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Revenue cycle management

Revenue Integrity

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

A new approach to more accurate revenue integrity

Optum offers you a new approach to clinical documentation, helping you better detect potential gaps and quality events. We can help you achieve:

  • Continuous review of all cases for comprehensive and precise documentation, coding and reimbursement
  • Consistent and compliant professional coding 
  • Streamlined charge capture and code assignment 

Find out how we can help you enhance performance and operational success by proactively addressing revenue integrity risks and opportunities.

Explore our Revenue Integrity solutions  

Service

Clinical Language Intelligence (CLI)

Best for:
  • Providers

Learn how Optum AI products use natural language processing (NLP) to make healthcare work smarter.

Software

Enterprise CAC and CDI 3D

Best for:
  • Health systems and hospitals
  • Payers

Review medical records and deliver comprehensive, accurate code suggestions with technology powered by Optum Clinical Language Intelligence.

Software

Professional Computer Assisted Coding (CAC)

Best for:
  • Health systems and hospitals
  • Payers

Our advanced coding solution automates medical coding and charge capture processes.

Software

LYNX Outpatient Charge Capture

Best for:
  • Health systems and hospitals
  • Payers

Our extensive charge capture solution helps protect revenue and supports compliant and consistent charging across outpatient operations.

Service

Medical Coding and Documentation Services

Best for:
  • Providers

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

Solution suite

Chargemaster Management Solutions

Best for:
  • Health systems and hospitals
  • Providers

Learn how Optum Chargemaster Solutions can equip your teams with automation, proprietary content and pricing intelligence.

Industry insights

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Fix Readmission Vulnerabilities Before Becoming Overpayments

Article

Fix readmission vulnerabilities before they become overpayments

As health plans address billing, coding and inpatient utilization issues, readmissions have drawn renewed focus as a payment integrity risk.

Is Your PBM Delivering the Best Value? 4 Key Questions to Ask

Article

Is your PBM delivering the best value? 4 key questions to ask

See if your PBM is giving you the tools and guidance you need to balance savings with improved outcomes.

Infusion Nurse Kayaks Through Hurricane Damage to Give Care

Article

Infusion nurse kayaks through hurricane damage to administer care

An Optum Infusion Pharmacy nurse’s commitment to ensure her patients received their medication after a hurricane is just one example of the care team’s compassion and commitment.

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