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Plutus Health

US Healthcare Revenue Cycle Management

A healthcare facility is primarily a place of healing, but it is also a business that needs to stay feasible. Revenue cycle management or RCM is essential in ensuring the viability of your hospital or medical practice.

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Ambulatory surgery centers (ASCs) need to be financially sound to provide affordable, high-quality same-day surgeries and pain management to their patients. Proper ASC billing and coding systems can ensure that your outpatient surgery center is able to deliver the much-needed outpatient services and stays viable.

Outsource your ASC billing functions to Plutus Health Inc. We can address the challenges that may compromise your ASC’s revenue performance, including coding mistakes and denials.

Plutus Health revenue cycle management solutions for Free Standing ASCs provide excellent coding and billing services from our experience of many years in ASC billing which are compliant services with all the federal and state regulations. We understand all the nuances of ASC billing and maximize the reimbursement of the physicians using efficient billing methodologies.

Reimbursement for surgical services has become  difficult as the ASC space evolves. ASCs are now dealing with very complex insurance carrier policies, multiple guidelines that govern contracted and out of network payer types. This requires deep expertise of payer policies and trends.

There are many important aspects of filing a claim for services rendered through an ASC. Medicare often has different guidelines than some commercial payers, and the payers themselves often differ regarding medical necessity, approved procedures, or other filing requirements.

A leading ASC medical billing service provider, Plutus Health Inc. can:
  • Stay on top of code updates for error-free claim submissions
  • Manage payer contracts, identify issues regarding local coverage determinations, rules regarding care plans, bundled payments, etc., and resolve them quickly
  • Review denials and file appeals
  • Provide analytics and business intelligence reports

Our expert-level ASC billing services will improve your collections, increase your overall financial viability, and ultimately allow you to provide the best care for your patients.

ASC Coding 

One of the most common coding mistakes is coding based on a procedure’s headings instead of the actual surgical report. This is bound to result in a denial once it reaches the payer. Other common errors include misreporting open and arthroscopic techniques as one procedure.

Since an ASC uses a combination of physician and hospital or clinical billing, employing the CPT and HCPCS level codes, some insurance carriers permit an ASC to bill using ICD-10 procedure codes. Some “packaged” services such as medical or surgical supplies not on a “pass-through” status, surgical dressings, splints, casts and related items, supervision of an anesthesiologist by the operating surgeon, and so on.

Managed care contract review

How long you have to submit a claim, how long you have to review an adjudicated claim, what the payment methodology is, why a carrier would reduce multiple procedures and how to appeal a claim that hasn’t been paid correctly. Your ASC should use your managed care contract to bill out, post payments and follow up, and you need it at every point of the revenue cycle.

Appeals

Plutus Health will deliver sophisticated ASC  appeals for surgery denials that include but not limited to payer exclusions, prior authorization, timely filing, usual and customary allowable etc. Plutus Health’s expertise in changing payer guidelines, denial and payment trends, as well as client-specific issues to ensure surgery reimbursement for your Ambulatory Surgery Center is best in class. Plutus Health will aggressively pursue appeal options as well as negotiated settlements for in and out-of-network claims. Plutus Health’s team of reimbursement strategists brings broad experience from both payer and provider sides.  

Outsourcing to Plutus Health Inc. gives you instant access to a skilled revenue cycle team that uses the latest technologies to deliver significant bottom-line improvements. We also provide key analytics, recommendations, and actionable insights to help you maximize profitability, physician disbursements, and overall efficiency.

Take control of your ASC’s financial health

Effective revenue cycle management (RCM) is another pivotal factor in safeguarding your ASC’s finances. Request an RCM assessment to identify current weaknesses in your processes and workflows.

Find out how to achieve maximum reimbursement on your ASC claims.

