Plutus Health: Recovering the Revenue You Deserve
Insurance companies often pay less than expected on submitted claims. These underpayments can significantly impact your bottom line without a thorough review process. Our expert team analyzes your claims precisely, uncovering discrepancies and recovering lost revenue.

Our Approach: Precision Meets Persistence
Contract Analysis

We meticulously compare payments against your insurance contracts, whether based on Medicare rates or percentage of billed charges.
Fee Schedule Expertise

For Medicare, Medicaid, and HMO plans, we leverage our deep understanding of complex fee schedules to spot underpayments.
Out-of-Network Optimization

We ensure you receive proper reimbursement for out-of-network claims, maximizing your entitled benefits.
Data-Driven Insights

Our advanced analytics identify patterns in underpayments, allowing for proactive corrections and negotiations.
How it Works
Our Process to Recover Your Denied Revenue




Real Results, Real Fast
Collection Days
Automatic payment collections have risen to
0
Denial rates
Less than 5% of the claims submitted by Plutus Health get denied
≤5%
AR days (DSO)
A/R (Accounts Receivable) days for all practices working with Plutus Health are reduced to
≤ 28Days
Collection Rate (NCPR)
The average (NCPR) Collections have reached whopping reimbursement of
≥98%
Why Choose Plutus Health for Underpayment Review?
Expertise: Our team understands the intricacies of medical billing and reimbursement.
Cutting-edge Technology: Our advanced algorithms sift through mountains of data, flagging potential underpayments that human eyes might miss.
Intelligent Approach: Combining technology with expert analysis, we recover lost revenue that other solutions miss.
Dedicated Team: We assign a dedicated team to each healthcare provider, ensuring personalized service that operates as an extension of your team.
Schedule a call with an Underpayments expert
FAQs


Underpayments occur when payers reimburse less than the allowed contracted amount. Causes include calculation errors, incorrect code processing, missing components, payer system errors, bundling issues, and lack of proper verification of payment amounts against contracts.


Plutus Health identifies underpayments through systematic EOB review, claim-to-payment matching, contracted rate verification, detailed analysis of bundled claims, error pattern tracking, and automated alerts for anomalies in payment patterns by payer and code.


Appeal process includes documentation of the discrepancy, calculation of correct payment amount, gathering supporting documentation, preparing formal appeal letters, submitting through proper channels, follow-up with payers, and persistence until resolution.


Recovery rates vary but healthcare organizations typically recover 20-40% of appealed amounts. The exact amount depends on claim volume, underpayment frequency, appeal success rates, and complexity of issues involved.


Plutus Health identifies systematic underpayment patterns, calculates accurate recovery amounts, manages the full appeal process, tracks payer responses, escalates unresolved cases, and provides detailed reporting on recovery results and trends.





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