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Plutus health provides coding for all medical specialties including all ambulatory, acute, post-acute and ambulatory surgery centers (Asc’s). Visit now!

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Coding for all medical specialties including all Ambulatory, Acute, post-Acute and Ambulatory Surgery Centers (ASC's) is comprised of a very complicated set of rules and guidelines that are everchanging. Our American Association of Professional Coders (AAPC) certified coders combined with our Remote Processing Automation (RPS's) provides our clients with the assurance that their coding is compliant and provides the most reimbursements available based on the services provided and the governing guidelines.

We know what rules need to be followed to correctly code and modifiers are required for facility and/or for office procedures no matter what specialty, state and/or payer. Anesthesia and DME services are also governed by a very complex set of guidelines that require coding and billing expertise by payer, by state and by region to maximize your returns and to remain compliant. At Plutus Health, we deliver the expertise, experience, and oversight that today's complex coding and billing requirements demand!

Plutus Health Coding team strengths:

Enhanced Artificial Intelligence - AI

Automation with Remote Processing Automation - RPA

AAPC Certified Coders - Our coders are certified and monitored closely to ensure 98% accuracy and compliance

We perform internal and external audits

Coding levels monitored and constantly evaluated to provide clinical documentation improvement opportunities via our coding consultation and detailed reports to support our coding and clinical documentation finding

Analytics are continually provided and KPI's are monitored every minute of each day via our Olympus Work Force Management and KPI analytic engine

Give your board, investors, team, business owners and yourself peace of mind by leveraging Plutus Health to ensure that your coding, clinical documentation, modifiers, insurance-based modifiers, and sequela codes are being used in a compliant way no matter what the complex guidelines are calling for. We have your back and will be glad to take this very challenging task on for your benefit!

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Outsourced Medical Coding Services | Plutus Health

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‍ Coding for all medical specialties including all Ambulatory, Acute, post-Acute and Ambulatory Surgery Centers (ASC's) is comprised of a very complicated set of rules and guidelines that are everchanging.

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Plutus Health offers urgent care billing solutions that acts as a gap between primary care provider and the emergency room. Contact us at tel:(469)242-6053.

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Urgent Care Billing Solutions | Plutus Health

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Plutus Health provides urgent care billing solutions using appropriate S codes with the E/M Level codes to get a higher reimbursement with zero risk of billing & coding errors!

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Plutus Health provides medical billing solutions for ER providers that improve your reporting documentation to ensure you have correct procedure codes. Visit now!

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Emergency Room Billing | ER Physicians Billing | Plutus Health

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Plutus Health provides exceptional Emergency Room (ER) Physician billing services to boost your claim collection and decrease your denials management.

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Change to “Plutus Health delivers the best orthopedic medical billing services to reduce your billing process burden and better accurate results. Visit the website for more information.

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Plutus Health Specialties

Get Plutus Health's best orthopedic medical billing services.

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Get Plutus Health's best orthopedic medical billing services.

Reduce Your Administrative Burden & Support Your Staff

Whether you recently lost a vital staff member or your current billing process is too much for your office to handle, our global team is ready to help. We work hard to ensure that your RCM process is accurate and efficient to bring in better results for your submitted claims.

Collect Your Aging AR

Nothing is scarier than watching your "AR Bucket" fill up and overflow. Allow our AR experts to rework your claims so that you collect the compensation you deserve for your specialized services.

We're The Experts In Denial Management

As your dedicated team of denial management experts, we'll jump into action the moment we're alerted to a denied or rejected claim. After reworking the claim successfully, we study the claim to learn the reason for denial. Processes are then put in place to prevent future rejections due to the discovered issue.

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Support Your Practice's Revenue Cycle Management Today! Our Global Billing Expert Team is ready to help you boost your collections and reduce denials.

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End-To-End RCM Services We Offer Providers:

Payer Contract Management

Prior Authorizations

Insurance Eligibility

Medical Billing

Medical Coding

Charge Entry

Clean Claims

AR Management

Denial Management

AR Clean Up

Payment Posting

Automated Patient Statements

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Orthopedic Medical Billing Solutions | Plutus Health

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Plutus Health Specialties Get Plutus Health's best orthopedic medical billing services. Please enter your details below and one of our team members will contact you shortly. Get Plutus Health's best orthopedic medical billing services.

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Plutus Health is an industry leader in Laboratory billing services & solutions. The RCM process is accurate and efficient to bring in better results for your submitted claims. Visit now!

