Altruis

Altruis is a revenue cycle management service that aims to streamline and optimize the financial processes of healthcare providers of various sizes. This solution caters to a range of professions and industries, including Federally Qualified Health Centers (FQHCs), Community Mental Health Centers (CMHCs), Certified Community Behavioral Health Clinics (CCBHCs), Critical Access Hospitals (CAHs), and Ambulatory Surgery Centers (ASCs).

Key Features

Revenue Cycle Management: Altruis partners with clients to address issues in revenue cycle management (RCM). They handle various aspects of the revenue cycle, such as front-office improvement opportunities, rejections and denials, payment posting, and account reconciliation. Altruis aims to maximize payments by minimizing delays from rejections and denials. They also provide trended analysis of Key Performance Indicators (KPIs) to enhance transparency in revenue cycle performance.

Improved Claims Processing: Altruis aims to reduce the rate of errors and denials, thereby improving productivity and efficiency. Their dedicated staff members focus on diligently following up on pending and in-process claims to ensure comprehensive management. Altruis collaborates directly with payers to resolve RCM issues and prevent their recurrence.

Enhanced Payment Accuracy: Altruis continually monitors for underpayments and identifies hidden opportunities to ensure accurate payment for care. They analyze data from rejected and denied claims to gain valuable insights for enhancing revenue cycle management efforts. Altruis shares these insights with clients and provides trended KPIs to facilitate the implementation of changes for optimal reimbursement. They also offer trending results on a rolling 12-month view for effective performance comparison and understanding of changes.

Customized Technology Solutions: Altruis leverages technology tailored to the specific needs of their clients. They make effective use of existing electronic health records (EHR) and clearinghouse systems to streamline processes. Altruis implements systems that maximize reimbursement and ensure accurate payment. They also develop technologies to support providers in delivering better patient care and benefiting from value-based care initiatives.