Contact Us Now to Fix Your A/R and Claim Denials

Stay abreast of the latest ASC trends and policy updates with our resources

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Coding for ASCs is a specialty into itself. It is a facility service, but Medicare requires ASC’s to send their bills to the professional fee (Part B) payers but using the facility fee (Part A) claim form. There are a different set of regulations and bundling edits to use for ASCs. A simple modifier used incorrectly can be denied for an otherwise clean claim for thousands of dollars. You may lose your money if your codes are not in right order.  Insurance Carriers who do not follow standardized coding practices because of HIPAA exemption. Worker’s compensation carriers, small carriers and other carriers that are HIPAA-exempt can come up with home-grown codes, and you are not going to get paid if you use standardized codes. To avoid having your claims rejected, make sure you know whether your carrier is exempt.

Plutus Health has built deep expertise of revenue cycle processes to ensure optimal reimbursement for all ASC services. From accurate demographic capture, coding, and pre-billing audits and scrubbing, to deep EOB analysis, we will navigate on your behalf ASC coding & billing as well as denial  complexities.

Since ASC Facility & Professional Services insurance billing & Out of Network collections are specialized activities most billing services have little or no knowledge of the challenges in this area.  One of the issues is  ASC billing uses a combination of hospital and physician billing. However, ASCs use CPT and HCPCS Level II codes to bill most of their services, some payers will allow an ASC to bill ICD-9-CM procedure codes like hospital. Some payers even base implant reimbursement on revenue code classification. ASC billing challenges are many and complicated.

Get Started

Please enter your details below and one of our team members will contact you shortly.


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*We Value Your Privacy.
*We Value Your Privacy.
Thank you! Your submission has been received!
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Discover

Revenue Cycle Management

A healthcare facility is primarily a place of healing, but it is also a business that needs to stay feasible. Revenue cycle management or RCM is essential in ensuring the viability of your hospital or medical practice.

Plutus Health Inc. is one of the best RCM providers. Our customized revenue cycle management solutions reduce billing errors, increase claims efficiency, and optimize cash flow.

You can count on us to take care of the health of your revenues so you can focus on taking care of the health of your patients. We can:

  • We are a US healthcare revenue cycle management company that can optimize patient registration and claim preparation so that you get paid quickly and correctly for all services rendered.
  • We are the best RCM providers to automate patient statements using AI, ML, and RPA technologies.
  • Plutus Health Inc. detects and eliminates errors such as wrong diagnoses codes, incomplete forms, and incorrect modifiers before claims submission to reduce the number of rejections and denials.
  • Manage and follow up on claims during and after receiving responses from insurance companies using our revenue cycle management solutions.
  • Our US healthcare revenue cycle management services can help collect receivables from patients (if applicable), send bills to collections, and issue statements.
  • Manage and follow up on claims during and after receiving responses from insurance companies.

Get Started

Please enter your details below and one of our team members will contact you shortly.

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

RCM Solutions

A healthcare facility is primarily a place of healing, but it is also a business that needs to stay feasible. Revenue cycle management or RCM is essential in ensuring the viability of your hospital or medical practice.

Plutus Health is one of the best RCM providers. You can count on us to take care of the health of your revenues so you can focus on taking care of the health of your patients. Our customized hospital revenue cycle management solutions are designed to reduce billing errors, increase claims efficiency, and optimize cash flow. We can: 

  • optimize patient registration and claim preparation so that you get paid quickly and correctly for all services rendered
  • Automate patient statements using HIPA Acompliant paperless technologies
  • Detect and eliminate errors such as wrong diagnoses codes, incomplete forms, and incorrect modifiers before claims submission to reduce the number of rejections and denials
  • Manage and follow up on claims during and after receiving responses from insurance companies
  • Collect receivables from patients (if applicable), send bills to collections, and issue statements
  • Manage and follow up on claims during and after receiving responses from insurance companies

With our healthcare RCM services, you can:

Improve your revenues

The primary goal of revenue cycle management in healthcareis to improve your profitability and overall financial performance. Our solutions ensure that revenue comes in faster and more consistently while expenses are reduced.