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Specialty Laboratory Billing Solutions | Plutus Health

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Plutus Health is an industry leader in Laboratory billing services & solutions. Get full RCM services for your Labs and increase your ROI. Contact us today!

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Plutus Health delivers best in class cardiology medical billing and has the expertise to also handle complex cardiology coding. Visit the website now!

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Cardiology Billing | Cardiology Coding | Plutus Health

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Plutus Health delivers best-in-class cardiology billing & coding services and has the expertise to handle complex cardiology coding. Visit the website now!

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If you are looking for ASC Billing and Coding Services, Plutus Health’s revenue cycle management solutions provide excellent coding and billing services. Visit their website for more information!

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Plutus Health Specialties

Plutus Health revenue cycle management solutions for Free Standing ASCs provide excellent coding and billing services from our experience of many years in ASC billing which are compliant services with all the federal and state regulations.

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Plutus Health revenue cycle management solutions for Free Standing ASCs provide excellent coding and billing services from our experience of many years in ASC billing which are compliant services with all the federal and state regulations.

Plutus Health revenue cycle management solutions for Free Standing ASCs provide excellent coding and billing services from our experience of many years in ASC billing which are compliant services with all the federal and state regulations. We understand all the nuances of ASC billing and maximize the reimbursement of the physicians using efficient billing methodologies.

Reimbursement for surgical services has become difficult as the ASC space evolves. ASCs are now dealing with very complex insurance carrier policies, multiple guidelines that govern contracted and out of network payer types. This requires deep expertise of payer policies and trends.

There are many important aspects of filing a claim for services rendered through an ASC. Medicare often has different guidelines than some commercial payers, and the payers themselves often differ regarding medical necessity, approved procedures, or other filing requirements.

ASC Coding:

‍ One of the most common coding mistakes is coding based on a procedure's headings instead of the actual surgical report. This is bound to result in a denial once it reaches the payer. Other common errors include misreporting open and arthroscopic techniques as one procedure.

Since an ASC uses a combination of physician and hospital or clinical billing, employing the CPT and HCPCS level codes, some insurance carriers permit an ASC to bill using ICD-10 procedure codes. Some "packaged" services such as medical or surgical supplies not on a "pass-through" status, surgical dressings, splints, casts and related items, supervision of an anesthesiologist by the operating surgeon, and so on.

Managed care contract review:

How long you have to submit a claim, how long you have to review an adjudicated claim, what the payment methodology is, why a carrier would reduce multiple procedures and how to appeal a claim that hasn't been paid correctly. Your ASC should use your managed care contract to bill out, post payments and follow up, and you need it at every point of the revenue cycle.

Appeals :

Plutus Health will deliver sophisticated ASC appeals for surgery denials that include but not limited to payer exclusions, prior authorization, timely filing, usual and customary allowable etc. Plutus Health's expertise in changing payer guidelines, denial and payment trends, as well as client-specific issues to ensure surgery reimbursement for your Ambulatory Surgery Center is best in class. Plutus Health will aggressively pursue appeal options as well as negotiated settlements for in and out-of-network claims. Plutus Health's team of reimbursement strategists brings broad experience from both payer and provider sides.

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Coding for ASCs is a specialty unto itself. It is a facility service, but Medicare requires ASC's to send their bills to the professional fee (Part B) payers but using the facility fee (Part A) claim form. There are a different set of regulations and bundling edits to use for ASCs. A simple modifier used incorrectly can be denied for an otherwise clean claim for thousands of dollars. You may lose your money if your codes are not in right order. Insurance Carriers who do not follow standardized coding practices because of HIPAA exemption. Worker's compensation carriers, small carriers and other carriers that are HIPAA-exempt can come up with home-grown codes, and you are not going to get paid if you use standardized codes. To avoid having your claims rejected, make sure you know whether your carrier is exempt.

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Health has built deep expertise of revenue cycle processes to ensure optimal reimbursement for all ASC services. From accurate demographic capture, coding, and pre-billing audits and scrubbing, to deep EOB analysis, we will navigate on your behalf ASC coding & billing as well as denial complexities.

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Since ASC Facility & Professional Services insurance billing & Out of Network collections are specialized activities most billing services have little or no knowledge of the challenges in this area. One of the issues is ASC billing uses a combination of hospital and physician billing. However, ASCs use CPT and HCPCS Level II codes to bill most of their services, some payers will allow an ASC to bill ICD-9-CM procedure codes like hospital. Some payers even base implant reimbursement on revenue code classification. ASC billing challenges are many and complicated.

