Services offered by Plutus Health
Plutus Health aims to minimize healthcare providers' stress while submitting claims for their services. Our team of AAPC-certified coders knows all the techniques for generating maximum revenue from the claims. With 15+ years of experience in the healthcare industry, Plutus Health knows all the coding compliance and guidelines for each healthcare specialty. We analyze medical records and abstract valid CPT codes, HCPCS codes, Modifiers, ICD codes, and DRG codes as per coding standard guidelines like CPT, ICD 10, APC, CMS, ASC, and HCC for effective reimbursement. Plutus Health’s medical coding services include but are not limited to the following:
Risk adjustment coding (Hierarchical Condition Category coding)
Verifies the healthcare status of patient membership and uses it to determine the risk score of the patients to prevent revenue loss.
Facility coding (Inpatient and Outpatient services)
Understand the resources used by the healthcare providers while offering the services and code accordingly to submit claims without errors.
IP DRG validation
Review all the procedure codes, revenue codes, and diagnoses and match them with official coding guidelines to avoid claim rejections.
Professional fee coding
Captures the intensity and complexity of work done by providers to get a complete reimbursement for the services offered.
Interpret and review data to meet compliant rules
Having a team of highly qualified and experienced medical coders enables Plutus Health to collaborate with distinct specialty providers and aid them in solving medical coding challenges. Our strength is to observe clinical documents and ensure they meet coding compliance minutely. We are a tech-enabled medical coding service providers that analyze data electronically before it is sent to the payers.
- Constantly identify industry medical coding and billing changes and modify the clinical documents to meet the coding guidelines
- Customization of clinical data and medical records according to the constantly changing regulatory environment and needs of clients
- Defense audit support and litigation for providers accused of improper coding or billing
Plutus Health provides guaranteed results
The coding quality of healthcare providers reached above 98%
Brought down coding errors for healthcare providers below 1% of the total denials
Less than 5% of the claims submitted by Plutus Health get denied
First-pass resolution rate
The average first-pass resolution rate for practices increased above 95%
Plutus Health commitment
Partnering with Plutus health can be your first step in improving organizational resilience and efficiency. We understand that medical coding is an integral part of the billing process. Comply with legal requirements:
Outsource the best medical coding services to achieve highest FAPR
Plutus Health is updated with medical coding guidelines and the medical codes updates. We know the changes that happen in modifiers and codes with slight modifications in procedures or treatment. Plutus Health’s team know all aspects of medical coding and delivers solutions according to the provider’s needs.
Verification of codes and medical records, use of correct CPT & ICD codes, and quality check from assurance team
Coding solutions to catch up on backlog project requirements and enhance internal staffing shortages to grow exponentially
SOC-2 certified organization and provide high security and interoperability of document and information to protect from all breaches
Experienced coders and billers identify missing revenue opportunities and ensure no money is left on the table. Our certified coders know the dollar value of codes and ensure you get the appropriate amount for the services offered.
Provide accurate education to help providers know more about medical coding and compliance to therapists, physicians, practitioners, and other caregivers. We also provide education to supporting staff so that they take proper care while preparing documents. Plutus Health provides education to providers so that they are well-versed in Risk adjustment, Regulations & guidelines, DRG validation, EMR navigation, Medical billing best practices, Missed coding opportunities, Specialty specific education, and more.
Schedule an call with a medical coding expert
Why partner with Plutus Health?
Plutus Health commits to excellence and guarantees results. Medical coding and billing are governed and controlled by strict guidelines and compliance. Submitting claims and getting maximum revenue demands attention to minute details. Plutus Health’s team of AAPC-certified medical coders ensures 98% accuracy and compliance. We are a HIPPA-compliant organization. We use proper CPT, ICD, HCPCS codes &modifiers to reduce denials and increase accuracy.
Our happy clients
We want to thank Plutus Health's team for their great job. We could not be happier with my decision to work with you. Our journey has been precious for our accounts and our operation. Plutus Health exhibited proactivity in following our claim status and chasing after late payers to clear their dues on time. It helped our core medical team to take their head out of the administrative tasks and focus on medical care.