How Plutus Health Reduced DSO and Stabilized $4M/Month Revenue for a National ABA Network

Client Profile

Specialty: ABA Services

Locations: USA

Size: 500+ providers and 600+ clients

Annual Revenue: $50M+

This case study shows how a $50M+ ABA provider reduced DSO by nearly 30% and cut aging A/R by over 60%, all during a full RCM transition — with no revenue dip.

Challenges Faced:

• Poor vendor communication limited RCM visibility and delayed claims follow-up with the previous RCM provider
• No access to RCM systems, leaving the client unable to track performance or monitor key billing KPIs
• Inefficient credentialing process due to slow turnaround times and lack of workflow management tools
• Authorization and benefits verification delays severely impacted revenue and patient onboarding timelines

Issues Detected:

• A/R over 90 days was estimated to be over 30%
• Days in AR (DSO) exceeded 35 days based on early-stage discovery
• The previous vendor did not have a dedicated Client Services Manager  
• The RCM system used to bill claims was not up to standard in terms of its reporting capabilities and overall performance.
• Due to the significant attrition of the provider population in their locations, the ABA client faced challenges  with their previous vendor's processes in managing the credentialing workflow.
• Lack of standardized RCM SOPs resulting in payment lag and low collections.
• Lack of SOPs for authorizations and benefits verification processes and inability to track these requests.