Plutus Health

Dallas RCM firm with outcome-based pricing and behavioural health focus

Overview

Plutus Health is a revenue cycle management company headquartered at 16633 North Dallas Parkway in Dallas, Texas. It offers end-to-end RCM, from eligibility verification and prior authorisation through coding, claim submission, payment posting, denial management, A/R recovery and patient collections, along with No Surprises Act dispute resolution services, RCM consulting and interim leadership.[12]

The company reports serving more than 9,000 providers in over 40 states with about 1,700 RCM specialists and three global delivery centres operating 24/7. Its stated specialties include behavioural health (ABA, psychiatry, substance use disorder and talk therapy), ambulatory surgery centres, orthopaedics, cardiology, freestanding emergency rooms, home health and hospice. It holds SOC 2 Type 2 and markets OlympusAI and other AI products.[12]

Plutus publishes no list prices; its model is a base fee plus a performance component tied to denial rate, net collection ratio and days in A/R, and it offers a free 30-day RCM assessment.[12] Its site gives inconsistent annual collections figures (US$1 billion and US$1.7 billion), and its benchmark comparisons are company claims.

Plutus Health features

  • End-to-end RCM
  • No Surprises Act IDR services
  • Behavioural health and ABA billing
  • AI coding and denial management
  • Free 30-day RCM assessment
  • SOC 2 Type 2

Plutus Health pricing

Outcome-based: base fee plus performance component tied to denial rate, net collection ratio and days in A/R; no list prices.

Plutus Health strengths and limitations

Strengths

  • Performance-linked pricing
  • Behavioural health specialism
  • Out-of-network dispute services
  • Free assessment

Limitations

  • Inconsistent figures on its site
  • No list prices
  • Benchmarks are self-reported

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