Complex Billing.
Turning Billing Challenges Into Faster Recoveries
Billing backlogs, denials, and aged accounts can quickly overwhelm internal teams, draining time and revenue. Altum simplifies the most difficult aspects of the revenue cycle. With expert oversight, advanced analytics, and a flexible partnership model, we help providers recover revenue more quickly, reduce administrative strain, and enhance their overall financial performance.
"Not every revenue cycle challenge fits within a traditional workflow."
Complex Billing & Strategic Revenue Cycle Initiatives
Altum’s Complex Billing and Strategic Revenue Cycle Initiatives provide flexible, customized solutions designed to address unique reimbursement challenges, operational constraints, and specialty billing requirements.
Our Solutions
- Custom project design aligned with the client's existing workflows while incorporating best-practice process improvements
- Dedicated reimbursement specialists focused on accurate, compliant claim resolution
- Detailed process management and quality assurance to ensure consistency and optimal outcomes
- Flexible support for specialty billing environments, including: Transplant, Infusion, Pain Management, Oncology, Specialty Pharmacy, Home Health, and Hospice
- Project-based engagements tailored to specific business objectives, staffing challenges, or reimbursement opportunities
Independent Dispute Resolution (IDR)
The No Surprises Act established the Independent Dispute Resolution (IDR) process, creating a formal mechanism for providers and payers to resolve payment disputes involving certain out-of-network services. Altum helps providers navigate this complex process while maximizing reimbursement and minimizing administrative burden.
Our Solution:
- Streamlined referral process utilizing standardized claim coding and documentation requirements with minimal provider involvement
- No implementation, setup, or monthly fees
- Contingency-based pricing that includes all IDR-related filing and administrative costs
- Flexible portfolio requirements with account inventories valued at approximately $25,000 or greater
- Fixed contingency pricing based on claim complexity and recovery potential, not referral volume
- Support for both one-time submission projects and ongoing IDR recovery programs
- Attorney-supported review process to strengthen dispute positioning and maximize recoveries
Special AR Billing Projects
Not all accounts receivable challenges fit into standard workflows. Altum’s Special AR Billing Projects offer flexible, focused support tailored to address unique provider challenges—whether it’s tackling high-volume backlogs, transitioning to new systems, or recovering overlooked revenue.
Our Solutions
- Custom design for aged AR clean-up or targeted payer reviews
- Dedicated experts delivering accurate, compliant resolutions
- Clear reporting with analytics that track progress and results
"Operational efficiency is a must to help our partners maximize reimbursement."
Insurance Follow-Up
Outstanding insurance claims consume valuable staff resources and delay reimbursement. Altum’s Insurance Follow-Up services provide scalable support designed to accelerate collections, reduce aging, and improve cash flow.
Our Solution:
- Proactive account management to identify and resolve reimbursement barriers
- Reduced reliance on internal staffing resources
- Accelerated reimbursement and reduction in days in A/R
- Flexible engagement options ranging from current claims to inventories aged beyond 365 days
- Detailed payer trend reporting and root-cause analysis
- Customized payer-focused strategies that address each organization's unique challenges and priorities
"Turning aging accounts into recovered revenue without disrupting critical transitions."
Accounts Receivable Optimization
Aged accounts receivable can significantly impact cash flow and divert resources away from strategic priorities. Whether addressing legacy inventories, preparing for a system conversion, or supporting a major operational initiative, Altum’s specialized AR teams accelerate recoveries while allowing internal staff to remain focused on critical business objectives.
Our Solution:
- Experienced A/R specialists with expertise in aged and complex receivable inventories
- Analytics-driven review processes designed to identify and recover overlooked revenue opportunities
- Flexible project-based staffing and recovery solutions
- Targeted support during EHR conversions, acquisitions, and major operational transitions
- Accelerated cash recovery and reduced aging balances
- Confidence that no reimbursement opportunity is left behind while internal teams focus on current operations and strategic initiatives
Discretionary Denials
Discretionary denials often stem from process gaps, incomplete documentation, or payer-specific requirements. Left unaddressed, they can erode revenue and consume valuable staff resources. Altum applies a proactive, attorney-led approach to resolve these issues quickly and prevent recurrence, ensuring providers don’t leave money on the table.
Our Solution:
- Root cause analysis to identify patterns and prevent repeat denials
- Workflow optimization that addresses payer-specific requirements
- Analytics and reporting for clear visibility into denial trends and outcomes
- Revenue recovery focus that minimizes leakage and maximizes reimbursements
Is Complex Billing Slowing Your Revenue Recovery?
Altum streamlines insurance follow-up, A/R projects, and denials to accelerate reimbursements and strengthen financial performance.
