Chat with us, powered by LiveChat

Get A Free Revenue Cycle Management Assessment

Register Now

Get A Free Revenue Cycle Management Assessment

Register Now



by Plutus Health

Case studies
February 23, 2024

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

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

The Client

Large-sized home health service provider based out in the US

The Challenges

  • Missed revenue opportunities 
  • Coding and billing integration 
  • Certified and experienced coders
  • Payer specific nuances

Plutus Health Plan:

Plutus Health’s dedicated team of coding managers, quality experts, and certified coders thoroughly analyzed the coding process of the client and detected the following issues:

Issues Detected

  • Missed calibration between Oasis and Medical record
  • Incorrect sequence results in HIPPS reimbursement
  • Inappropriate resumption of care information
  • Non compliance 

After detecting the coding issues, Plutus Health’s coding experts create a personalized plan to provide an end-to-end coding solution.

Our coding experts helped the client review H&P (History and Physical), doctor’s note, medications, and assessment to determine the correct diagnosis codes.

Plutus Health Solutions

  • Plutus Health’s certified coders (OASIS, AAPC, RHIA, HCS-D) identify hidden trends in lost revenue, clean claim rate, lost-revenue performance, and revenue performance to get maximum reimbursement. 
  • Plutus Health’s experts helped the client with regulatory requirements like OASIS-E, PGDM, and ICD-10 codes.
  • Our specialists helped the client with all the complaint-related issues by conducting timely compliance audits and working on the audit findings.  
  • Plutus Health’s professionals helped the client accelerate reimbursement, reduce costs, and improve accuracy.


  • Improved Revenue
  • The coding quality of the client improved.
  • Fully compliant coding process
  • Coding denials minimized


  • Coding quality for the client reach >98%
  • Coding denials for the client reached <2%
  • $ 200 improved per episode per patient 
  • OASIS responses in line with MR

Download Case Study


*We Value Your Privacy.
*We Value Your Privacy.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.