Data Management and Reporting with AlterMed RCM

Optimize Your Revenue Cycle with Proven RCM Expertise

We ensure proper legal compliance, risk management and operational efficiency to simplify provider onboarding and insurance reimbursement.  

Our services include managing provider data, monitoring progress, and ensuring effective payer enrollment.

Credentialing Database Setup and Maintenance 

We setup a credentialing database that stores all providers credentialing information and maintain it continuously to organize scattered data, track errors and avoid missing deadlines. We: 

• Build a Structured Database for Healthcare Organizations  
• Enter Provider Data (licenses, DEA, CAQH, certifications, etc.) 
• Maintain Standardized Formats (names, IDs, dates, documents) 
• Keep Data Updated with Information Changes  

Aging Reports and Enrollment Pipeline Visibility 

We offer better visibility into ageing reports and enrollment to help healthcare organizations forecast onboarding timelines, reduce delays and improve revenue planning. These reports show pending applications and enrollment delays.  

We generate reports for: 

• Delayed Payer Applications  
• Slow Provider Approvals  
• Workflow Bottlenecks  
• Enrollment Completion Timelines  

Document Management and Secure Storage 

At AlterMed RCM, we use secure systems to store all provider-related documents. The goal is to protect sensitive personal and legal data from being stolen. Our secure storage reinforces data privacy, ensures seamless audits, and prevents compliance risks.  

Data management and secure storage include: 

• HIPAA-compliant Storage 
• Quick Retrieval During Audits 
• Safe Sharing with Payers and Hospitals 
• No Document Loss or Duplication 

Our Case Studies

Case Study 1 – Ventra Health  

Ventra Health was struggling with credentialing gaps and frequent claim denials. AlterMed RCM understood their challenges and took actionable measures to solve the issues and improve their revenue cycle management.  

The client required urgent operational support to address large-scale credentialing gaps and denial volumes across multiple functions. They were struggling with:  

Rapid Ramp-Up 

Need for 246 FTEs in multiple batches (50, 90, 106) within a tight timeline 

Claims Denials 

High volume of claims denied due to credentialing issues requiring immediate resolution 

Application Backlog 

Large backlog of pending payer applications creating operational bottlenecks 

Data Gaps 

Dependency on incomplete documentation from client systems (SharePoint gaps) 

The team of AlterMed RCM ensured rapid development of 246 FTEs within 60 days to address these challenges.  

Case Study 2 – Medallion 

AlterMed RCM has been in partnership with Medallion since 2024.  

When the organization reached out to us, they were facing operational hurdles that impacted their revenue cycle management.  

We identified major challenges:

• Manual and fragmented enrollment workflows 
• High rejection rates due to documentation gaps 
• Delayed provider onboarding 
• Limited operational visibility 
• Inefficient payer follow-ups 

The team of AlterMed RCM critically analyzed their pain points and followed a strategic approach to achieve an effective payer enrollment process.  

We focused on: 

• Centralized enrollment tracking and reporting 
• Structured training and onboarding programs 
• Standardized workflows and SOPs 
• Real-time SLA and performance monitoring 
• Improved coordination with providers and payers 

With the help of our consistent professional support, Medallion generated more than $20.5 million in revenue.   

The AlterMed RCM and Medallion Partnership lead to key results: 

• 214+ dedicated RCM professionals 
• 48,337 approved Medicaid & commercial enrollments 
• $20.5M+ revenue generated 
• 70–80% reduction in credentialing timelines 
• 100% CAQH compliance achieved 
• Major enrollment backlog cleared within 8–10 weeks 

We continue to work with Medallion, offering consistent business results.