Unified Revenue Hub
Boost operational efficiency with the RCMOS’s integration layer. Use our pre-built EHR/payer connectors and embedded clearinghouse to get a head start. Make your revenue cycle operations synchronous in <30 days, not 12 months.
Pitfalls of Disconnected RCM
Traditional healthcare tech stacks only offer basic functionality. There is often no connectivity between major processes like EHR, payer portals, patient portals, and billing systems. This dysconnectivity doesn’t mean the said processes can’t access central patient records. It is the absence of a mechanism that unifies data from all these processes.
Here is what happens as a result:
Your Healthcare Interoperability Engine
Our RCM team looks into all the outstanding payments. More specifically, they monitor all the charges, adjustments, and denials to identify gaps in your cash flow. Then, they work with your finance team to expedite the payment recovery process.
200+ Pre-Built Healthcare Connectors
Our intelligent connectors integrate all your RCM processes and operations. It is a zero-touch deployment solution for:
- EHRs: Epic, Cerner, Meditech, Athena, NextGen
- Payers: 900+ carriers (MA plans to Medicaid MCOs)
- Clearinghouses: Embedded routing, status checks, ERA ingestion
- CRMs/Patient Portals: Salesforce, Healthgrades, Zocdoc
→ No developers needed. Go live in <30 days.
Real-Time Data Orchestration
The integration layer ensures bidirectional synchronization between all systems. The data gets updated in all the data storage units across the RCM platform. This means no more waiting time for patient data to move from the front-desk computers to the billing team. Here is how it works:
- Patient check-in
- Instant insurance verification
- Automatic bill generation
- Claim submission to the payer
The entire data transaction happens in less than five seconds.
FHIR/HL7 Normalization
The Revenue Hub understands all the intricate data formats. And using the FHIR/HL7 standards, it translates all raw feeds into RCM-ready information. It works by:
- Converting non-standard EHR data into ANSI 5010/EDI formats
- Enriching with payer rules (e.g., UHC modifier requirements)
- Auto-maps fields (e.g., "Epic_ChargeAmt → Billing_LineItemValue")
Embedded Clearinghouse
Last but not least, an “embedded financial exchange gateway” is built into the integration layer. This feature ensures smooth transaction of claims and payments between you and insurers.
- Claim submission
- Status tracking, like with the Amazon packages
- Payment auto-depositing
Most vendors offer this feature as a standalone solution, meaning that you must pay for it separately. AltuMED provides it as a part of the RCMOS suite without the additional fees.
How This System Benefits Your Operations
Hospital-Specific Impact
Capability
| Implementation
| Results & Impact
|
|---|---|---|
EHR Integration
| Merge legacy & new EHRs post-merger | Saves up to $1.2M in custom interfaces + 78% fewer billing errors across 4 systems |
Payer Connectivity
| Real-time MA/Medicaid eligibility | 31% fewer denials + 8-day faster payment for government payers |
Data Compliance
| Automated 340B drug billing audits | Can recover $450K/year in underpayments + audit-proof documentation |
Deployment Speed
| Enterprise rollout in 90 days | Ensures 6x faster payer onboarding vs. traditional RCM platforms |
Clearinghouse
| Embedded ERA auto-posting | Processes 5K+ ERAs/day with 99.9% auto-reconciliation |
*(500+ Bed Systems, Academic Medical Centers)*
Clinic-Specific Impact
(Specialty Practices, ASCs, Urgent Care)
Capability
| Implementation
| Results & Impact
|
|---|---|---|
EHR Integration
| Click-to-connect Athena/NextGen | 65% lower IT costs + setup in <48 hours |
Payer Connectivity
| Patient cost estimates at check-in | 41% reduction in patient balance denials |
Data Compliance
| HIPAA-secure data flows | Zero PHI breaches with end-to-end encryption |
Deployment Speed
| Go live in 2 weeks | Treat new insurance plans 30 days faster |
Clearinghouse
| All-in-one claims/payment pipeline | Eliminate $15K/year in 3rd-party fees + same-day cash posting |
RCM Firm-Specific Impact
Capability
| Implementation
| Results & Impact
|
|---|---|---|
EHR Integration
| Centrally manage 50+ client EHRs | Onboard clients in 14 days (vs. industry avg 90) |
Payer Connectivity
| Client-specific rule engine | 99.8% data accuracy across payer mixes + client SLAs exceeded by 31% |
Data Compliance
| SOC 2 isolation for multi-tenant ops | Unified audit trail for 100+ clients + zero cross-client data leaks |
Deployment Speed
| Onboard clients in <14 days | Scale to 30+ clients in 6 months without added DevOps |
Clearinghouse
| White-labeled transaction gateway | Brand claims/ERAs as your own + 40% margin on clearing services |
(BPOs, Billing Companies, Revenue Cycle Outsourcers)
Ready for Unification?
RCMOS is a complete solution to accelerate your revenue. With us, you do not have to worry about patching systems to get them working. We automate them for you.