Quickly identify inefficiencies

Effective RCM systems will improve the visibility of your revenue cycle and allow you to examine data to identify inefficiencies and address them.

Demonstrate the value of your organization

Do you need to prove your performance to investors,
trustees, donors, or strategic partners? With intelligent RCM, you always have access to accurate information that demonstrates your value, making it easier to align your interests as a healthcare provider with stakeholder goals for mutual success.

Simplify your processes

Minimize mistakes and remove frustration by giving your physicians and administrative staff access to secure and straightforward RCM systems.

Enjoy these and many other benefits of automated revenue cycle management solutions when you work with Plutus Health. We can offer RCM strategies based on your unique revenue flow issues. Talk to us today!

RCM is central to the functioning of the healthcare industry. Hospitals, clinics, private practices, laboratories, and other healthcare organizations need systems and practices that protect their financial fitness and ability to provide high-quality care. When the business side of your healthcare organization is thriving, your physicians and staff can focus on what they’re most passionate about, providing the best service to patients.

We can optimize your billing process and increase claims efficiency with our range of RCM solutions for healthcare.

Plutus Health Inc. combines human expertise with revenue cycle management automation tools to deliver medical RCM solutions that simplify hospital revenue cycle management. Our teams are trained in US healthcare revenue cycle management standards and regulations to ensure compliance.

We can formulate custom solutions to address specific cash flow issues and maximize your revenue potential.

Talk to our experts today!

Heading

What’s a Rich Text element?

The rich text element allows you to create and format headings, paragraphs, blockquotes, images, and video all in one place instead of having to add and format them individually. Just double-click and easily create content.

Static and dynamic content editing

A rich text element can be used with static or dynamic content. For static content, just drop it into any page and begin editing. For dynamic content, add a rich text field to any collection and then connect a rich text element to that field in the settings panel. Voila!

How to customize formatting for each rich text

Headings, paragraphs, blockquotes, figures, images, and figure captions can all be styled after a class is added to the rich text element using the "When inside of" nested selector system.

Heading

What’s a Rich Text element?

The rich text element allows you to create and format headings, paragraphs, blockquotes, images, and video all in one place instead of having to add and format them individually. Just double-click and easily create content.

Static and dynamic content editing

A rich text element can be used with static or dynamic content. For static content, just drop it into any page and begin editing. For dynamic content, add a rich text field to any collection and then connect a rich text element to that field in the settings panel. Voila!

How to customize formatting for each rich text

Headings, paragraphs, blockquotes, figures, images, and figure captions can all be styled after a class is added to the rich text element using the "When inside of" nested selector system.

Heading

What’s a Rich Text element?

The rich text element allows you to create and format headings, paragraphs, blockquotes, images, and video all in one place instead of having to add and format them individually. Just double-click and easily create content.

Static and dynamic content editing

A rich text element can be used with static or dynamic content. For static content, just drop it into any page and begin editing. For dynamic content, add a rich text field to any collection and then connect a rich text element to that field in the settings panel. Voila!

How to customize formatting for each rich text

Headings, paragraphs, blockquotes, figures, images, and figure captions can all be styled after a class is added to the rich text element using the "When inside of" nested selector system.

Heading

What’s a Rich Text element?

The rich text element allows you to create and format headings, paragraphs, blockquotes, images, and video all in one place instead of having to add and format them individually. Just double-click and easily create content.

Static and dynamic content editing

A rich text element can be used with static or dynamic content. For static content, just drop it into any page and begin editing. For dynamic content, add a rich text field to any collection and then connect a rich text element to that field in the settings panel. Voila!

How to customize formatting for each rich text

Headings, paragraphs, blockquotes, figures, images, and figure captions can all be styled after a class is added to the rich text element using the "When inside of" nested selector system.

