DALLAS, TX – September, 2022 – Plutus Health is proud to have helped a medical laboratory boost its average collection per claim from $808 to $1,282 and reduce its outstanding accounts receivable (AR) by $1.1M.

“Our client—an out-of-network specialty lab based in Phoenix, Arizona—was beset by coding errors and inaccuracies that resulted in unprocessed denials and rejections,” shares Thomas John, the CEO of Plutus Health. “Those challenges ultimately caused delays in claims posting and payments,” he added.

To address these challenges, Plutus Health conducted a free revenue health analysis. It transformed the lab’s overall revenue cycle strategies, prioritizing the creation and application of coding standards and modifiers during implementation. The company also conducted eligibility checks to boost the medical lab’s clean claims percentages.

Aside from optimizing the coding and eligibility process, Plutus Health created a more efficient procedure for managing appeals and collecting direct-to-patient payments. This helped increase collections per claim by 58%.

Plutus Health is an established provider of revenue cycle management (RCM) and billing services for healthcare organizations. It offers HIPAA-compliant end-to-end business solutions and revenue cycle management outsourcing to US healthcare providers and RCM companies.

“Our mission is to provide services that decrease administrative burdens and maximize revenues so our clients can focus on caring for their patients and delivering timely care,” says John.

Plutus Health incorporates automation into its optimized processes to enhance the client’s current processes and cash flow. It works closely with every client, synthesizing data, optimizing revenue management, and tracking revenue cycle management goals. Its HIPAA-compliant RCM solutions exceed the most stringent standards in the industry, while its robust redundancy systems and data security protect against data loss. Clients are assured of custom strategies tailored to their laboratory or practice.