Skip to main content
Informational

Data use:

We use cookies and similar tools to make your use of this website easy and to keep it working properly. We may share data about you and how you use the site with third parties, such as analytics and marketing partners. Learn more in our Privacy Policy and Terms of Use. By continuing to use the site, you agree to this.

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

View all

Article

Proactively manage genetic test spend with DEX Z-Codes

Learn how adopting DEX® Z-Codes® can help health plans create a comprehensive genetic testing coverage, coding and payment policy program.

Article

AI-powered member support: Built for real conversations, ready when members need it

See how AI is transforming contact centers with faster answers, less friction and more confident member experiences.

Article

Why payment integrity needs a new playbook for behavioral health

Behavioral health demands more than traditional claim reviews. Learn how health plans can improve accuracy and reduce risk.

Visit Client Service Portal