Improve Your Revenues

The primary goal of RCM providers in healthcare is to improve their profitability and overall financial performance. Our healthcare revenue cycle management solutions in the US and other countries ensure that revenue comes in faster and more consistently while expenses are reduced.

Quickly Identify Inefficiencies

Effective RCM systems will improve the visibility of your revenue cycle and allow you to examine data to identify inefficiencies and address them.

Demonstrate The Value of Your Organization

Do you need to prove your performance to investors, trustees, donors, or strategic partners? With intelligent RCM providers, you always have access to accurate information that demonstrates your value, making it easier to align your interests as a healthcare provider with stakeholder goals for mutual success.

Simplify Your Processes

Minimize mistakes and remove frustration by giving your physicians and administrative staff access to secure and straightforward RCM systems.

Get Started

Please enter your details below and one of our team members will contact you shortly.

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

RCM Solutions

A healthcare facility is primarily a place of healing, but it is also a business that needs to stay feasible. Revenue cycle management or RCM is essential in ensuring the viability of your hospital or medical practice.

Plutus Health is one of the best RCM providers. You can count on us to take care of the health of your revenues so you can focus on taking care of the health of your patients. Our customized hospital revenue cycle management solutions are designed to reduce billing errors, increase claims efficiency, and optimize cash flow. We can: 

  • optimize patient registration and claim preparation so that you get paid quickly and correctly for all services rendered
  • Automate patient statements using HIPA Acompliant paperless technologies
  • Detect and eliminate errors such as wrong diagnoses codes, incomplete forms, and incorrect modifiers before claims submission to reduce the number of rejections and denials
  • Manage and follow up on claims during and after receiving responses from insurance companies
  • Collect receivables from patients (if applicable), send bills to collections, and issue statements
  • Manage and follow up on claims during and after receiving responses from insurance companies

With our healthcare RCM services, you can:

Improve your revenues

The primary goal of revenue cycle management in healthcareis to improve your profitability and overall financial performance. Our solutions ensure that revenue comes in faster and more consistently while expenses are reduced.

Quickly identify inefficiencies

Effective RCM systems will improve the visibility of your revenue cycle and allow you to examine data to identify inefficiencies and address them.

Demonstrate the value of your organization

Do you need to prove your performance to investors,
trustees, donors, or strategic partners? With intelligent RCM, you always have access to accurate information that demonstrates your value, making it easier to align your interests as a healthcare provider with stakeholder goals for mutual success.

Simplify your processes

Minimize mistakes and remove frustration by giving your physicians and administrative staff access to secure and straightforward RCM systems.

Enjoy these and many other benefits of automated revenue cycle management solutions when you work with Plutus Health. We can offer RCM strategies based on your unique revenue flow issues. Talk to us today!

RCM is central to the functioning of the healthcare industry. Hospitals, clinics, private practices, laboratories, and other healthcare organizations need systems and practices that protect their financial fitness and ability to provide high-quality care. When the business side of your healthcare organization is thriving, your physicians and staff can focus on what they’re most passionate about, providing the best service to patients.

We can optimize your billing process and increase claims efficiency with our range of RCM solutions for healthcare.

Plutus Health Inc. combines human expertise with revenue cycle management automation tools to deliver medical RCM solutions that simplify hospital revenue cycle management. Our teams are trained in US healthcare revenue cycle management standards and regulations to ensure compliance.

We can formulate custom solutions to address specific cash flow issues and maximize your revenue potential.

Talk to our experts today!

Heading

What’s a Rich Text element?

The rich text element allows you to create and format headings, paragraphs, blockquotes, images, and video all in one place instead of having to add and format them individually. Just double-click and easily create content.

Static and dynamic content editing

A rich text element can be used with static or dynamic content. For static content, just drop it into any page and begin editing. For dynamic content, add a rich text field to any collection and then connect a rich text element to that field in the settings panel. Voila!

