We Run Your Revenue Cycle with AI. We Get Paid When You Get Paid.
Plutus Health operates complex revenue cycles with specialty expertise, proprietary payer intelligence, OlympusAI execution, and experienced RCM specialists, all accountable to measurable financial performance.
Process-first. Intelligence-led. AI-executed. Expert-supervised.
Specialty RCM Expertise
Every healthcare specialty operates differently. Plutus Health brings dedicated RCM expertise across Behavioral Health, ASC & Surgical, Free-Standing ER, and other specialties, with workflows built around the payer rules, reimbursement models, and revenue risks unique to each.
The Hardest Payer Landscape in Healthcare. Run by People Who Actually Understand It.
Our BH team is built around the realities of ABA: payer authorization games, RBT-vs-BCBA distinctions, parent-vs-clinic coordination, and the operational chaos that comes with rapid clinic growth. We bring the same depth to outpatient psychiatry and SUD.
Applied Behavior Analysis (ABA)
Outpatient Psychiatry
Substance Use Disorder (SUD)
Complex Multi-Modifier Coding. Implant Tracking. OR Economics That Actually Work.
ASC and surgical practice billing isn't generic RCM with a bigger spreadsheet. We bring depth in multi-CPT-modifier coding, implant logs and invoicing, multi-procedure reductions, OR utilization reporting, and the payer-by-payer politics of high-cost procedures.
Ambulatory Surgery Centers
Orthopedic & Spine
Cardiology · Ophth · GI
OON Economics. NSA Arbitration. The Most Contested Revenue in Healthcare.
Free-Standing ERs operate on the most contested ground in U.S. healthcare. The No Surprises Act and IDR process turned every NSA-eligible OON claim into a federal arbitration. We've built dedicated IDR teams, payer-specific OON playbooks, and the analytics infrastructure to win at the QPA-vs-billed-charge math. We submit, we negotiate, we arbitrate.
FSER Facility & Professional Billing
Out-of-Network Strategy
NSA / IDR Arbitration
Process First. Always.
Discipline is the difference between vendors and partners.
Every Plutus Health engagement starts with a 30-day diagnostic. We map your current process against MGMA/HFMA medians, identify the leakage, and design the to-be operating model before we touch a claim.
Then we run the model:
- 24/7, follow-the-sun, across three global delivery centers.
- Our 1,700 RCM specialists work alongside our Agentic workflow.
- Every step has an SLA. Every SLA has analytics. Every analytic ties to a CFO dashboard you see weekly.
"We didn't outsource our revenue cycle. We bought a better one."
Pre-Encounter
Charge Capture
Coding & Scrub
Submission & Follow-Up
Denials, Appeals & Recovery
Reporting & Continuous Improvement
PIE.
Plutus Payer Intelligence Engine (PIE)
Smarter revenue cycle decisions, powered by real payer data.
PIE continuously tracks payer behavior, policy changes, fee schedule updates, denial patterns, appeal outcomes, and prior authorization requirements, providing Plutus Health with the intelligence to make payer- and specialty-specific decisions across the entire revenue cycle.
“It’s the layer competitors can’t buy, license, or replicate, because it’s built from the work itself.”See How PIE Powers the Agents →
OlympusAI 3.0. 25 AI Agents. End-to-end RCM Coverage.
PIE provides the payer intelligence. OlympusAI puts it to work.
OlympusAI is the AI execution layer within how Plutus operates your RCM.
25 specialized AI agents operate across 7 RCM workflow stages, executing defined processes with measurable accuracy thresholds, human-in-the-loop QA gates, and clear handoffs to Plutus Health specialists when expert judgment is required.
25
7
$1B
15+ years
99.2%+
97%+
The 3-Phase RCM Process
When overhauling your medical practice's billing, Plutus Health implements a structured, technology-enabled 3-step strategy to accelerate collections:
Synthesize ALL Practice Data
Establish a baseline by auditing current coding accuracy, analyzing denial rates, and evaluating payer contract performance.
Deploy OlympusAI
Leverage OlympusAI to automate claim validation, prior authorizations, eligibility verification, and workflow intelligence, helping reduce manual effort while improving billing accuracy and reimbursement outcomes.