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ASC Billing and Coding Services | Plutus Health

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Plutus Health Specialties Plutus Health revenue cycle management solutions for Free Standing ASCs provide excellent coding and billing services from our experience of many years in ASC billing which are compliant services with all the federal and state regulations. Please enter your details below and one of our team members will contact you shortly.

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Check Revenue Cycle Management in Medical Billing

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Change to “Plutus Health offers expert revenue cycle management in medical billing that increases the health of a practice’s revenue and boosts your revenue. For more information, please visit the website now!”

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RCM Solutions

A healthcare facility is primarily a place of healing, but it is also a business that needs to stay feasible. Revenue cycle management or RCM is essential in ensuring the viability of your hospital or medical practice.

Plutus Health is one of the best RCM providers. You can count on us to take care of the health of your revenues so you can focus on taking care of the health of your patients. Our customized hospital revenue cycle management solutions are designed to reduce billing errors, increase claims efficiency, and optimize cash flow. We can:

optimize patient registration and claim preparation so that you get paid quickly and correctly for all services rendered

Automate patient statements using HIPA Acompliant paperless technologies

Detect and eliminate errors such as wrong diagnoses codes, incomplete forms, and incorrect modifiers before claims submission to reduce the number of rejections and denials

Manage and follow up on claims during and after receiving responses from insurance companies

Collect receivables from patients (if applicable), send bills to collections, and issue statements

Manage and follow up on claims during and after receiving responses from insurance companies

With our healthcare RCM services, you can:

Improve your revenues

The primary goal of revenue cycle management in healthcareis to improve your profitability and overall financial performance. Our solutions ensure that revenue comes in faster and more consistently while expenses are reduced.

Quickly identify inefficiencies

Effective RCM systems will improve the visibility of your revenue cycle and allow you to examine data to identify inefficiencies and address them.

Demonstrate the value of your organization

Do you need to prove your performance to investors,
trustees, donors, or strategic partners? With intelligent RCM, you always have access to accurate information that demonstrates your value, making it easier to align your interests as a healthcare provider with stakeholder goals for mutual success.

Simplify your processes

Minimize mistakes and remove frustration by giving your physicians and administrative staff access to secure and straightforward RCM systems.

Enjoy these and many other benefits of automated revenue cycle management solutions when you work with Plutus Health. We can offer RCM strategies based on your unique revenue flow issues. Talk to us today!
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RCM Healthcare solutions | RCM in Medical Billing | Plutus Health

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A healthcare facility is primarily a place of healing, but it is also a business that needs to stay feasible. Revenue cycle management or RCM is essential in ensuring the viability of your hospital or medical practice. Plutus Health is one of the best RCM providers.

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Plutus Health offers aba therapy billing services that helps to improve your coding errors. Get in touch with Plutus Health at the earliest, to understand about Aba Billing Software!

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ABA Therapy Billing and insurance Services | Plutus Health

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Plutus Health offers ABA therapy billing & insurance services that help to improve your coding errors. Contact Plutus Health to understand more about ABA billing software!

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Find Revenue Cycle Management Healthcare

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Plutus Health provides superior HIPAA compliant revenue cycle management outsourcing & end-to-end business solutions for U.S. healthcare providers. Visit their website now!

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Manual medical coding and billing processes are prone to miscalculations and faulty encoding. The healthcare industry needs better technologies to process enormous amounts of data without compromising on the accuracy and speed of the billing procedure.This is where Artificial Intelligence (AI) comes in!

The benefits of using artificial intelligence in medical billing

Plutus Health combines automation and AI to handle repetitive revenue cycle management processes so your staff doesn't have to. Our custom solutions can:

Automate medical coding tasks to lessen your depend enceon the availability of skilled medical billers

Improve your cash flow by ensuring the timely issuance of accurate patient statements

Reduce disputes and complaints

Perform real-time audits to spot errors before it's too late

Eliminate costly errors by matching EHR information with the correct medical codes

Automate recurring and repetitive menialprocesses so human coders can focus on complex issues

Reduce costs associated with manual billing procedures

Encourage patients to pay faster by streamlining the payment process

Reduce the administrative work of your support staff so they can focus on delivering quality care instead

You can count onour automation and AI technology to eliminate billing deficits and improve thefinancial viability of your healthcare establishment. Talk to us today aboutbuilding a scalable medical coding and billing system that is customized to your requirements!

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Plutus Health: Healthcare Revenue Cycle Management Services

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Manual medical coding and billing processes are prone to miscalculations and faulty encoding. The healthcare industry needs better technologies to process enormous amounts of data without compromising on the accuracy and speed of the billing procedure.This is where Artificial Intelligence (AI) comes in!