How to customize formatting for each rich text

Headings, paragraphs, blockquotes, figures, images, and figure captions can all be styled after a class is added to the rich text element using the "When inside of" nested selector system.

Heading

What’s a Rich Text element?

The rich text element allows you to create and format headings, paragraphs, blockquotes, images, and video all in one place instead of having to add and format them individually. Just double-click and easily create content.

Static and dynamic content editing

A rich text element can be used with static or dynamic content. For static content, just drop it into any page and begin editing. For dynamic content, add a rich text field to any collection and then connect a rich text element to that field in the settings panel. Voila!

How to customize formatting for each rich text

Headings, paragraphs, blockquotes, figures, images, and figure captions can all be styled after a class is added to the rich text element using the "When inside of" nested selector system.

Heading

What’s a Rich Text element?

The rich text element allows you to create and format headings, paragraphs, blockquotes, images, and video all in one place instead of having to add and format them individually. Just double-click and easily create content.

Static and dynamic content editing

A rich text element can be used with static or dynamic content. For static content, just drop it into any page and begin editing. For dynamic content, add a rich text field to any collection and then connect a rich text element to that field in the settings panel. Voila!

How to customize formatting for each rich text

Headings, paragraphs, blockquotes, figures, images, and figure captions can all be styled after a class is added to the rich text element using the "When inside of" nested selector system.

Heading

What’s a Rich Text element?

The rich text element allows you to create and format headings, paragraphs, blockquotes, images, and video all in one place instead of having to add and format them individually. Just double-click and easily create content.

Static and dynamic content editing

A rich text element can be used with static or dynamic content. For static content, just drop it into any page and begin editing. For dynamic content, add a rich text field to any collection and then connect a rich text element to that field in the settings panel. Voila!

How to customize formatting for each rich text

Headings, paragraphs, blockquotes, figures, images, and figure captions can all be styled after a class is added to the rich text element using the "When inside of" nested selector system.

Enjoy these and many other benefits of automated revenue cycle management solutions when working with Plutus Health Inc. We can offer RCM strategies based on your unique revenue flow issues.
Talk to us today!

RCM is central to the functioning of the healthcare industry. Hospitals, clinics, private practices, laboratories, and other healthcare organizations need systems and practices that protect their financial fitness and ability to provide high-quality care. When the business side of your healthcare organization is thriving, your physicians and staff can focus on what they’re most passionate about, providing the best service to patients.

We can optimize your billing process and increase claims efficiency with our range of RCM solutions for healthcare.

Plutus Health Inc. combines human expertise with revenue cycle management automation tools to deliver medical RCM solutions that simplify hospital revenue cycle management. Our teams are trained in US healthcare revenue cycle management standards and regulations to ensure compliance.

We can formulate custom solutions to address specific cash flow issues and maximize your revenue potential.

Get Started

Please enter your details below and one of our team members will contact you shortly.

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

RCM Solutions

A healthcare facility is primarily a place of healing, but it is also a business that needs to stay feasible. Revenue cycle management or RCM is essential in ensuring the viability of your hospital or medical practice.

Plutus Health is one of the best RCM providers. You can count on us to take care of the health of your revenues so you can focus on taking care of the health of your patients. Our customized hospital revenue cycle management solutions are designed to reduce billing errors, increase claims efficiency, and optimize cash flow. We can: 

  • optimize patient registration and claim preparation so that you get paid quickly and correctly for all services rendered
  • Automate patient statements using HIPA Acompliant paperless technologies
  • Detect and eliminate errors such as wrong diagnoses codes, incomplete forms, and incorrect modifiers before claims submission to reduce the number of rejections and denials
  • Manage and follow up on claims during and after receiving responses from insurance companies
  • Collect receivables from patients (if applicable), send bills to collections, and issue statements
  • Manage and follow up on claims during and after receiving responses from insurance companies

With our healthcare RCM services, you can:

Improve your revenues

The primary goal of revenue cycle management in healthcareis to improve your profitability and overall financial performance. Our solutions ensure that revenue comes in faster and more consistently while expenses are reduced.

