Plutus Health Inc.

Plutus Health is a Dallas-based medical billing and revenue cycle management (RCM) outsourcing company that operates on a straightforward model: they get paid when their clients get paid. That outcome-based approach, backed by proprietary AI technology and a team of 1,700 RCM specialists, has produced over $1 billion in annual collections across a network of more than 9,000 providers. For healthcare organizations looking to outsource their revenue cycle, Plutus Health functions as a full back-office partner, not a transactional billing vendor. The company covers the complete revenue cycle from pre-encounter through collections, with defined SLAs at every stage. Charge capture runs on a 24-hour turnaround. Coding and claim scrubbing delivers 99.2% accuracy. Denials and appeals are handled with AI-generated response letters paired with underpayment scanning. Every engagement begins with a 30-day RCM Assessment that benchmarks current performance against MGMA and HFMA medians before a single claim is touched, so clients understand exactly what they are buying into. Plutus Health has built deep specialty expertise across three areas of healthcare BPO that most general billing companies underserve. Its behavioral health division covers ABA therapy (including RBT/BCBA tracking and parent training billing), outpatient psychiatry, and substance use disorder programs. Its ASC and surgical practice team handles multi-CPT modifier coding, implant pass-through billing, and payer-specific bundling rules for orthopedics, cardiology, ophthalmology, and GI. A third practice focuses entirely on No Surprises Act compliance and federal IDR arbitration for out-of-network claims, from opportunity analysis through dispute resolution. The operational backbone is OlympusAI 3.0, a proprietary platform running 25 specialized AI agents across seven RCM workflow stages, covering intake, eligibility, prior authorization, claims submission, denial management, and payment analytics. This AI-ready infrastructure runs alongside 24/7 follow-the-sun operations across three global delivery centers, giving clients continuous claim follow-up and a weekly CFO-grade analytics dashboard. With 800-plus payer interfaces and a 98% net collection ratio, the model is built for consistent, measurable performance. Healthcare providers, physician groups, behavioral health clinics, and ASCs looking for a proven outsourcing partner can request a no-cost RCM Assessment to identify revenue leakage before committing to a full engagement.