Coding Solutions
Hospitals of all sizes struggle with accurate, complete coding and billing. The processes are complex, and the rules are ever changing.
OptumInsight offers the industry’s strongest coding and reimbursement resources to help you overcome these challenges.
Realize these benefits:
- Code accurately across the revenue cycle and at point of care
- Reduce coding and billing time
- Comply with HIPAA requirements
- Streamline the revenue cycle
- Reduce claims denials
- Optimize cash flow
- Achieve ICD-10 compliance with efficient code mapping
Coding and Reimbursement
OptumInsight offers an array of coding and reimbursement solutions that optimize every aspect of a facility’s revenue cycle. From streamlining admissions to increasing cash flow, these solutions help you balance clinical and financial issues and maintain an efficient path to fair and timely reimbursement.
- Achieve accurate, efficient compliance with Medicare’s Recovery Audit Contractor (RAC) program
- Realize revenue gains from computer-assisted coding
- Keep up with ever-changing prospective payment systems (PPS) rules
- Simplify regulatory content management
- Transition smoothly to required clinical documentation changes
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Coding Reference
Correct coding can make the difference between a reimbursement check and a claim denial. Coding references from OptumInsight can help your staff better understand medical codes and reduce errors on claims.
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Outpatient Charge Capture
Tighter reimbursement regulations are an ongoing cause of concern for hospital administrators who need a compliant and consistent charging strategy across all outpatient services within their organization. Services provided within outpatient care are governed by complex rule sets that frequently make compliant and consistent charging an error-prone task. Health care facilities need tools that help facilitate revenue opportunities and maintain compliance with payer guidelines.
OptumInsight helps facilities charge consistently across the entire outpatient care spectrum. From the emergency department and primary care clinics to specialty clinics and infusion and oncology treatment centers, our outpatient charge capture solutions can help your facility obtain appropriate and defensible revenue.
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