Quickly identify inefficiencies

Effective RCM systems will improve the visibility of your revenue cycle and allow you to examine data to identify inefficiencies and address them.

Demonstrate the value of your organization

Do you need to prove your performance to investors,
trustees, donors, or strategic partners? With intelligent RCM, you always have access to accurate information that demonstrates your value, making it easier to align your interests as a healthcare provider with stakeholder goals for mutual success.

Simplify your processes

Minimize mistakes and remove frustration by giving your physicians and administrative staff access to secure and straightforward RCM systems.

Enjoy these and many other benefits of automated revenue cycle management solutions when you work with Plutus Health. We can offer RCM strategies based on your unique revenue flow issues. Talk to us today!

RCM is central to the functioning of the healthcare industry. Hospitals, clinics, private practices, laboratories, and other healthcare organizations need systems and practices that protect their financial fitness and ability to provide high-quality care. When the business side of your healthcare organization is thriving, your physicians and staff can focus on what they’re most passionate about, providing the best service to patients.

We can optimize your billing process and increase claims efficiency with our range of RCM solutions for healthcare.

Plutus Health Inc. combines human expertise with revenue cycle management automation tools to deliver medical RCM solutions that simplify hospital revenue cycle management. Our teams are trained in US healthcare revenue cycle management standards and regulations to ensure compliance.

We can formulate custom solutions to address specific cash flow issues and maximize your revenue potential.

Talk to our experts today!

Heading

What’s a Rich Text element?

The rich text element allows you to create and format headings, paragraphs, blockquotes, images, and video all in one place instead of having to add and format them individually. Just double-click and easily create content.

Static and dynamic content editing

A rich text element can be used with static or dynamic content. For static content, just drop it into any page and begin editing. For dynamic content, add a rich text field to any collection and then connect a rich text element to that field in the settings panel. Voila!

How to customize formatting for each rich text

Headings, paragraphs, blockquotes, figures, images, and figure captions can all be styled after a class is added to the rich text element using the "When inside of" nested selector system.

Heading

What’s a Rich Text element?

The rich text element allows you to create and format headings, paragraphs, blockquotes, images, and video all in one place instead of having to add and format them individually. Just double-click and easily create content.

Static and dynamic content editing

A rich text element can be used with static or dynamic content. For static content, just drop it into any page and begin editing. For dynamic content, add a rich text field to any collection and then connect a rich text element to that field in the settings panel. Voila!

How to customize formatting for each rich text

Headings, paragraphs, blockquotes, figures, images, and figure captions can all be styled after a class is added to the rich text element using the "When inside of" nested selector system.

Heading

What’s a Rich Text element?

The rich text element allows you to create and format headings, paragraphs, blockquotes, images, and video all in one place instead of having to add and format them individually. Just double-click and easily create content.

Static and dynamic content editing

A rich text element can be used with static or dynamic content. For static content, just drop it into any page and begin editing. For dynamic content, add a rich text field to any collection and then connect a rich text element to that field in the settings panel. Voila!

How to customize formatting for each rich text

Headings, paragraphs, blockquotes, figures, images, and figure captions can all be styled after a class is added to the rich text element using the "When inside of" nested selector system.

Heading

What’s a Rich Text element?

The rich text element allows you to create and format headings, paragraphs, blockquotes, images, and video all in one place instead of having to add and format them individually. Just double-click and easily create content.

Static and dynamic content editing

A rich text element can be used with static or dynamic content. For static content, just drop it into any page and begin editing. For dynamic content, add a rich text field to any collection and then connect a rich text element to that field in the settings panel. Voila!

How to customize formatting for each rich text

Headings, paragraphs, blockquotes, figures, images, and figure captions can all be styled after a class is added to the rich text element using the "When inside of" nested selector system.