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The U.S. Supreme Court ruled in favor of HHS in a closely watched case involving how hospitals calculate Medicare DSH adjustments. The decision upheld HHS’s narrow interpretation of when low-income patient days count toward funding, significantly impacting hospitals’ financial recovery for past claims.
Altum Healthcare Solutions is monitoring Georgia’s Senate Bill 68, a tort reform bill aimed at reducing malpractice premiums and expanding insurance options. While beneficial in some aspects, an amendment to the bill’s “collateral source” statute could significantly impact hospital reimbursement. The inclusion of “reasonable value” in medical damages assessment shifts the valuation process to patients, insurers, or juries—leaving hospitals without a say. This change could lead to lower settlement values, further straining hospitals financially.
The Supreme Court’s decision in Loper Bright Enterprises v. Raimondo overturns the Chevron doctrine, introducing uncertainty in hospital revenue management. With agencies no longer receiving automatic deference on ambiguous statutes, hospitals must anticipate increased litigation, compliance challenges, and regulatory shifts affecting billing, reimbursement, and financial operations. While the impact remains uncertain, healthcare providers may need to allocate more resources toward compliance and legal strategy to navigate these evolving changes.
Watch on-demand – “Leadership & Adaptability” webinar with Ken Hogue, hosted by Altum Healthcare Solutions. Discover key leadership strategies in the healthcare industry.
In this exclusive session Chris Hauptli, CTO of Value Based-RCM breaks down the complexities of cybersecurity in healthcare, covering who the threat actors are, their motivations, and how you can protect your data.
Altum Healthcare Solutions achieves national certification as a Women’s Business Enterprise by the WBENC, validating their commitment to excellence and opening new opportunities for growth and innovation.
Discover impactful leadership strategies from an expert in healthcare finance and revenue cycle management. Watch On-Demand.
In this episode, we feature a remarkable conversation between industry CEOs Elizabeth Richards and Geneva Schlabach. They delve into the vital role of people in technology, offering an inspiring reminder of the human element at the heart of innovation. Watch On-Demand.
During the March 22, 2024, Episode of Deep Dive with Altum, CEO Elizabeth Richards engaged in a 30-minute discussion with attendees about the Change in
CEO Elizabeth Richards discusses the Change Healthcare breach’s impact on Hospital Revenue Cycles. The breach disrupted healthcare transactions nationwide, leading to billing delays and financial instability for providers.
Angela Goins is the Public Relations representative for Altum Healthcare Solutions and the owner of Angela Goins Communications, LLC, which specializes in the medical, legal, and public sectors.
With a passion for storytelling, Angela bridges the gap between organizations and their audiences, enabling them to forge authentic connections.
Angela holds an MA in Communications Studies from the University of Alabama and a BA in Speech Communication from the University of Georgia. After spending over a decade moving around the United States as an active-duty military spouse, Angela settled back in her home state of Georgia, residing in Canton with her husband and their four sons.
Kelsey Claster is the Manager of Legal for Altum Healthcare Solutions. She is a Kennesaw State University graduate with a BBA in Entrepreneurship and a minor in Information Systems. Kelsey began her post-graduate career with Altum in late 2021 and has quickly advanced herself by creating and implementing new practices that streamline our legal services.
Taylor Weaver is the Complex Claims Manager for Altum Healthcare Solutions. With over seven years of experience in healthcare billing and reimbursement, she brings a wealth of expertise to her role, specializing in handling complex claims with ease.
Taylor’s commitment to excellence and client satisfaction is evident in her work ethic and positive attitude.
Taylor resides in West Georgia with her significant other and their two furry companions.
Meaghan Gildea is the Chief Operating Officer for Altum Healthcare Solutions. She brings a decade of expertise in Operations, HR, and Healthcare Law. Meaghan’s experience includes stints with major Complex Claims companies and Law Firms that conducted work on the entire Eastern Seaboard. Her expansive knowledge and work ethic are unparalleled in the healthcare industry.
Meaghan is a graduate of Georgia Southern University and Kennesaw State.
Mary Enge is the Vice President of Insurance Billing for Altum Healthcare Solutions. With over 25 years of Healthcare Industry experience, she possesses a strong background leading teams in quality assurance and claims analysis for follow-up and claims denials for Medicare, Veterans Administration, Workers Compensation, Managed Care, Medicaid CMOs, and Medicaid.
Mary has collaborated with multiple hospital departments to resolve complex denials regarding authorization, medical necessity, COB issues, and assisted with various cleanup projects. She has worked closely with hospitals nationwide to assist in reviewing, analyzing, and resolving a high volume of accounts while maintaining great partnerships with her clients to ensure we always meet their goals and expectations.
Matthew Alford serves as the Chief Development Officer of Altum Healthcare Solutions. Drawing on 15 years of experience in finance and Healthcare, his role is critical to our clients’ engagement, development, and satisfaction. Matthew believes in the importance of building relationships and delivering on measurables to increase performance for all of his clients.
A native of Cordele, Georgia and educated at Georgia Southern University, he currently resides in Fayetteville, Georgia with his wife and two children. Matt is an avid golfer who also enjoys serving his community as a church deacon and high school golf coach.
Elizabeth S. Richards serves as Chief Executive Officer of Altum Healthcare Solutions. With 15 years as a Healthcare attorney, her expertise includes third-party liability, workers compensation, insurance appeals, Medicaid/Medicare, and other complex reimbursement matters.
Mrs. Richards is an active member of the Georgia Bar, Georgia Academy of Healthcare Attorneys, and Georgia Chapter of HFMA. As a member of Georgia HFMA, she has been on the board of directors, a legal counsel to the chapter, and co-chair of the Region Five event. Additionally, she chaired and founded the Women in Healthcare initiative in the state. In 2014, she was selected and served on the National HFMA task force for Early Careerist. She also holds the HFMA Fellow designation and the Medal of Honor.
She holds a Bachelor of Business Administration in Finance and a Juris Doctor, both from the University of Georgia. When not working, Mrs. Richards enjoys spending time with her two sons, Hudson and Grayson, and cheering on the Georgia Bulldogs!
