Our mission is to offer providers revenue cycle management services that maximize revenue and decrease administrative burdens so they can focus on what's most important, their patients.
Our reporting and ability to use your current software offers full transparency for peace of mind.
TURNAROUND TIME
Every hour a claim goes into pending status is an hour between a provider and their cash flow.
TECHNOLOGY
We incorporate automation into our optimized processes to improve cash flow faster than your current process allows.
Revenue Cycle Management
Our Mission and Values
Complete Revenue Cycle Management
Revenue cycle management (RCM) is a financial process used by healthcare providers to track patient records, manage claims processes, generate revenue, and manage reimbursements.
From registration tasks to final balance payment tasks, RCM provides real-time access to claim management and allows healthcare providers to manage their work in proper channels.
Our clients enjoy custom strategies that are tailored to theunique revenue flow challenges of each practice. Plus, we're so committed tohelping our clients save money that we always offer the option to work with aclient's existing software! Our dedicated team is ready to help you create arevenue growth action plan with automated, optimized processes.
The client was facing challenges in their claim collections
Their Billing and claim submission process had undiscovered gaps hurting their bottom line
The Process
To optimize the claim submission process and increase claim collections, Plutus Health started the project in July 2021. During the process:
Our team uncovered the gaps inhibiting the optimal claim submissions, which delayed collections building up to AR days of 140+.
We found 2500+ pending unsigned claims from the past year, which were unbilled yet.
We worked rigorously to file these pending bills within the Timely Filing Limit.
We got most claims cleared within six months and surpassed our client's expectations to revive them from their low collection phase.
Achievement
Dec 2021 was the month with the highest Revenue in 20 Years of the client's history.
Results
Our client experienced these positive results across the three most important KPIs within the first six months
Denials – We brought down Average Monthly claim Denials from 20% to 1% in 6 months.
AR Days–Significantly reduced AR days from 143 to 63 within 6 months.
FPPR – Increased the First Pass Resolution Rate for the client from 80% to a whopping 98%.
About Plutus Health
Plutus Health provides Urgent Care focused Revenue Cycle Management Services. We help Urgent Care clinics increase collections and reduce denials, emphasizing compliance.