Cost savings found in the details
Complex claim errors can only be caught by physician reviewers with the experience to spot mistakes that traditional automated systems can't detect. Focused Claims Review (FCR) is an innovative billing accuracy review approach targeting procedure, surgery and facility claims.
- A significant percent of targeted claims reviewed (55% to 65%) show errors.
- Clients saved 17% to 22% of total claims dollars reviewed.*
Let’s start a conversation
We’ll help you find out how our solution could benefit your organization.
Related healthcare insights
White paper
Learn how Optum is streamlining care delivery with insights from patients and providers to improve outcomes and drive down costs.
E-book
Discover specialty medication management strategies to help you slow carve-out and stop member attrition.
Article
See 4 ways that payers can help healthcare providers unlock the power of real-world data to drive quality and innovation in cancer care.
Complementary solutions
Complex care management
Specialty Management
NurseLine Services
*Savings represent cost reductions from the total claims dollars reviewed. Based on analyses including presale assessments and Optum performance metrics representing blended average experience across the program’s book of business 2023.