Solutions
Smart Solutions
that fit your needs.
Hospitals, physicians, and other healthcare providers need to focus on patient care. But if they don’t manage and control revenues and expenses properly, they won’t survive. And that’s where Altum Healthcare Solutions comes in.
Consulting & Complete RCM
Altum provides industry expert hospital consultants with decades of experience to take a new approach to the issues that plague hospitals.
Solution benefits:
- Industry and legal experts to limit liability, increase revenue, and decrease days in A/R
- Increased revenue, providing needed cash to hire additional staff
- Value proposition of time, mind, and money
We have the
team and
necessary tools to
transform any
business office.
We have the team and necessary tools to transform any business office.
Eligibility Seconds
Our off-site solution uncovers additional patient coverage often missed by your primary vendor. The result is additional revenue and a significant decrease of uninsured balances sent to collections.
Our Medicaid seconds solution utilizes our processes to identify patient accounts with the highest likelihood for success with Medicaid, Medicare, and charity program enrollment, often increasing patient coverage by an additional 10%.
Solution benefits:
- Increased revenue on “frequent flyer” patients
- Maximized reimbursement from uninsured patients
- Deliverables to evaluate primary vendor performance
We are
focused on
uncovering every
single dollar
available for our partners.
We have the team and necessary tools to transform any business office.
Insurance Denials
When a claim is denied, timelines are tight to address the reason and submit an appeal. Our hands-on denial solution offers legal and clinical support for both medical and technical denials at each level, providing accurate and timely appeals for your organization.
Altum serves as an extension of our partners’ business. We focus on increasing revenue which enables our partners to serve their community better.
Solution benefits:
- Reduced future denials by uncovering the “why”
- Customized solutions for large projects or clean-up of outstanding inventory
- Optimization of revenue with our ability to handle any type of appeal
- Support from dedicated clinicians and attorneys
We tackle
complex claims,
focusing on
reducing denials and expediting
appeals.
denials and expediting appeals.
Third-Party Liability
Altum provides an attorney-based model with the perfect mix of technology, which limits your organization’s liability.
We quickly identify accounts, pursue all involved parties, coordinate benefits, file liens, and take all possible legal measures to protect the provider.
Solution benefits:
- Compliance with all state and federal laws
- Maximized reimbursement through an attorney-led operations team
- Complex Claims handled by specialists, reducing staffing needs
We’re committed to identifying
all opportunities
for third-party reimbursement.
We’re committed to identifying all opportunities for third-party reimbursement.
Insurance Follow-Up
Claims in need of follow-up activity erode employees’ limited time and revenue for organizations.
Altum provides customized solutions for single payers or date ranges. By proactively and accurately managing these accounts, we reduce staff needs and improve cash flow.
Solution benefits:
- Overflow resources
- Timely and accurate management of all outstanding claims
- Optimization of revenue and decreased days in A/R
- Reduction of in-house staff needs
Operational
efficiency
is a must to help our
partners maximize reimbursement.
Operational efficiency is a must to help our partners maximize reimbursement.
Workers’ Compensation
Our experienced hospital consultants and legal team work with patients and/or their attorneys to ensure all Workers’ Compensation claims are processed promptly and correctly.
Altum’s manual review ensures that in the event that a claim is controverted or denied, we will file all necessary paperwork to support the provider’s legal interest in the matter.
Solution benefits:
- Audit of payment against Fee Schedule for accuracy
- Maximized reimbursement through an attorney-led operations team
- A dedicated staff of specialists, reducing the need for in-house resources
Our proven approach
simplifies
complex claims
every step of
the process.
Our proven approach simplifies complex claims every step of the process.
Back-End Eligibility Detection (Scrub)
Maximize revenue by utilizing our team to review patient accounts for cases of missing or previously unknown eligibility across Medicare, Medicaid and commercial insurance.
Our solution is invaluable as it does not derive payment from the hospital or the patient.
Solution benefits:
- Timely review of all self-pay accounts for coverage
- Increased revenue on repetitive patient claims
- Claims processing to reduce needed resources
We turn inaccuracies for errors
into revenue
that would otherwise be lost.
We can turn inaccuracies for errors into revenue that would otherwise be lost.
