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by Plutus Health

Case studies
October 27, 2022

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

by Plutus Health
Coding Quality of Nephrology Practice Reached 98%Download PDF

The Client: 

An ABA therapy practice 

The Challenge:

  • High denials due to coding errors 
  • High amount of aging AR claims 
  • Diminished cash flow and revenue 

The Plutus Plan: 

Due to the high number of denials and days in AR, the RCM strategy in place needed to be analyzed to discover the reason for denials. After completing the denial trend analysis, Plutus Health identified two payers as the root cause of the denials. We added appropriate modifiers based on provider credentials and pre-authorizations. We were able to offer our client excellent feedback and educational training in the area of modifiers. 

The Results: 

  • Denials from the two identified payers were reduced by 41.6% in just 50 days 
  • Overall cash flow increased by 23.3% 
  • 90+ AR days reduced by 33.2% 

This client was so pleased with the results from the services implemented at Plutus Health that they decided to use our payment posting services permanently. 

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