Client success stories
Optuminsight has helped health care systems improve performance across their entire care community, including IDNs, hospitals, academic medical centers, and contracted physicians. Here are some recent case study result.
Case Studies
Computerized Management Services reduces the cycle time and costs associated with identifying crucial revenue dollars by automating their reconciliation process with Optum CAC Reconciliation Module. 
Computerized Management Services reduced their cycle time associated with the critical reconciliation process to less than 30 days, improved the accuracy, cycle time, and costs associated with encounter verification, uncovered $40,000 worth of missing reports on the first day of use, and reassigned coding resources to new projects and business opportunities.
Acadiana Computer Systems, Inc. gains a 100% ROI on their radiology billing by implementing the Optum™ Computer-Assisted Coding solution. 
By implementing the Optum CAC solution, Acadiana reduced claim denial rates by five percent, strengthened audit capabilities and coder support, improved efficiencies through automation, manager tools, and straight-to-bill capabilities, and doubled the number of documents processed per hour.
Covenant Medical Group streamlines entire revenue cycle management processes with the Optum Computer-Assisted Coding solution 
Covenant Medical Group dramatically increased the processing time of completely coded charts from 20 to an average of 60 charts per hour, reduced document backlog from 3.5 months to three weeks, and achieved enterprise-wide productivity, efficiency, and financial gains after a brief, five-day implementation.
Case Study on a Physician that has used CareTracker to meet Meaningful Use Requirements 
With the Ingenix CareTracker EHR system and its unique Meaningful Use Dashboard, Dr. Foreman has met Phase 1 Meaningful Use guidelines, and qualified for Medicare health IT incentive payments.
HST Improves Productivity, Cuts IT Costs, Increases Revenue, and Cuts $284,000 in Operating Expenses with Ingenix CareTracker 
Ingenix CareTracker has dramatically reduced IT and associated costs, increased productivity, reduced downtime, improved the services that HST provides to its customers, and increased revenue. As a result, HST will gain a projected, cumulative, five-year net benefit of $284,251. The project has a 75% return on investment, and a seven-month payback period.
Austin Diagnostic Clinic Recovers Underpayments, Improves Contract Modeling, Gains $340,000 in Benefits with Ingenix Contract Manager 
Using Ingenix Contract Manager, ADC will gain a projected, cumulative $341,841 benefit over five years as a result of recovering additional revenue from underpayments. The project will have a 74% return on investment and an eight-month payback period.
Women’s Care Improves Patient Care, Improves Productivity, Eliminates Paperwork, and Gains $214,176 in Net Benefits with Ingenix CareTracker EMR 
With the use of Ingenix CareTracker EMR, Women’s Care reduced the turnaround time for lab results from days to hours; will realize an estimated cumulative $178,000 in savings over five years; will see a cumulative five-year productivity benefit of $360,685 from the use of Ingenix CareTracker EMR; and has increased reimbursements in a pay-per-performance program.
St. Vincent Health Minimizes Underpaid Revenue, Gains More Visibility into Contracts, and Reduces Cost and Complexity with Hosted Version of Ingenix ContractManager 
By having Ingenix host Contract Manager, St. Vincent Health eliminates maintenance and reduces staffing requirements, cost, and complexity.
Arizona Pain Specialists Improves Productivity, Streamlines Workflow, and Reduces Denials by 30 Percent with Ingenix EncoderPro.com 
EncoderPro.com has improved productivity, workflow, and accuracy at Arizona Pain Specialists, and has reduced denials by approximately 30 percent. Coders are much more efficient, and save substantial amounts of time coding.
Peak Wellness Center Improves Productivity, Reduces Turnaround Time for Payments, and Increases Revenues with Ingenix Transaction Exchange for EDI 
Peak Wellness Center staff no longer need to print and manually mail several thousand forms and statements every month, improving overall productivity.
CHOC Pediatric Subspecialty Facility streamlined workflow and increased productivity, saving $16,800 annually with Ingenix Patient Statements Manager 
Ingenix Patient Statements Manager virtually eliminated document creation labor expenses which helped CHOC Pediatric Subspecialty Facility save one FTE headcount.
Dreyer Medical Clinic Team Installs Ingenix Claims Editing System® in Fewer Than 45 Days 
Dreyer Medical Clinic faced a daunting task: to mold three teams into a single, harmonious unit in order to meet a 45-day installation deadline. Dreyer’s contract with a previous vendor was ending and the clinic could not disrupt the bill review pro
Prevea Health Improves Productivity, Handles Increased Claims with Reduced Costs, and Gains $19 Mill 
Trumbull Medical Practice will gain a cumulative, projected five-year net benefit of $224,655 from the use of Ingenix CareTracker, due to savings in licensing costs and revenue increases.
Trumbull Medical Practice Reduces Costs, Increases Revenue per Patient, and Improves Patient Care With Ingenix CareTracker 
Trumbull Medical Practice will gain a cumulative, projected five-year net benefit of $224,655 from the use of Ingenix CareTracker, due to savings in licensing costs and revenue increases.
Sun Radiology Reduces Claims Denial Rates by 50 Percent, Improves Productivity, and Gains More Than 800 Percent Return on Investment with Ingenix Encoder Pro and Claims Batch Editor 
With Ingenix Encoder Pro and Claims Batch Editor, Sun Radiology was able to reduce its denial rate by 50 percent, from 3,750 to 1,875 annually.
Ingenix ERA Manager Implemented at Colorado Otolaryngology Associates, PC 
The Colorado Otolaryngology Associates (COA), PC facility was struggling to post payments in a timely fashion. Its manual payment posting process took an experienced billing administrator about 30 minutes per page of a voucher, and a typical voucher recei
St. Vincent Health Reduces Denials and AR Days, Doubles Productivity, and Gains More than $4.6 Milli 
Ingenix ClaimsManager is a rules-based, front-end clinical editing tool that offers one of the most customizable rules engines in the industry, and features some of the most robust database editing functionality in the marketplace. With it, St.Vincent Hea
Articles
Health Care’s New Frontier: Quality Program Integration 
By integrating quality programs, such as case management, disease management,member outreach, and provider outreach, plans will be able to achieve a consistently high star rating and also generate the most revenue.
The Progressive Physician: Behind the Best EMR: Hook up to a Billing System 
If the President Obama’s economic stimulus legislation has its desired effect, previously technology-shy physicians will be taking another look at EMR software, thanks to financial incentives that offer as much as $44,000 back over four years for the purchase of a health technology system.