WEBVTT NOTE This file was generated by Descript 00:00:04.088 --> 00:00:07.068 Health systems today face ongoing financial pressure. 00:00:07.438 --> 00:00:11.548 Payer complexity is rising, staffing remains tight, and revenue cycle 00:00:11.548 --> 00:00:14.867 teams are expected to move cash faster with greater precision. 00:00:15.538 --> 00:00:18.567 Much of that pressure sits in the back end of the revenue cycle 00:00:18.828 --> 00:00:22.357 after care is delivered, where claims, denials, and payments must 00:00:22.357 --> 00:00:24.197 be managed through to resolution. 00:00:25.437 --> 00:00:29.848 When work relies heavily on manual processes, visibility drops, rework 00:00:29.848 --> 00:00:34.228 increases, and teams spend more time chasing issues instead of resolving them. 00:00:34.918 --> 00:00:38.758 A more connected approach driven by AI, analytics, and experience-led 00:00:38.758 --> 00:00:42.268 services can help bring focus to what matters and move work forward. 00:00:42.938 --> 00:00:47.647 That's why Optum Post-Care RCM solutions combine automation, analytics, and managed 00:00:47.648 --> 00:00:52.437 services to help identify issues earlier, work more effectively by exception, 00:00:52.707 --> 00:00:54.658 and support more consistent operation. 00:00:56.037 --> 00:00:58.148 It starts with identifying issues early. 00:00:59.037 --> 00:01:02.988 Experienced built claim validation, pre-bill review, and payer specific 00:01:03.017 --> 00:01:06.698 logic help service documentation, coding, and authorization gaps 00:01:06.698 --> 00:01:10.848 before claims are submitted, helping reduce avoidable denials and rework. 00:01:12.048 --> 00:01:16.548 As claims move into accounts receivable, multiple resolution paths emerge, 00:01:16.728 --> 00:01:20.777 making early issue identification and next best action guidance critical. 00:01:21.667 --> 00:01:26.197 From there, intelligent insights analyze claim status, denial signals, account 00:01:26.197 --> 00:01:30.517 context, and supporting documentation requirements to guide the next recommended 00:01:30.517 --> 00:01:35.097 action, helping to enable teams to automate attachment workflows and to 00:01:35.097 --> 00:01:37.417 prioritize work with the greatest impact. 00:01:37.978 --> 00:01:41.827 Automation then helps move work toward resolution, supporting follow-up, 00:01:41.907 --> 00:01:45.457 work progression, and appeals while real-time visibility into AR and 00:01:45.457 --> 00:01:49.417 denials can help teams stay aligned and focused on complex exceptions. 00:01:51.578 --> 00:01:54.927 Together, this creates a more coordinated way to manage the 00:01:54.927 --> 00:01:59.548 post-care RCM life cycle from claim creation through payment adjudication. 00:02:00.438 --> 00:02:04.897 In practice, one large health system reduced its denial backlog by forty-five 00:02:04.898 --> 00:02:09.617 percent and improved cash collections by twenty-four percent through more efficient 00:02:09.618 --> 00:02:11.867 claims follow-up and denial management. 00:02:12.578 --> 00:02:16.307 Hospitals using assurance reimbursement management have reduced days in 00:02:16.548 --> 00:02:20.817 AR by an average of five days and maintained claim acceptance rates above 00:02:20.817 --> 00:02:24.888 ninety-five percent, supporting more efficient exception-based processing. 00:02:26.217 --> 00:02:30.818 Optum Post-Care RCM solutions help organizations reduce denials, improve 00:02:30.818 --> 00:02:34.547 accuracy, and can help accelerate reimbursement to keep the back end 00:02:34.548 --> 00:02:36.307 of the revenue cycle moving forward. 00:02:36.927 --> 00:02:37.758 All from Optum.