Optum MedicareRT® Claims System Overview

Optum MedicareRT Claims System provides real-time Medicare claim review and editing prior to claim processing to enhance accuracy and reduce collection time. It meets all federally mandated Medicare claims submission regulations, and provides a robust automated solution that helps you submit edited claims, generate secondary claims, get paid sooner, and avoid future take backs. Claims processed through MedicareRT are accepted through Medicare's online system more than 95 percent of the time.

Integrated Decision Support Dashboard
The MedicareRT Claims System’s performance management dashboard is a comprehensive decision support tool that analyzes data from the MedicareRT Claims System and displays Key Performance Indicators (KPIs) that provide a comprehensive summary of claims activity. Standard dashboard layouts can be personalized by each user and allow drill down to analyze data by facility, claim type, error, reason codes, account numbers, and much more.

Optum MedicareRT Claims System:

• Reduces rejections, denials, RTP claims, and A/R days
• Automates claim status inquiries
• Reduces labor costs through automation