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Operations and technology

Revenue cycle management

Our solutions help you strengthen margins, improve efficiency and elevate the patient experience.

Transforming revenue cycle management in healthcare

The last thing you need to add to your revenue cycle is more complexity. Optum Revenue Cycle Management (RCM) solutions drive revenue cycle excellence and improved healthcare experiences with a holistic end-to-end approach to RCM. We deliver value through partnership and connection, with an offering differentiated by leading clinical and payer insights and intelligent automation.

Working with a trusted partner for your RCM needs makes it possible to achieve superior results. We bring scale, breadth and depth of solutions and expertise to improve financial performance, decrease administrative costs and unlock new sources of growth.

Our approach brings together leading-edge technology, process innovation, clinical intelligence and analytics to improve financial performance.

$1.1M
Average unbilled revenue identified per client, per year

$4.3M
Average cost avoidance based on denial prevention edits

~$75B
Net patient revenue managed

Revenue cycle management solutions

Ambulatory Revenue Cycle Management Services 

RCM and billing services help physicians improve cash flow, increase speed to payment, contain costs at a faster rate, and support growth at scale.

Ambulatory Revenue Cycle Technology

Get end-to-end, automated revenue performance solutions to optimize cash flow, streamline workflows and improve patient experience.

Medical Coding and Documentation Services

Augment resources and expertise for greater accuracy, powered by industry-leading technology and clinical intelligence.

Management Consulting

We help health care organizations examine and enhance their strategies to meet and exceed evolving member needs and expectations.

Patient Access

Our patient access services help you improve engagement, loyalty and revenue while driving patient acquisition.

Patient Access and Engagement

Improve your digital patient access and engagement journey while reducing costs and increasing patient satisfaction.

Patient payments

Get patient financial engagement e-cashiering solutions to increase revenue performance and patient satisfaction.

Pharmacy Revenue Cycle and Billing Solutions

A suite of medical claims billing and revenue cycle management solutions that help pharmacies boost revenue.

Medical claims and reimbursement management

Improve claims accuracy and prevent claim errors to minimize denials and boost reimbursement.

Revenue Cycle Analytics

Transform disparate data into actionable insights to enhance your revenue cycle performance.

Revenue Integrity

Leverage innovative technology and expert staff to optimize the middle revenue cycle and drive maximum reimbursement compliance.

Payer lists

Find updated payer lists for Exchange claims, remittance, real-time and restoration.

Related healthcare insights

White paper

How Optum supports value-based goals with powerful products

See how Optum’s products help hospitals succeed with value-based contracts, earning appropriate incentives and avoiding penalties.

White paper

Five things your denial rate isn't telling you

Learn 5 ways to make changes that will prevent and remediate denied claims.

White paper

Digital front door strategy improves patient experience

Discover how a digital patient engagement strategy can provide easier access, reduce cancellations, and enhance front-end collections.

On-demand webinar

Optimize patient access with automation

This webinar shares best practices for optimizing patient access with automation and consumer-centric technology strategies.

Meet coding, billing, coverage and reimbursement needs