NewBecker's 2026 Top RCM · Inc. 5000 · Dallas 100
A behavioral health platform grew collections by $2.4M / year with Plutus Health →
SOC 2 Type 2 · HIPAA · BHCOE · CASP
Plutus Health combines OlympusAI with specialty-certified hospital coders to improve reimbursement while reducing denials across the acute care revenue cycle
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Missing complications and comorbidities lower DRG severity, reduce reimbursement, and negatively impact Case Mix Index (CMI). Our CDI specialists and coders work together to maximize the appropriate capture of CC/MCC codes.
Incorrect discharge disposition coding affects reimbursement for patients transferred to skilled nursing facilities, rehabilitation facilities, LTCHs, and other care settings. Accurate transfer DRG logic protects payment integrity.
Clinical Documentation Improvement is time-sensitive. Physician queries that remain unresolved before discharge often result in lower-severity DRGs, missed reimbursement opportunities, and audit exposure.
Our inpatient coders specialize in ICD-10-CM, ICD-10-PCS, MS-DRG, APR-DRG, SOI/ROM, and payer-specific hospital reimbursement methodologies.
Rather than treating CDI and coding separately, our specialists collaborate throughout the encounter to improve documentation quality before billing begins.
Our incentives align with yours. We focus on collections, reimbursement improvement, coding accuracy, and denial reduction rather than transaction volume.
Generalist RCM vendors cannot consistently manage DRG assignment, CDI workflows, inpatient coding, and payer-specific hospital reimbursement requirements.
Small improvements in DRG accuracy, documentation quality, and coding precision create measurable improvements in Case Mix Index, reimbursement, and net collections.
Claims reviewed before submission experience fewer denials, less manual rework, faster payment cycles, and higher first-pass acceptance rates.
Plutus Health helped us improve documentation quality, strengthen DRG accuracy, and reduce denials across our inpatient revenue cycle. Their combination of Olympus AI, CDI expertise, and certified hospital coders gave us the visibility and financial control we were missing.
We diagnose your current state, baseline the leakage, and show you the to-be model.
The RCM Assessment is free. The findings are yours to keep, regardless of whether we work together.
Board-ready findings memo, quantified leakage estimate, transformation roadmap.
