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.*
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*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.