Pléthore offers cost effective and productive billing and collections solutions to our clients, which include individual physicians, physician groups, multi specialty groups, clinics, free standing diagnostic facilities, long term care facilities, acute care facilities and hospitals. Our team manages billing and coding processes with changing insurance regulations and utilizes the latest technology and resources available to ensure maximum and accurate reimbursement. We also conduct chart auditing to ensure accuracy.

We offer comprehensive services as well as customized offerings that allow our clients to use all or part of our services to suit their individual organizations needs.

Pléthore can function as a supplement to your daily operations or can act as your front/back office either on-site or off. In a typical organization, anywhere from 20 – 50% of rejected claims are never resubmitted. A maze of policies, billing requirements and regulations, as well as complex managed care contracts contribute to the number of denials that go unattended. Pléthore will take control of your denials for more efficient claims processing and accelerated reimbursements.

Our processes will quickly uncover and correct the problems that lead to denials, so you can shorten your revenue cycle and enhance your cash flow. We will identify which payers or insurance companies have historically denied payment, as well as which departments (and/or specific code categories) are encountering a high volume of denials. Uncovering such critical information will allow us to improve your claims processing to not only recover lost revenue, but increase the likelihood that your claims will be accepted on first submission.