Healthcare Systems Billing Solutions
Optimize Your Healthcare System's Revenue Cycle
In the complex landscape of healthcare finance, maximizing revenue while maintaining operational efficiency is paramount. AltuMED partners with leading healthcare enterprises to navigate the intricacies of revenue cycle management (RCM). Our comprehensive solutions and deep industry expertise empower you to optimize financial outcomes, reduce administrative burdens, and focus on delivering exceptional patient care.
Healthcare System Billing Solutions at AltuMED
Denial Prevention and Recovery
Our proactive denial prevention strategies, root cause analysis, and aggressive appeals process ensure you recover lost revenue and maximize reimbursement. With expertise in handling the most intricate claims and payer negotiations, we safeguard your organization's financial health.
Regulatory Compliance
Our team stays ahead of the curve, ensuring your organization remains audit-ready and mitigates risk with expert guidance. Rely on us to navigate the complexities of regulatory compliance with confidence.
Workflow Automation
Our intelligent automation solutions streamline patient access, charge capture, claims submission, payment posting, and denial management, reducing manual intervention and turnaround times while improving accuracy. Leverage our expertise to streamline operations and reduce administrative costs.
Data-Driven Insights
Our advanced analytics and reporting capabilities identify trends, optimize processes, and benchmark performance against industry standards. With customized dashboards and real-time visibility into key RCM metrics, you gain a competitive edge in decision-making and strategic planning.
Patient Financial Experience
Our solutions simplify billing statements, offer flexible payment options, and provide compassionate financial counseling. Improve patient engagement, reduce bad debt, and increase self-pay collections with our patient-centric approach, ensuring a positive financial experience for your patients.
Experience the Difference
Don't let RCM challenges hinder your growth. Partner with AltuMED and see how our expertise can make your healthcare practice grow.
How We Drive Transformation
Accurate Financial Insights
By calculating accounts receivable (AR) based
on the date of service (DOS), we provide a more accurate picture of your financial health.
This enables us to diagnose and significantly reduce lag time, improving cash flow and financial forecasting.
Data-Driven Decision Making
AltuMED's intuitive dashboards provide your leadership team with actionable insights into Key Performance Indicators (KPIs).
This strategic reporting interface empowers data-driven decision-making, allowing you to identify bottlenecks, track progress, and optimize performance.
Streamlined Eligibility and Pre-Authorization
We re-engineer eligibility and pre-authorization workflows across your entire network, ensuring consistency and compliance.
Front-line staff receive comprehensive training on best practices, empowering them to proactively address issues and prevent denials. Real-time feedback loops enables rapid error correction at the point of service, minimizing revenue leakage.
Technology-Enabled Efficiency
Our Eligibility Portal simplifies eligibility verification across all locations, streamlining patient access and reducing administrative burden.
Our innovative "EligiGo" app allows front-line staff to instantly check patient eligibility at the point of service, enhancing the patient experience and accelerating the revenue cycle.
Healthcare System Billing Best Practices
Value-Based Care Optimization
Navigating the shift towards value-based care requires a deep understanding of complex payment models. AltuMED's experts are well-versed in bundled payments, shared savings, and other alternative reimbursement structures. We help you:
Design and Implement Effective Programs:
Develop strategies aligned with your organization's goals, ensuring seamless integration with existing workflows.
Optimize Reimbursement:
Maximize financial performance under value-based contracts through meticulous tracking, reporting, and performance improvement initiatives.
Improve Patient Outcomes:
Enhance care coordination, reduce readmissions, and elevate the overall patient experience, all while controlling costs.
Managed Care Contracting
Strong payer contracts are essential for financial sustainability. Altumed's experienced negotiators leverage data-driven insights and industry benchmarks to:
Secure Favorable Rates:
Negotiate optimal reimbursement terms, ensuring your organization receives fair compensation for services rendered.
Minimize Risk:
Identify and mitigate potential financial risks within contracts, protecting your revenue stream.
Streamline Contract Management:
Centralize contract information, track key dates and milestones, and ensure compliance with all contractual obligations.
Revenue Integrity
Accurate and compliant billing starts with a well-maintained chargemaster. Altumed's comprehensive review and optimization process:
Identifies Revenue Leakage:
Uncover missed charges, coding errors, and other discrepancies that erode your bottom line.
Ensures Compliance:
Validate charge capture processes against regulatory requirements, reducing audit risk and potential penalties.
Optimizes Reimbursement:
Align pricing with industry standards and payer contracts to maximize legitimate revenue.
Vision
AltuMED envisions a future where you thrive through optimized revenue cycles, enabled by our best-in-class solutions:
- Integrated RCM
- Real-Time Visibility
- Data-Driven Optimization
Mission
AltuMED's mission is to partner with major healthcare corporations like yours to achieve:
- Next-Generation RCM Practices
- Better Value for Patients
- Right Value at the Right Time
Why Choose AltuMED?
Local Expertise, National Reach
Based in Michigan, we possess a deep understanding of the local healthcare landscape, allowing us to provide personalized support tailored to your organization's unique needs. Yet, our solutions scale to meet the demands of enterprises nationwide, giving you the best of both worlds – localized expertise with the resources of a national leader.
Comprehensive Solutions, Unwavering Focus
Our team offers comprehensive expertise in RCM, business process optimization, and financial performance, ensuring a holistic approach to your revenue cycle challenges. With an unwavering focus on your organization's success, we deliver end-to-end solutions that address your most pressing concerns.
Technology-Driven Results
Our purpose-built technology platform is designed specifically for healthcare enterprises like yours, providing integrated, real-time analytics, and actionable insights to drive data-driven decision-making. Leverage cutting-edge technology to optimize your revenue cycle and achieve measurable results.
Future-Ready Innovation
Our technology roadmap embraces artificial intelligence (AI) and seamless integrations, ensuring your RCM solution remains adaptable and cutting-edge. As your trusted partner, we continuously innovate to keep you ahead of the curve in an ever-evolving healthcare landscape.
Global Delivery Excellence
Our wholly-owned global delivery platform ensures consistent quality, scalability, and cost-effectiveness for our clients. With a global footprint, we can provide major healthcare corporations with the resources and expertise required to tackle even the most complex revenue cycle challenges.