HIM Operational Assesments Overview

Areas Evaluated

OptumInsight evaluates coding, charge capture and charge description master maintenance to identify areas needing improvement. OptumInsight also reviews areas that will be impacted as payers shift to PPS reimbursement for out-of-network and commercial business.

Benefits

• Reduce coding backlogs
• Improve accuracy and compliance
• Streamline regulatory content updates

Review Coding Production

OptumInsight’s consultants evaluate coding production that might be improved by working through case management or utilization review staff to identify physician documentation improvement needs (in the medical record) while the patient is still in the hospital.

Experience

Our consultants know the pressures facing CFOs, HIM directors, and other hospital management personnel because they average 20 years of senior management experience each in HIM, clinical service lines, finance, and related fields.