Continuous A/R and Denial Management
Actively appeal underpaid claims, discover secondary insurance, and pursue complex claim management, including motor vehicle accident and out-of-network claims.
What Gets Measured.
What Gets Paid.
97%
5%
25
98%
+35%
48hrs
99.2%
87%
We Don’t Sell Software.
We Deliver Outcomes.
Every Plutus Health engagement is benchmarked against MGMA / HFMA medians and reported to the client's CFO weekly.
+$2.4M
Annual collections lift after 12 months. Denial rate reduced from 14% to 5.8%. A/R compressed 22 days.
+$8.7M
Recovered through OON / IDR over 18 months
−71%
Reduction in denial rate, 9 months
−26 days
In Days in A/R, year over year
+$1.8M
Patient-pay recovered in 12 months
+$4.2M
EBITDA flow-through, full year
Trusted Revenue Cycle Management Solutions for Healthcare Providers Nationwide
See what people are saying about us
We Don't Win Unless You Collect.
Most RCM firms charge you a percentage and walk away when collections drop. We don't. Our commercial model is tied to the outcomes we deliver - denial rate, net collection ratio, days in A/R. If the number doesn't move, neither does our fee.
Performance-tied SLAs
Variable pricing on outcomes
30-day diagnostic, no commitment
25 Agents.
Working Your Revenue Cycle.
Most RCM vendors talk about "AI in the workflow." We deploy 25 specialized AI agents across 7 workflow stages.
When the Eligibility Agent runs, it doesn't just check coverage, it runs secondary discovery, parses benefits, and escalates exceptions. When the Coding Agent runs, it doesn't just suggest codes, it supports the workflow with 99.2% coding accuracy and confidence-gated escalation to certified coders.
Explore All 25 Agents →
Trusted by 9,000+ Providers in 40+ U.S. States.
From multi-state PE-backed platforms to independent specialty groups, Plutus Health runs the revenue cycle for healthcare's most demanding operators.
Four Things We Believe. One Way We Work.
After 15+ years and $1.7B in annual collections, we've earned the right to be opinionated. These four principles are how we run every engagement and why clients continue to trust us with their revenue cycle.
Paid on outcomes, not effort.
We share the risk. Outcome-based commercial models, performance SLAs, and CFO-grade reporting tie what we charge to what you collect. If we don't move the number, we don't get paid.
Process first. Then technology.
Software doesn't fix broken processes; it accelerates them. We engineer the operating model first: SOPs, SLAs, controls, escalation paths. Then we layer AI and analytics.
AI & analytics deliver the outcome.
Our AI identifies denial risks before submission. Our analytics surface leakage before the close. Our agents work on portals 24/7.
SME experts. Three verticals.
RBT/BCBA tracking in behavioral health. Implant pass-through in ASCs. NSA/IDR arbitration in ERs. Generic RCM firms hand you a workflow. We bring 15+ years of specialty-specific pattern recognition into every agent, denial path, and payer rule set.
Discover the Impact of Agentic AI-Powered RCM Solutions
Plutus Health RCM Knowledge Hub
From practical tips to boost clean claims, and revenue cycle management solutions, to interesting news about RPA in healthcare and everything in between, our blog is updated regularly with the latest news in billing and healthcare.
What PE Firms Look for in ABA Revenue Cycle During Diligence
Centralized vs Decentralized ABA Billing: What Actually Works for Multi-Location ABA Operations
How to Audit Your ABA Revenue Cycle in 30 Days
From Reactive to Predictive RCM: How AI Is Changing Denial Management
Why Medicaid Credentialing Takes Too Long—And Who's Really Paying the Price? The Hidden Costs of Medicaid Credentialing Delays
Questions Buyers Ask
Built for the World's Best
30 Days.
We diagnose your current state, baseline the leakage, and show you the to-be model.
No Commitment.
The diagnostic is free. The findings are yours to keep, regardless of whether we work together.
CFO-grade output.
Board-ready findings memo, quantified leakage estimate, transformation roadmap.
