Solutions
by Plutus Health
One of the biggest challenges healthcare and medical facilities face is maintaining a healthy cash flow. It can be challenging to keep up because of ever-changing medicalbilling regulations. On top of this, your practice needs to stay up to date with medical coding while managing increasing operating costs and the increasing number of high-deductible health plans. Managing accounts receivables has become more complex than ever.
The first step in managing and improving your practice’s AR medical billing is identifying its most common AR issues, which may include:
Once you’ve identified problems in your AR, consider using Plutus Health's accounts receivable medical billing services. It can make it easier to improve your AR and prevent medical billing denials because it allows your team to:
You’re busy running your practice and caring for your patients. That’s why it’s wiser to outsource AR services to companies like Plutus Health. Partnering with the correct AR services provider will provide excellent AR and denial management processes and systems to your practice and improve collections to keep your cash flow healthy.
Our Success Stories
Plutus Health offers innovative solutions to simplify AR in medical billing for your practice. Our efficient and experienced AR team applies enhanced artificial intelligence (AI) and RPA (remote processing automation) to ensure compliance with billing and\coding guidelines. You can maintain a healthy cash flow with our services while providing compliant and correct documentation.


Accounts receivable management involves tracking unpaid claims, managing payment collection from payers and patients, aging report monitoring, denial follow-up, appeal processing, and ensuring timely resolution of all outstanding balances to optimize cash flow.


Key AR metrics include Days Sales Outstanding (DSO), clean claim rate, denial rate, collection percentage, accounts receivable aging (30/60/90+ days), appeal success rate, and revenue per claim - all tracked for continuous improvement.


Plutus Health reduces AR days through claim scrubbing before submission, rapid denial identification and categorization, systematic appeal management, accurate payment posting, patient balance collection efforts, and regular AR monitoring and follow-up.


Strategies include payer status inquiries, systematic resubmission of lost claims, prioritized appeal efforts on high-value denials, patient payment reminder systems, write-off analysis, and continuous process improvement based on AR trending.


A healthy AR should have 60%+ of claims in the current (0-30 days) category, maximum 20% in 31-60 days, 10% in 61-90 days, and minimal amounts over 90 days. Plutus Health helps achieve these benchmarks through expert AR management.