Solutions
Plutus Health delivers AI-powered micro-hospital revenue cycle management that coordinates facility (UB-04) and professional (CMS-1500) billing, helping hospitals improve reimbursement while navigating complex payer requirements.
Please enter your details and one of our team members will contact you shortly
Every encounter generates both facility and professional billing. Coding inconsistencies, documentation gaps, or charge mismatches between UB-04 and CMS-1500 claims can lead to preventable denials.
Observation, emergency department, and short-stay inpatient encounters require accurate status assignment, documentation, and compliance with the Two-Midnight Rule.
Micro-hospitals frequently manage out-of-network emergency services. NSA compliance, Qualified Payment Amount (QPA) calculations, IDR eligibility, and payer negotiations directly impact reimbursement.
Unlike traditional hospital RCM vendors, our workflows are purpose-built for micro-hospitals, surgical hospitals, and sub-100-bed facilities operating lean clinical and financial teams.
You receive enterprise-grade revenue cycle management, automation, analytics, and reporting without oversized teams or unnecessary operational overhead.
Choose complete end-to-end revenue cycle management or modular services that integrate with your internal billing, coding, or finance departments.
Our workflows reduce administrative work and support high patient throughput and efficient financial operations.
Real-time dashboards monitor collections, denial trends, payer performance, productivity, and reimbursement across every service line.
Monthly performance reviews, coding audits, payer analytics, and workflow recommendations help leadership improve financial outcomes over time.
We review operational workflows, payer mix, denial patterns, charge capture, coding accuracy, and financial KPIs.
Whether you need full-service hospital RCM or support for coding, denials, or A/R, we tailor our services to your staffing model.
After implementation, Olympus AI continuously monitors performance while our specialists refine workflows, recover revenue, and reduce financial leakage.
Your micro-hospital or surgical hospital isn't just a smaller version of a larger system; your revenue cycle shouldn't be either.
Let's build a model of billing and collections around how you work: focused, fast, and financially smart.
Plutus Health helped us reduce our denial rate to under 5% within weeks. Their team understands the complexities of RCM for micro-surgical hospitals and brought a level of precision to our billing that we hadn't seen before
Plutus Health specializes in RCM for micro-surgical hospitals, offering tailored solutions that address specific billing, coding, and compliance needs unique to outpatient surgical environments.
We help micro-surgical hospitals improve revenue cycle performance by streamlining claims submission, reducing denials, and accelerating reimbursements through advanced analytics and automated billing workflows.
Yes, Plutus Health provides certified coders with expertise in CPT and ICD-10 coding for a wide range of micro-surgical specialties, ensuring accuracy and compliance in every claim.
Absolutely. Our revenue cycle management team focuses on reducing accounts receivable days by ensuring clean claim submissions and fast follow-up on unpaid or denied claims.
Yes, our RCM solutions integrate with most EHR and practice management platforms used by micro-surgical hospitals, making the transition seamless without disrupting your existing workflow.
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.