Revenue cycle management
Get paid forthe care you deliver.
Revenue cycle management is everything between seeing a patient and getting paid in full: eligibility, prior authorization, documentation, claims, denials, appeals, and the financial reporting that ties it together. Every stage is a place revenue can leak.
Altair runs the whole cycle autonomously on top of the systems you already use, and gives your financial leaders the forecasting and transparency RCM never had.
The revenue cycle, stage by stage.
Each stage is a chance to get paid, or to lose money to a denial.
- 1
Eligibility and benefits
Confirm the patient's coverage and what they owe before the visit, so claims do not deny for coverage issues.
- 2
Prior authorization
Secure payer approval for services that require it, mapped to the payer's criteria, before submission.
- 3
Medical necessity and documentation
Confirm what you are billing is medically necessary and flag the documentation each payer needs to support it.
- 4
Claim scrubbing
Check every claim against the payer's policies before it goes out, to maximize first-pass payment.
- 5
Submission and remittance
Send the claim and read the 835 remittance to see exactly what was paid, adjusted, or denied.
- 6
Denials and appeals
Work denials the moment they land and appeal the ones that are wrong, with payer-specific documentation.
- 7
Financial intelligence and forecasting
Forecast collections by payer, score probability of payment, surface underpayments and why, and prove the business case for every prevented denial.
Works with everything you already run.
Altair runs on top of every EHR, practice-management system, and clearinghouse on the market, including yours. No rip-and-replace, no new software, no exceptions.
Runs the whole cycle: eligibility and benefits, prior authorization, medical necessity and documentation, payer-specific claim scrubbing, submission, claim tracking, remittance, autonomous denials, payer-specific appeals, and CFO-grade financial forecasting and underpayment detection.
41% of providers now see denials above 10%.
Revenue leaks at every stage of the cycle, and denials keep climbing. Altair puts the same AI payers use against you to work across the whole cycle.
Experian Health State of Claims 2025. Denial rates vary by payer and setting.
Revenue cycle management, answered.
What is revenue cycle management?
Revenue cycle management, or RCM, is the end-to-end process of submitting and collecting payment for medical care. It spans eligibility and prior authorization, medical necessity and documentation, claim scrubbing and submission, denial management and appeals, and the financial reporting that tells you what you will collect.
What are the stages of the revenue cycle?
The main stages are eligibility and benefits, prior authorization, medical necessity and documentation, claim scrubbing, submission and remittance, denial management and appeals, and financial analytics and forecasting. A breakdown at any stage costs you revenue.
How does AI improve revenue cycle management?
AI checks each claim against the specific payer before submission, works denials the moment they land, drafts payer-specific appeals, and learns each payer over time, so more claims are paid in full with less manual work.
Does Altair replace my RCM software?
No. Altair layers on top of the EHR, practice-management system, and clearinghouse you already use, then runs the whole cycle from eligibility and scrubbing through denials, appeals, and collections forecasting. No rip-and-replace.
Is Altair HIPAA compliant?
Yes. Altair is HIPAA compliant. Review our security posture and controls in detail at our Trust Center.