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.