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Case Studies

Our clients have seen exceptional growth in their reimbursement and collections. Read the case studies to know we helped them to streamline their processes.

From 90+ AR Days to 25: How Automation Transformed Revenue Flow for a Large Behavioral Health Company

A large network of hospitals spread across 36 states providing behavioral health and substance use disorder treatment services reduced 90+ AR days to less than 28 days using Automation.

Large-Sized Behavioral Health & Substance Use Disorder (SUD) Practice Collected $140K from Old AR within 3 Months

The client is a large Behavioral Health and Substance Use Disorder (SUD) practice in the US. They were struggling with RCM inefficiencies, rising AR, and cash flow issues before partnering with Plutus Health to resolve these challenges.

Cleared $8M Backlog and Cuts 90+ AR Below 5% in Just 90 Days for a Behavioral Health Company

The client is a large-sized behavioral health and substance use disorder (SUD) service-providing organization spread across multiple locations in the US

Reduced Eligibility Denials to Less Than 1% for a Mid-sized Behavioral Health Service Provider

A mid-sized behavioral health and substance use disorder (SUD) service provider operating across all states in the United States.

ABA Claim Denials reduced to less than 5% with Plutus Health Solutions

Plutus Health's experts recognized that the client needed an advanced analytics solution. We offered our expertise in healthcare analytics, technology, and risk adjustment methodologies to address the challenges faced by the payer.

A Large Network of Hospitals providing Emergency Services Reduced 90+ AR days to 28 days using Automation

Plutus Health's team started this project to automate the current RCM processes. Our RPA experts thoroughly analysed the current process and detected the issues that needed immediate attention.

Mid-sized Orthopaedic practice collected ~$350K every month through AR

Plutus Health's team started this project to bring in better collections to gain the client's confidence. Our billing experts thoroughly analyzed the current RCM process and detected the issues that needed immediate attention.

Large-sized Ophthalmology practice reduced its denials from 29% to 8% in 6 months.

Highly experienced medical billers detected the issues hindering the client's revenue and systematically approached their ophthalmology billing needs, Know how!

Insurance payer's RAF score improved from 1.5 to 2.1, which helped them improve their financial performance by 40%

The client is a plan covering a diverse Medicare Advantage population with close to 6000 members.

Mid-sized IP/OP service provider lowered its coding denial rate to under 2%

The client increased its revenue by 10% in just 5 months

Coding errors for mid-sized physician group reached <1%

Plutus Health's certified coders (OASIS, AAPC, RHIA, HCS-D) identified hidden trends in lost revenue, clean claim rate, lost-revenue performance, and revenue performance to get maximum reimbursement. 

A multi-specialty facility overcame the internal credentialing software issues and successfully submitted 150+ applications

The client was satisfied with how quickly the Credentialing situation was turned around and now their providers are “in-network”.

Coding quality for large-sized home health service provider reached >98%

Coding quality for the client reach >98%

Large Sized Ophthalmology Practice Collected $140K from Old AR within 3 Months

RCM performance, Revenue losses, and AR results started coming in around the 45-to-60-day mark

An OBGYN Provider Generated $245k+ from Old AR and Denied Claims in 3 months

The client achieved uninterrupted cash flow in just three months of working with us and Brought down the AR days to minimum and denial rates below 5%.

Discover how mental health organization reduced its 90+ AR below 5% in just 3 months

The client was so impressed with the results and services offered by Plutus Health that they decided to increase our AR review and Denial Management from 2 locations to all the 17 locations and handed us responsibility worth ~$4.5M in collections per month.

Coding Quality of Nephrology Practice Reached 98%

Plutus Health Inc. gave education & feedback to physicians, streamlined coding practices, and provided documentation guidelines to improve coding accuracy. We enhanced the coding quality and lowered the errors.

Freestanding Emergency Room Facility Increased its Collection by 150%

Client's overall collection increased from $4 million to $10 million per month in just three years and more...

An Urgent care center decreased its denied claims from 20% to 1% in just 6 months

We brought down Average Monthly claim Denials from 20% to 1% in 6 months and more...

Generating Revenue from 270+ AR for an ASC

Learn how Plutus Health helped established ASC to generate revenue from 270+ AR bucket

Significantly improved AR of a cardiology practice within 120 days

Learn how Plutus Health helped improve AR of a cardiology practice by 72% within 120 days

Urgent care increases collections percentage from 80% to 95% in just 6 months

Discover how our Urgent Care client increased overall collections in just 6 months.

ABA therapy center reduces 90+ days in AR by 33.2%

Read about Plutus Health's optimized RCM process that helped this ABA Therapy Center increase overall cash flow by 23.3%.