltuMED. Over the past 15 years, we have helped large hospitals and health systems grow their revenue streams through our technology-driven, tailored billing and reporting solutions. Their unshaken trust in our service is a testament to our prowess.

Precision RCM for Greater Empowerment

From rising operational costs to complex payer requirements, today’s healthcare providers come across several challenges. Add claim denials, compliance penalties, and increased A/R days to the equation, and the situation becomes even less favorable. AltuMED provides intelligent revenue cycle solutions to help large providers rise above these hurdles. We do not just manage claims. We develop revenue infrastructures that boost operations 360.

Here is what we do to help large providers tackle their operational challenges:

  • Managing complex, multi-specialty RCM workflows
  • Processing high volumes of claims while ensuring procedural accuracy
  • Managing denials effectively to keep the number of A/R days as low as possible
  • Integrating their existing EHRs seamlessly into our practice management system
  • Ensuring proper compliance with government and payer regulations
  • Assisting in scaling operations

We help health systems achieve:

98.2%

98.2% Clean Claim Rate

25 DAYS

<25-Day A/R

100%

100% NSA/Price Transparency Compliance

Combining Technology And Personalization

We drive $8M+ annual savings for our clients. The secret to our success is simple: we get the RCM fundamentals right. This means combining the best of technology and human expertise.

Here is how we help providers drive favorable outcomes:

NLP/ML-Powered Workflows:

Predictive denial analytics with 92% accuracy

Epic/Cerner EHR bi-directional sync

ML-driven policy library for UHC/Aetna/Medicare Advantage

Real-time KPI dashboards

Auto-updating policy libraries using CMS/payer feeds

Human Expertise

Dedicated ASC/HOPD coding teams

OIG audit defense specialists

Payer contract negotiation unit

Scalability That Drives The Outcome

At AltuMED, we help providers get more control of their revenue cycles through our end-to-end solutions. Not only do we help them perform better, but we also empower them through our advanced analytics and performance monitoring systems. This helps greatly in business scaling. We offer:

  • Greater expertise in denial management: We deal with denials and rejections using smart workflows and predictive analytics. This leads to a 92% appeal win rate.
  • Custom integrations: We thoroughly analyze your practice infrastructure to suggest solutions that meet all your requirements.
  • Data-driven transparency: Our CFO-level dashboards help providers track:
  • Service line profitability
  • Payer performance leakage
  • Compliance risk heatmaps
  • Margin expansion: Our insights help hospitals and clinics identify performance bottlenecks as well as opportunities for growth.

The force behind all these incredible outcomes is our cloud-based system, which includes:

  • AWS GovCloud infrastructure to handle a large volume of claims
  • Zero-downtime upgrades for CPT/TCD-10 changes
  • 90-day merger integration
Illustration of a doctor holding a virtual sign indicates how to save money and streamline operations with AltuMED's Integrated Solutions

Trusted by Enterprise-Level Healthcare Providers

Whether you run a multi-specialty clinic or manage a statewide network of hospitals, AltuMED is here to support your goals.

Specialty Clinics:

From orthopedics to cardiology, we tailor coding, compliance, and billing workflows to your discipline.

Hospitals & Health Systems:

We help large-scale organizations unify their RCM across departments and facilities.

Treatment Facilities:

Behavioral health and addiction recovery centers benefit from our compliant, patient-centered billing support.

Ambulatory & Urgent Care:

High-volume, fast-paced environments need agile billing tools—and that’s what we deliver.

Why AltuMED Is A Preferred Choice Of Healthcare Leaders

  • Future-ready, scalable solutions
  • Advanced understanding of financial workflows in hospitals
  • An astonishing portfolio of successful collaborations with enterprise medical facilities
  • Transparent and interactive reporting
  • A partnership mindset that values long-term relationships

Providing Services Beyond Generic RCM

Capability
Legacy Vendors
AltuMED
AI Accuracy

Rule-based (70-80%)

Deep learning (92%)

EHR Integration

Batch processing

Real-time FHIR APIs

Compliance

Manual updates

Auto-regulatory radar

Ready To Expand Your Margins Like Our Partners? Let’s Talk

Whether you want to optimize, scale, or rebuild your RCM infrastructure, AltuMED is here to help. We have helped many industry leaders to help them reach where they are now. And we are more than willing to do the same for you.

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