Solutions
Plutus Health combines certified home health billing specialists with OlympusAI to maximize reimbursement across every episode of care
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Incorrect clinical grouping, functional impairment scoring, or comorbidity assignment directly impacts reimbursement. Every episode must align with PDGM payment methodology.
Incomplete or inconsistent OASIS documentation leads to coding errors, payment reductions, medical reviews, and compliance risks.
Missed visit thresholds, delayed recertifications, or untimely documentation can significantly reduce reimbursement and disrupt episode billing.
Our certified home health billing and coding experts understand PDGM, OASIS, ICD-10 coding, home health compliance, Medicare billing, and payer-specific documentation requirements.
Every claim is validated against Medicare regulations, commercial payer policies, LCDs, medical necessity guidelines, and documentation standards before submission.
Olympus Insights tracks reimbursement by episode, payer, diagnosis, clinician, LUPA trends, denial patterns, and overall revenue performance.
OlympusAI automates repetitive workflows while certified home health billing specialists validate every clinical scenario
Accurate OASIS assessments, physician documentation, and diagnosis coding determine reimbursement before claims are ever submitted.
General RCM teams often overlook PDGM rules and home health documentation requirements. Specialty-focused billing minimizes preventable denials.
Submitting complete, compliant home health claims reduces rework, accelerates payment cycles, and shortens AR.

A multi-location home health provider partnered with Plutus Health to strengthen coding quality, improve reimbursement accuracy, and reduce billing delays. Through certified home health billing expertise and OlympusAI, the organization achieved coding accuracy exceeding 98% while improving operational efficiency across its revenue cycle.
View Case Study →Outsourcing our home health billing and coding services to Plutus Health helped us improve reimbursement while giving our internal team more time to focus on patient care. Their expertise in PDGM, OASIS documentation, and denial management has made a measurable difference to our revenue performance.
Plutus Health offers comprehensive home health billing and coding services including medical coding, billing for commercial insurance, Medicaid and Medicare, denial management, accounts receivable management, payment posting, and complete RCM solutions with 15+ years of experience.
Plutus Health provides rapid turnaround times with average claim processing in 48 hours. Denied claims are checked, updated, and resubmitted within 48 hours, significantly accelerating the payment cycle for home health providers.
Home health practices working with Plutus Health achieve a clean claim percentage of 97%+ with proper eligibility verification, prior authorization management, and comprehensive claims scrubbing before submission.
Plutus Health's AR management team reduces AR days to an average of 25 days through systematic follow-up, quick denial resolution, accurate payment posting, and dedicated account management for each client.
Key benefits include 48-hour turnaround time, 97% clean claim rate, 98% contracted value collection, denial rates below 5%, AR days reduced to 25, improved RCM efficiency, reduced manual errors, dedicated account managers, and scalable services.
We diagnose your current state, baseline the leakage, and show you the to-be model.
The RCM Assessment is free. The findings are yours to keep, regardless of whether we work together.
Board-ready findings memo, quantified leakage estimate, transformation roadmap.