Case Study: a Texas-based 20-year-old urgent care facility cuts denied claims from 20% to 1% with Plutus Health

a Texas-based 20-year-old urgent care facility cuts denied claims from 20% to 1% with Plutus Health

A Texas-based urgent care facility with twenty years of operation was facing significant challenges in its claim collections process. With a denial rate of 20% and accounts receivable days exceeding 140, undiscovered gaps in its billing procedures were negatively impacting revenue. The facility engaged Plutus Health, a provider of revenue cycle management services, to address these issues.

Plutus Health implemented a comprehensive solution that uncovered and rectified gaps in the claim submission process, including filing over 2,500 previously unsigned and unbilled claims. Within six months, Plutus Health successfully reduced the client's claim denials from 20% to just 1% and decreased AR days from 143 to 63. This effort resulted in the client achieving its highest revenue month in two decades and dramatically increased its first pass resolution rate from 80% to 98%.