The Story Behind RTMD

Company Profile

Founded in 2002 in Birmingham, Alabama, RealTime Medicare Data’s core mission is to provide comprehensive, non-modeled, timely Medicare claims data that allows hospitals to develop and support strategic business initiatives.

RTMD recognizes that healthcare administrators too often make decisions from incomplete, modeled, or out-of-date data. In order to help remedy this situation, we have established a first-to-market expertise and a working relationship with CMS. We understand data will drive decisions in the future. It’s about value, not volume—accurate and transparent data will fairly position you for the future.

Our data was initially sold to hospitals throughout Alabama, where we attained an approximately 85% share of the major hospitals in the state. Our data coverage gradually expanded to other contiguous states and the nation to ensure that all hospitals, particularly in border areas, could see the full extent of their market.

In addition to hospitals, RTMD is currently working with cardiology groups, pharmaceutical companies, state hospital associations, and other organizations to provide data expertise for all corners of the healthcare field.

Better data. Forward thinking.

Better Data Matters

RTMD offers the most up-to-date and comprehensive nationwide Medicare Fee-for-Service claims data currently available in the market. As the largest privately held Medicare claims database in the United States, we have a unique advantage. Unlike other providers, we not only provide UB04 Inpatient and Outpatient Hospital claims data but also offer CMS 1500 Medicare claims data, which covers professional services and alternative acute-care settings.

At RTMD, we prioritize data integrity and deliver the highest quality of information to our clients. Unlike data obtained from multiple and disparate sources, our data comes from a single reliable source, ensuring its accuracy and reliability. Our data is fully transparent and is not forecasted or hidden behind black box algorithms, allowing you to develop a strategy based on trustworthy and real-time information.

We recognize that different payers rarely have parity. With our data, you can rest assured that the source is pure, and the comparisons you make against other providers in your market are accurate. We understand that healthcare is local, and the market dynamics and underwriting practices vary accordingly. It is essential to have a clear understanding of the origin of the data and how you stack up against other providers in your specific market.

Leveraging our data, your leadership team can find answers to critical strategic business questions. Our data can help you assess the growth potential in different settings, determine the portion of the business you currently hold, and identify opportunities for further growth. You can analyze the data by service line, physician, alternative setting, community (based on 5-digit beneficiary Zip Code), and margin/reimbursement.

Furthermore, our data allows you to compare your organization's efficiency and effectiveness in serving patients to the broader market, state, and national peer groups. By evaluating performance indicators such as service line, physician, alternative setting, community, and margin/reimbursement, you can gain insight into your standing and make informed decisions.

In addition to growth and comparison, our data can also help protect your revenue cycle. You can assess whether your organization meets the necessary scrutiny and requirements to be paid timely, avoiding interruptions in the revenue cycle. By evaluating service lines, physicians, alternative settings, communities (based on 5-digit beneficiary Zip Code), and margin/reimbursement, you can identify areas of improvement and ensure compliance.

In summary, RTMD offers the most comprehensive and current Medicare Fee-for-Service claims data available, covering all 50 states and DC. With our reliable and transparent data, you can gain valuable insights into growth opportunities, compare your organization's performance, and protect your revenue cycle. Make informed strategic decisions based on accurate and localized information, empowering your leadership team to drive success in the healthcare industry.