Medical Billing Companies & Consultants in Addison, TX

Plutus Health is a Dallas-based revenue cycle management firm that handles billing, coding and collections for healthcare organizations. Its client base ranges from behavioral health practices and ambulatory surgery centers to freestanding emergency rooms, surgical and micro hospitals, home health and hospice agencies, and multi-location physician groups. The company says it supports more than 9,000 providers and claims over 15 years of RCM experience. It works on an outcome-based model in which its fees depend on what clients actually collect.

Services

The firm can run the full revenue cycle or take on individual parts of it. Its published offerings include:

• Professional and facility billing, covering UB-04/837I institutional claims and ASC claims filed on CMS-1500/837P
• Medical coding, coding audits, inpatient coding, HCC coding and risk adjustment data validation
• DRG validation, both concurrent and retrospective, with case mix index work and clinical documentation improvement
• Denial management, including root cause analysis, appeal packages and prior authorization denials
• Follow-up on insurance and patient accounts receivable, plus underpayment recovery and credit balance management
• Insurance eligibility verification, insurance discovery, credentialing and payer enrollment
• Charge entry, patient registration, patient statements and bulk claim submission with automated scrubbing
• No Surprises Act independent dispute resolution (IDR) and RCM consulting

Specialty focus

Behavioral health is one of its strongest areas. For applied behavior analysis, the firm handles authorization tracking, separating RBT services from BCBA services, billing for parent training, and telehealth compliance. It also covers outpatient psychiatry, substance use disorder programs at IOP, PHP and detox levels of care, and talk therapy.

On the surgical side, its ASC teams deal with multi-procedure modifiers, implant charge capture and pass-through, and auditing against ASC fee schedules. Freestanding ER clients get help with facility fees and out-of-network recovery. Physician specialties listed on the site include cardiology, orthopedics, ophthalmology, OB/GYN, pain management, gastroenterology and urology.

The company names CentralReach, AdvancedMD and Tebra among the systems it works with.

How they work

Plutus Health pairs its own automation platform, OlympusAI, with human billing and coding specialists. The site describes a set of 25 AI agents. Among them are a voice agent that places claim-status calls to payers, tools that handle patient balance outreach, and engines that sort charts by risk before certified coders review them.

The specialists make the more complex reimbursement and clinical decisions. The firm publishes performance figures including a 98 percent net collection rate, a median of 28 days in A/R, and a denial rate of about 5 percent.

It also cites a case study in which one ASC brought its aged receivables down from $4.55 million to $0.76 million over nine months. Prospective clients can request a free revenue cycle assessment.

Credentials and background

The company reports SOC 2 Type 2 attestation and HIPAA compliance. It is aligned with BHCOE and is a business affiliate of CASP. Its listed recognitions include Becker's 2026 Top RCM, the Inc. 5000 and the Dallas 100. Besides its services, it offers the AnodynePay and Artemis ABA products and runs a community program called Plutus Giving.