Plutus Health Inc. is a 14 year-old full cycle technology driven RCM firm specializing in medical coding, medical billing, payment posting, denial management, credentialing, prior authorizations, AR follow-up & out of network negotiations. With over 600+ employees & 50+ RPA bots our fees are a % collection with no upfront set-up fees. We can offer you our billing software, a financial analytics dashboard, patient e-statements software & patient payment portal or if you already have one, we can use yours.
Physician Billling Services
Increase Insurance collections with Plutus’s Health Six Sigma driven Optimized RCM Process.
ABA Therapy Billing Solutions
We possess 5+ years of ABA specific billing service experience. We have worked with multitude of oranization types which includes BCBA owned practises/ partnerships (single or multiple locations), PE backed multi-state, and multi-location type of operations.
ASC Billing Coding Services
Our RCM solutions for Free Standing ASCs provide coding and billing services which are compliant services with all the federal and state regulations.
ABA Practice Management and Billing Software
We offer our services inclusive of software for Scheduling & Practice Management. The solution is built on the salesforce platform.
We our RCM services are embedded with RPA solutions such as Payment Posting bot, denial analysis bot, Claim Status Check bot & Claim scrubbing bot.
PlutusHealth across all service lines, locations & technology solutions is SOC2 Certified.
The Statement on Standards for Attestation Engagements No. 18 (SSAE 18) is a set of auditing standards and guidance on using the standards, published by the Auditing Standards Board (ASB) of the American Institute of Certified Public Accountants (AICPA), for redefining and updating how service companies report on compliance controls. SSAE 18 refers to many types of attestation reports mainly as SOC1, SOC2 and SOC3.
SOC (Service Organization Control) reports ensures our customers are confident about Plutus Health’s data security and compliance. There are five Trust Services Principles that comprise our SOC2 report:
Security:The system is protected against unauthorized access (both physical and logical).
Availability:The system is available for operation and use as committed or agreed.
Processing:Integrity System processing is complete, accurate, timely, and authorized.
Online Privacy :Personal information obtained as a result of e-commerce is collected, used, disclosed, and retained as committed or agreed.
Confidentiality:Information designated as confidential is protected as committed or agreed.
At PlutusHealth we adhere to all the compliances required under HIPAA and the BAAs we undertake with our clients. Our HIPAA compliance team is led by a Compliance Officer who monitors compliance. A BAA & confidentiality agreement is signed by all employees at the time of joining the organization and employees are trained on the importance of compliance.
Thomas John brings 28 years of expertise and experience in information technology, and global delivery to Calpion Inc as its President & CEO.
He is an early innovator of the use of automation technology. He leads Calpion Inc., providing AI and robotic process automation driven solutions on financial functions like AP Invoice Processing, Patient e-statement automation and Patient Payment solutions on the cloud. He also leads a global team of 500 employees in 3 locations as the President & CEO Plutus Health Inc providing RPA powered products and Revenue Cycle Management services to healthcare organizations across 22 states. Last year, Plutus Health handled nearly $1 billion worth of medical claims from coding, billing, cash posting, and AR & denial management.
He was instrumental in the spin-off of Artemis ABA Inc. as its Founder & Chairman with the vision that a comprehensive, automated, and AI-driven practice management and billing software is one of the most important needs of a growing ABA practice.
His education includes the Executive Leadership in Healthcare program at the Harvard School of Public Health and a Bachelors in Electronics from Osmania University in India.
Thomas has been a serial entrepreneur since 1998, having founded and scaled many organizations. His previous accomplishments include a successful exit through an industry acquisition of his technology venture ComCreation, which he founded and grew as a pioneering innovator in mobile application development. He was also the founding member of a Silicon Valley-based venture-funded tech company—Accellion—that built cutting-edge secure file-hosting solutions in 1998 during the early internet wave. Thomas is an innovative and enterprising technology executive with a strong track record of achievements. As an accomplished entrepreneur, leader, and strategist, he is recognized and respected by colleagues and clients for identifying technological opportunities, creating visions for change and growth, and building and leading teams to achieve exceptional results.
Our team consists of highly qualified, experienced and knowledgeable industry professionals that are passionate and dedicated to our clients.
We work closely with out clients to understand real life business problems and craft solutions that are simple yet savvy.