RCM Services Firms
Are you overwhelmed with an influx of claims and have less control over your RCM operations? Or are you unable to scale operations for your partner healthcare providers? Most of the times, this happens due to manual operations that slow you down. But what if you get AI for all the heavy lifting, and you focus more on productivity?
This is where AltuMED comes in. We make things efficient and accurate for billing companies. Our AI-driven tools utilize ML and NLP to automate and accelerate 85% of your claim processing. This translates into more streamlined practice management and faster reimbursements.
Your Trusted Partner In RCM Excellence
Medical billing and RCM companies face tough challenges while serving healthcare providers. They have to handle multiple clients, navigate unique payer requirements, and ensure billing accuracy. And they must accomplish each of these without SPENDING A LOT. This presents them with a significant challenge.
Enter ClaimPulse, AltuMED’s smart solution designed to support billing and RCM service providers. This system helps billing firms work smarter, faster, and get more profit through:
Intelligent automation
Seamless integration
Deep work flow visibilit
ClaimPulse: A Cutting-Edge Solution That Empowers RCM Firms
ClaimPulse is an AI-powered RCM technology suite to help billing firms raise their billing performance for all their clients. It is based on the following features:
Claim scrubbing and edits:
Automated coding and compliance checks to ensure higher first-pass acceptance rates
ML-based denial prevention:
Intelligent pattern recognition system that identifies and prevents denials
Payer intelligence engine:
Adaptive, rule-based learning system to track payer-specific changes and exceptions
Multi-client workflow support:
A unified, interactive dashboard to manage operations across specialties and practices
Dynamic KPI Dashboards:
Specialized portals to track performance by claim, payer, or client and identify trends in the industry
Task automation:
Auto-tasking, smart routing, and escalation protocols that take care of redundant actions
Helping RCM Firms Grow With Confidence
AltuMED’s solutions act as your invisible advantage. They streamline your complex back-end operations and reduce repetition. As a result, you get your valuable resources freed up and ready to utilize for quality service provision. We help RCM firms by:
- Scaling multi-client operations without adding headcount
- Accelerating turnaround times for claims and appeals
- Ensuring client satisfaction and loyalty by increasing billing accuracy
- Adapting to payer guideline updates using automation
- Enhancing reporting efficiency for clients and internal teams
- Preventing penalty audits through
- HIPAA-compliant data handling
- NSA dispute resolution protocols
Don't let billing inefficiencies hold your practice back. Partner with AltuMED and experience the difference our expertise can make.
Who We Serve
Our customizable solutions can serve RCM firms of any size and type. Broadly speaking, we serve:
Effortless Integration With Your Clients’ Systems
One of the best things about ClaimPulse is that it can fit within the ecosystem your clients already use. It can smoothly connect with EHRs (e.g., Epic and Cerner) and other practice management platforms. This instantly enables efficient onboarding, consistent data sync, and uninterrupted operations.
But we do not leave everything to software alone. Our implementation and support teams work with your billing staff to ensure you embark on a journey to success.
Why Billing and RCM Firms Choose AltuMED
NLP/ML-Powered Claim Processing
Get thousands of claims processed with speed and accuracy. Our smart automation systems reduce human errors, spot compliance issues, and identify payer behaviors to get the desired outcome.
Single Platform For Multi-Practice Management
Use our single dashboard to manage multiple specialties and providers. With ClaimPulse, you get full control and visibility of your operations. This can help you meet diverse client requirements.
Smart Rules Engine And Customizable Workflows
Formulate workflows, set billing rules, and automate validation checks to ensure clean claim submission for all your clients. ClaimPulse adapts to all the specific protocols related to payers, specialty-specific codes, and modifiers.
Fewer Denials, Quick Collections
Use our built-in denial management system to reduce reimbursement delays. This system performs automated claim follow-ups, issues real-time alerts, and uses machine learning to identify denial patterns.
Prepared By RCM Experts, Vouched By Billing Professionals
ClaimPulse is an outcome of the collaboration between top-level RCM professionals and tech pros with sound billing knowledge. It is built upon millions of parameters and data from 150+ million claims. The AI agent processing this information is a highly sophisticated one. Its advanced reasoning and algorithmic genius help ensure maximum accuracy in claim generation and processing.
So, whether you are a small billing firm or an enterprise RCM setup, ClaimPulse can help you streamline your processes and grow your business.
Work Smarter And Collect More With AltuMED
Reduce overhead costs, work efficiently, and deliver optimal results to your clients.