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Just as you prioritize patient health, we prioritize your financial health.
Our all-in-one, end-to-end RCM solution is built to handle everything, from coding accuracy to collections, giving your GI practice a single, seamless solution for total revenue performance
Running a successful gastroenterology practice means balancing patient care with financial performance, but too often, billing challenges stand in the way.
At Plutus Health, we specialize in revenue cycle management built specifically for gastroenterology. Our team of certified coders and billing experts helps you eliminate costly inefficiencies so you can stay focused on delivering exceptional care.
Talk to Our Experts TodayOur RCM process is designed specifically for the complexities of gastroenterology, combining expert strategy, technology, and deep industry experience.
We begin with a detailed analysis of your current revenue cycle to identify gaps and untapped revenue. From under coded procedures to overlooked denials, we uncover exactly where your billing process needs support and align it with your unique workflow.
Our certified GI coders are trained in the latest CPT, ICD-10, and modifier use, especially for high-volume services like colonoscopies, endoscopies, biopsies, and E/M visits. We ensure documentation aligns with payer policies to minimize denials and maximize accuracy.
We leverage automation and intelligent claim scrubbing to catch issues before submission. Our system flags potential real-time coding mismatches, payer-specific errors, or missing data. Once submitted, we track every claim until it's resolved.
Denied or unpaid claims are followed up promptly with a dedicated A/R team trained in gastroenterology-specific appeals. We dig into root causes, rework rejected claims quickly and engage directly with payers to close the loop faster.
Our team manages payer-specific prior authorizations end to end - submitting requests, tracking statuses, and adapting to changing guidelines in real time to ensure approvals are always in place before services are delivered.
Plutus Health integrates effortlessly with the leading GI-specific EHR and PM systems, streamlining workflows and enabling real-time data exchange. That means faster claim submission, fewer human errors, and complete visibility from scheduling to payment.
Collections (NCPR)
Average contracted value collection increased significantly, reaching >98%
≥98%
Turn around time
The medical billing turnaround time got reduced to < 48 hours
48Hours
Clean claim percentage
A notable increase in clean claim percentage, reached >95%
≥95%
AR Days
The average Accounts Receivable (AR) days got drastically reduced, reaching <25
≤25%
Our coders aren't generalists. They are certified and trained in GI coding, including colonoscopies, biopsies, E/M documentation, and bundling logic. We maintain a 98% coding accuracy rate across all GI specialties.
Whether you're a single-provider clinic or a multi-site GI group, our services grow with you.
From patient registration, coding, billing, and claims follow-up to denial management and patient collections, we manage the entire revenue cycle, so you don't have to.
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We work with the EHR and PM systems you already use- like eClinicalWorks, Athena, Nextech, and AdvancedMD - to keep your workflows uninterrupted.
Our reporting dashboard gives you real-time access to KPIs like days in A/R, claim approval rates, denial trends, and revenue per procedure. More than just data, we offer strategic guidance to help you improve performance and make informed decisions.
The client, a healthcare provider with a high volume of insurance and patient claims, struggled with collections and aging accounts receivable (AR). They managed RCM in-house but faced challenges in handling claims over 30 days, denials, and rejections efficiently.
Working with Plutus Health has completely transformed our billing operations. Their gastroenterology RCM team understands our procedures inside and out—from endoscopies to complex GI surgeries—and their denial management system is spot on.
We were seeing delays in reimbursements and coding inconsistencies that impacted our bottom line. Plutus Health streamlined our gastroenterology billing and helped us reduce A/R days significantly. They're an essential part of our revenue strategy.
Specialized GI Coding Expertise Faster Claim Turnaround & Fewer Denials End-to-End RCM
Support Compliance with GI-Specific Guidelines Insightful Billing Analytics
