Client Success stories

OptumInsight has helped health care systems improve performance across their entire care community, including IDNs, hospitals, academic medical centers, and contracted physicians. Here are some recent results.

Sentara Healthcare streamlines workflow
In 2008, Sentara decided to leverage the internal IT expertise of Optum™ in conjunction with Sentara staff to develop an entirely new interface to allow Sentara to optimize use of its Epic software and the Optum LYNX ED Charging Application to maintain critical consistencies in revenue, documentation, and compliance without a duplication of effort.

CHRISTUS Health attains profitable outpatient charging compliance
Capturing ED facility evaluation and management (E/M) visit level charge can be a daunting task, and one that required the time of 35 nurses at Medcenter One, a 232-bed hospital in North Dakota. Using the Optum LYNX ED Charging Application, Medcenter One improved charging accuracy, reduced reporting time, and had a significant increase in net revenue.

Medcenter One attains charging consistency and realizes $29 per patient revenue increase
Capturing ED facility evaluation and management (E/M) visit level charge can be a daunting task, and one that required the time of 35 nurses at Medcenter One, a 232-bed hospital in North Dakota. Using the Optum LYNX ED Charging Application, Medcenter One improved charging accuracy, reduced reporting time, and had a significant increase in net revenue.

Samaritan Health Services reduces manual work, inefficiency, A/R days and unposted cash using Optum Payment Management
In addition to the financial benefits, "Having on-site teams and operational teams [at multiple facilities] that can access the same data has really fostered a partnership within our business operations. Service to internal teams is incredible now," says Dawnell Buell, vice president of revenue cycle for Samaritan Health Services.

Boca Raton Regional Hospital Gets Results with Optum Audit Management
Boca Raton hospital was using a solution for managing RAC, CMS, and other payer audits, but management was not satisfied with the results.

Optum to Manage Bethesda Healthcare System Revenue Cycle
Optum™ is redesigning revenue cycle processes across Bethesda Healthcare System, using an integrated suite of technology and services, including the electronic Financial Record (eFR®) Platform, computer-assisted coding, patient financial counseling services, and medical necessity consulting. Optum also provides full-time onsite staff to help manage revenue cycle related functions, including scheduling, patient registration, health information management, patient financial services, decision support, and managed care contracting.

Coding Consultant Tina Napora Saves Time, Increases Productivity, and Offers Improved Client Services by Switching to Ingenix EncoderPro.com
Napora recommends EncoderPro.com and Ingenix and concludes, “EncoderPro.com is the best tool you can find, and Ingenix really stands behind their product. Their support has been phenomenal — they take your concerns seriously and act quickly on them.

University of Illinois Medical Center Improves Coding Efficiency and Workflow and Prepares for Remote Coding with Ingenix Web.Strat
Ingenix Web.Strat integrates with an existing patient accounting system at the medical center, improving workflow by eliminating a third-party solution and its associated costs.

Twenty-Year Healthcare Professional Calls Web.Strat “Far Superior to the Competition”
“Because Web.Strat trusts users and their knowledge, it leads to more accurate coding,” she says. “And ultimately, more accurate coding leads to increased revenue. With Web.Strat, coders can use their training and capture the right codes, which leads to proper reimbursement levels and increased revenue.

University of Maryland Medical System increases cash collections by $155 million while standardizing CBO operations and eliminating 11 A/R days
Growing pains can take any number of forms, and for a multi-location health system with four decentralized business offices, multiple patient accounting systems and now available method to aggregate reporting, the challenge of integration and standardization was, indeed, painful.

Hattiesburg Clinic Reduces Denial Rates by 32%, Improves Productivity, Gains Nearly $200,000 in Net Benefits with Ingenix ClaimsManager
Using Ingenix ClaimsManager, Hattiesburg Clinic has reduced claim denials by more than 32%, leading to a savings of $420,000 over five years because it does not have to rework denied claims.

Web.Strat Reduces Deaconess Hospital’s Claim Edits by 99 Percent, and Payer Rejections by 59 Percent
Web.Strat helped Deaconess Hospital decrease its average number of claims edits per week from 105 to one—a reduction of 99 percent.

Indian Stream Health Center Reduces AR Days, Cuts Costs, and Gains $135,000 in Increased Revenue with Ingenix EncoderPro Expert
With Ingenix EncoderPro Expert, Indian Stream Health reduced its AR days from 82 to 45 in less than three months.

Georgetown University Hospital Reduces Denial Rates, Increases Collections, and Shortens Accounts Receivable Cycle with Ingenix ClaimsManagerTM and ContractManagerTM
The Georgetown Practice Group, the physician group associated with Georgetown University Hospital, is constantly looking for ways to keep the costs of health care down. Toward that end, it focused its efforts on reducing underpayments and claim denial rates, shortening its accounts receivable cycle, and increasing its collection rate.

Ingenix Consulting Partners with North Memorial in Epic Deployment, Improves Clinical Outcomes, Improves Efficiency, and Increases Cash Flow by $31.2 Million
Ingenix Consulting provided project management, planning, training, and implementation services for North Memorial’s Epic deployment and ongoing engagement.