NewBecker's 2026 Top RCM · Inc. 5000 · Dallas 100
One ASC cut aged A/R from $4.55M to $0.76M in nine months →
SOC 2 Type 2 · HIPAA · BHCOE · CASP
Plutus Health brings experienced authorization specialists and OlympusAI together to streamline prior authorization, utilization review, retro-authorizations, and payer appeals, helping healthcare providers move care forward while protecting revenue.
Get Your Free RCM Assessment →Our Prior Authorization Services reduce administrative burden, improve approval rates, and ensure medically necessary services receive timely payer authorization before treatment begins
We obtain payer approvals before services are rendered, reducing authorization-related denials and preventing unnecessary treatment delays.
When unexpected situations arise, our specialists handle retro-authorizations quickly to help you recover reimbursement for eligible services already provided.
Clinical documentation is reviewed against payer-specific medical necessity requirements to improve approval rates and reduce unnecessary denials.
Denied authorizations are supported with clinical documentation, payer-specific evidence, and structured appeal strategies to maximize approval success.
We review your current authorization workflows, payer mix, denial trends, and turnaround times to identify opportunities to improve operations.
Our specialists manage prior authorizations, utilization reviews, documentation requests, and payer communication before services are performed.
Authorization requests are actively monitored, escalated when necessary, and tracked through approval to reduce delays and missed deadlines.
Executive dashboards monitor approval rates, turnaround times, authorization-related denials, and payer performance to optimize workflows continuously.
Let Plutus Health simplify prior authorizations, improve approval rates, and reduce administrative burden with AI-powered authorization management and experienced reimbursement specialists.
