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
Service
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.
Software
Ambulatory Revenue Cycle Technology
Get end-to-end, automated revenue performance solutions to optimize cash flow, streamline workflows and improve patient experience.
Service
Medical Coding and Documentation Services
Augment resources and expertise for greater accuracy, powered by industry-leading technology and clinical intelligence.
Service
Management Consulting
We help health care organizations examine and enhance their strategies to meet and exceed evolving member needs and expectations.
Software
Patient Access
Our patient access services help you improve engagement, loyalty and revenue while driving patient acquisition.
Solution suite
Patient access and engagement
Improve your digital patient access and engagement while reducing costs and increasing patient satisfaction.
Software
Patient Payments
Get patient financial engagement e-cashiering solutions to increase revenue performance and patient satisfaction.
Solution suite
Pharmacy Revenue Cycle and Billing Solutions
A suite of medical claims billing and revenue cycle management solutions that help pharmacies boost revenue.
Software
Medical Claims and Reimbursement Management
Improve claims accuracy and prevent claim errors to minimize denials and boost reimbursement.
Software
Acuity Revenue Cycle Analytics™
Our analytics-driven revenue cycle management software to help you make decisions impacting outcomes, productivity and patient experiences.
Software
Revenue Integrity
Leverage innovative technology and expert staff to optimize the middle revenue cycle and drive reimbursement compliance.
Service
Payer lists
Find updated payer lists for Exchange claims, remittance, real-time and restoration.
Optum is honored to be recognized as a Leader in the Everest Group RCM Platforms PEAK Matrix Assessment for 2025, highlighting our innovative and comprehensive RCM solutions.
Industry insights
White paper
See how Optum’s products help hospitals succeed with value-based contracts, earning appropriate incentives and avoiding penalties.
White paper
Learn 5 ways to make changes that will prevent and remediate denied claims.
Article
Optum won the 2023 North American Enabling Technology Leadership Award.
Case study
See how a hospital streamlined scheduling for about 700 providers and strengthened customer service for over 65,000 patient calls monthly.