Increase revenue
You're challenged to improve the financial performance of your practice in an environment of falling reimbursements, higher costs, and increasing complexity. OptumInsight can help.
Issues and challenges
Reimbursement complexity
More and more of your patients are under-insured or self-insured. How can you improve reimbursement in an era of growing payer complexity?
Health reform
Health reform will put strong downward pressure on reimbursements. How can you ensure you get paid fairly and fully for the work you do?
Practice planning and growth
Like any other business, you compete for clients. But unlike a lot of industries, health care is changing underfoot. Planning for growth becomes paramount to survival.
Opportunities
Coding, Billing and Reimbursement
Achieve fair and timely reimbursement with OptumInsight coding, compliance, and reimbursement solutions.
- Reduce claim denial or error rates to accelerate payment.
- Improve compliance and first-pass pay rates with the right code sets for MS-DRG, ICD-10, CPT®, and HCPCS Level II.
- Reduce days in accounts receivables.
- Improve staff efficiency and reduce costs with web-based coding reference tools.
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Computer-Assisted Coding
Streamline ICD-10 preparation and implementation with our advanced computer-assisted coding (CAC) solution. Powered by our patented natural language processing technology, Optum LifeCode®—the only NLP in the industry that understands the syntax and semantics of medical records to abstract clinical facts with their full context—Optum CAC delivers faster, more accurate results for quicker, more accurate returns. Optum CAC can help you:
- Reduce denials
- Accelerate reimbursements
- Improve coding efficiency
- Identify lost revenue
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Electronic Data Interchange EDI
Increase overall efficiency and productivity with next-generation, cloud-based EDI solutions. Automate critical operational processes. Streamline transactions with health plans. Access a wealth of real-time patient and reimbursement information to easily track claims.
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Electronic Medical Record and Practice Management
Verify data and credentials for facilities of all types to reduce expenses and streamline processes. Minimize the administrative burden of site visits, documentation, and reporting.
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Revenue Cycle Management
Find sustainable opportunities to improve practice profitability with help from our consultants.
Apply the latest technology to automate critical tasks and increase efficiently.
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Strategic Planning and Financial Management
Reach new, sustainable levels of productivity with the strategic planning and financial management expertise of Ingenix. Fine-tune your clinical service mix, health plan contracts, and growth strategies to make the most of your time and staff.
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