Identifying unmet coding needs
Middle Star Health Care realized it needed to improve its coding efficiency and began searching for a technology to help address that need. At the same time, it was limited by a manual clinical documentation improvement (CDI) process.
Solving challenges with innovative solutions
Middle Star used the shared Optum® Enterprise Computer-Assisted Coding (CAC) and Optum® CDI 3D platform to improve its coding efficiency.
“The automated workflows improved productivity for diagnostic coding by 57%, inpatient coding by 55%, and ED and clinical coding by 17%,” says the director of coding and clinical documentation. “Outpatient productivity exceeds our targets, so we may be adjusting some of them upwards now. That can be attributed to the Optum technology.”
Related healthcare insights
Article
How AI, data and investigative expertise are helping health plans detect fraud earlier and stop losses before they occur.
Report
Learn how provider organizations can evaluate and implement new AI-powered claim technologies that lower costs and administrative burden.
Video
See how state teams can turn data, responsible AI, and deep Medicaid expertise into insights that support decision-making and human-centered care.