plutushealth

Description

“Plutus Health Inc. is a technology-driven, full-cycle healthcare Revenue Cycle Management company with more than 15 years of experience helping healthcare organizations improve collections, reduce revenue leakage, and accelerate cash flow.

Plutus Health combines AI in revenue cycle management, proprietary payer intelligence, specialty expertise, and 1,700+ experienced RCM specialists to operate the revenue cycle from patient access through final reimbursement. Our operating model brings together 60% Agentic AI and 40% revenue cycle specialists, creating an AI-executed and expert-supervised approach to healthcare RCM.

At the center of our technology ecosystem is OlympusAI, Plutus Health’s Agentic AI platform for healthcare RCM. OlympusAI deploys 25 specialized healthcare AI agents across seven revenue cycle workflow stages, supporting eligibility verification, medical coding, prior authorization, claims management, denial management, accounts receivable, payment posting, collections, and financial analytics.

Our AI revenue cycle management capabilities combine intelligent workflow execution with human-in-the-loop oversight. Unlike traditional RPA that focuses primarily on repetitive tasks, OlympusAI healthcare agents can execute defined revenue cycle workflows, apply payer-specific intelligence, identify exceptions, and escalate complex decisions to experienced RCM specialists. Plutus Health describes this as a process-first approach: engineer the operating model, establish SOPs and SLAs, instrument it with analytics, and then apply AI.

Our comprehensive AI RCM services and medical billing services include eligibility and benefits verification, prior authorization, medical coding, charge capture, claims scrubbing and submission, payment posting, denial management and appeals, A/R follow-up, credentialing, out-of-network negotiations, NSA/IDR recovery, revenue integrity, patient collections, and RCM analytics.

Through AI medical billing and medical billing automation, Plutus Health helps healthcare organizations automate high-volume revenue cycle workflows while maintaining expert oversight for payer complexities, exceptions, escalations, and high-value reimbursement decisions. This combination of automated revenue cycle management, healthcare RCM automation, payer intelligence, and experienced specialists is designed to improve claim quality, reduce denials, shorten A/R cycles, and optimize reimbursement.

Plutus Health supports 9,000+ providers across Behavioral Health, Ambulatory Surgery Centers and Surgical facilities, Freestanding Emergency Rooms, Physician Groups, Laboratories, Cardiology, Urology, Ophthalmology, Orthopedics, and other specialty healthcare organizations. The company currently reports $1B in annual collections on its main website.

Plutus Health can operate within a healthcare organization’s existing EHR, practice management, clearinghouse, and billing technology or integrate its own technology and analytics capabilities. Our goal is not simply to introduce AI-powered medical billing, but to combine AI execution, payer intelligence, specialty expertise, analytics, and human accountability into one revenue cycle operating model.

We Run Your Revenue Cycle with AI. We Get Paid When You Get Paid.”