Stay informed with news and updates
Articles
Perspectives: Six strategies to improve your health plan's performance in 2012 
At Optum, we not only share your passion for health care improvement, we are committedto being part of the solution. This inaugural issue offers industry experts’ thought-provoking discussions—drawn from our recent webinar series—plus real-world examples of proven strategies for improving health plan effectiveness, profitability, and sustainability.
Innovations—Artificial intelligence technology holds the key to improving claims coding productivity, preparing for ICD-10
With ICD-10, coders need to get to a high level of granularity in clinical documentation for hospitals to be reimbursed properly. Since implementing OptumInsight’s Computer-Assisted Coding system, Ohio Health has seen diagnostic coder productivity increase 105.6 percent over the average productivity standard and emergency department coding productivity increase 60 percent since January—a 91.7 percent increase over the current average productivity standard—while maintaining high rates of accuracy and compliance. At the same time, Ohio Health realized more than $300,000 in annual cost savings in the coding department as the use of CAC allowed the re-allocation of six full-time coding positions.
ICD-10 Conversion: New Tools, Strategies are Keys to Success
ICD10 Monitor features tools and strategies to help hospital administrators begin preparing their sites for ICD-10.
Calling All CFOs – ICD-10 is a NOW issue
Ron Jones, senior vice president of hospital solutions, who works closely with CFOs at a number of the nation’s leading hospital and health systems, is shocked to hear that ICD-10 is not on every CFO’s short list of issues to address. In this blog post, he describes how ICD-10 is a revenue/reimbursement issue — not just an education or coding issue — with potential financial impacts from lost productivity, denied claims and undercoding, which require hospitals and their CFOs to prepare today.
A Top Five for ICD-10
ICD-10 is on the short list of things keeping hospital executives need to worry about. From 17,000 codes under ICD-9 to 155,000 under the new regulation, ICD-10 takes coding and reimbursement to a whole new level – and will exponentially impact the financial health of every hospital. Mark Morsch, vice president of technology for OptumInsight describes what every provider needs to know as they prepare for the transition.
Thirty Hospitals Implement OptumInsight Coding Solution for Accurate Hospital and Physician Reimbursement, Improved Financial Performance and ICD-10 Readiness
SAN DIEGO, Sept. 26, 2011 — OptumInsight (formerly Ingenix), a leading provider of health care information, technology and consulting services, announced that 30 leading U.S. hospitals will implement its Actus® computer-assisted coding (CAC) solution.
ICD-10: Bring lawyers, guns and money
When the deadline for healthcare organizations to comply with the International Classification of Diseases version 10, aka ICD-10, arrives on Oct. 1, 2013, there will be wailing and gnashing of teeth—unless you’re doing that already. In that case, you should be fine.
Kidding aside, the conversion to ICD-10 code from ICD-9 code, mandated by the Department of Health and Human Services (HHS) in a final rule promulgated exactly two years ago, involves a change of seismic proportions: The number of diagnostic codes under ICD-10 will jump to 68,000 from 14,000 under ICD-9; Procedural codes will jump to 72,000 from a relatively meager 4,000. Consider Y2K a warm-up in comparison.
This one will hurt if you do not comply because these codes are the key to reimbursement. Failure, as NASA says, is not an option.
Top Technology Innovations 2009 Ingenix EDI Solutions
Link to external article on Health Data Management web site
White Papers
Advanced Coding Technology to Advance the Revenue Cycle
Not all CAC tools are created equal. Understand the key elements of natural language processing and how the precision of Optum’s LifeCode NLP technology can boost coder accuracy and enhance productivity—even amid the transition to ICD-10.
Preparing for ICD-10: Evaluating Approaches and Potential Pitfalls
The health care industry breathed a figurative sigh of relief when the Department of Health and Human Services (HHS) extended its ICD-10 implementation deadline by two years, from October 1, 2011 to October 1, 2013. The extension provides organizations with additional time to prepare for the transition and to assess how the use of the new code set will affect them.
Will Opportunities be Leveraged or Squandered? Why Organizations Should Approach 5010, ICD-10 and HITECH Act Compliance with a Single Strategy
Will the health care industry squander the opportunities that lay ahead? The industry’s history is littered with squandered opportunities, particularly when those opportunities come through legislation and regulation. Why should anyone expect new opportunities to result in different outcomes?