Resources · Case Studies

Practices that put
Althais to work.

Stories from the kinds of organizations Althais is built for, in their own words.

Hospital Systems
“We stopped finding out about denial patterns in a monthly report and started catching them before the claim left the building.”
VP of Revenue Cycle, A 6-hospital regional health system
Days in A/R52 days → 19 days
Denial rate11.4% → 3.8%
Coding turnaround3.2 days → 4 hours
Althais for Hospital Systems
Large Multi-Specialty Groups
“Our cardiology and ortho claims used to get denied for completely different reasons. Now both teams work off the same intelligence.”
Director of Billing Operations, A 40-provider multi-specialty group
Denial rate9.8% → 3.1%
Clean claim rate84% → 96%
Avg. coder caseload38/day → 61/day
Althais for Large Multi-Specialty Groups
Private Practices
“I used to do billing on Sunday nights. Now review takes ten minutes between patients and I actually appeal denials instead of eating them.”
Practice Owner, A 3-provider cardiology practice
Time to code a note14 min → 90 sec
Denials appealed12% → 68%
Revenue per claimBaseline → +9.4%
Althais for Private Practices
Urgent Care
“Flu season used to mean a two-week claims backlog. Now Tuesday's visits are submitted by Tuesday night.”
Regional Billing Manager, A 14-location urgent care network
Same-day submission rate54% → 98%
E/M under-coding21% → 4%
Denial rate8.9% → 3.4%
Althais for Urgent Care
FQHCs
“Audit prep went from three weeks of pulling files to two days of exporting a report that was already correct.”
Compliance & Billing Director, An FQHC serving 22,000 patients a year
Medicaid denial rate14.2% → 6.1%
Audit prep time3 weeks → 2 days
Reimbursement capturedBaseline → +12%
Althais for FQHCs
Specialty Clinics
“Our modifier denial rate was the thing we could never fix. It's now the metric we stopped worrying about.”
Billing Operations Lead, A 9-provider orthopedic and sports medicine group
Modifier denial rate16% → 5%
Prior auth prep time45 min → 12 min
Clean claim rate79% → 95%
Althais for Specialty Clinics
Revenue Cycle Teams
“We used to find out what went wrong a month later. Now we see it the day it happens.”
Director of Revenue Cycle Operations, A centralized RCM team supporting 180 providers
Reporting cadenceMonthly → Real-time
Coder throughput45/day → 108/day
Denial root cause ID9 days → 36 hours
Althais for Revenue Cycle Teams
Medical Billers
“Appeal letters used to be the task everyone put off. Now it's a two-minute review, not a twenty-five minute write.”
Billing Team Lead, An independent billing service managing 40 client practices
Appeal letter drafting25 min → 4 min
Claims processed / day / biller32 → 74
Payer portals checked daily6 → 1
Althais for Medical Billers
Questions

Asked and answered.

Can I talk to a customer?

Ask us during your demo and we'll connect you with a team like yours.

Are results the same everywhere?

No. Every practice is different; we'll look at your own claims in a demo.

Where do I start?

Book a demo, then pilot Althais on your own documentation.