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Coding and CDI Technology

Clinically aware solutions help improve the revenue cycle.

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Coding and clinical documentation improvement (CDI) tools

The ongoing demands for accurate medical documentation, coding and reimbursement require more than traditional, static natural language processing. Optum can help you meet these needs, powered by industry-leading technology and clinical intelligence honed over decades in the market. Our CDI and coding tools will support your peak performance and operational success.

Clinical Language Intelligence (CLI)

Our patented Clinical Language Intelligence™ (CLI) engine reads and understands clinical documentation to prioritize and identify clinical markers, assign codes, and identify potential gaps and quality events. Its automated, continuous review enables documentation improvement concurrent to care.

Enterprise CAC and CDI 3D

The CLI engine powers the shared platform for Optum® Enterprise Computer-Assisted Coding (CAC) and Optum® CDI 3D. This integrated solution continuously reviews 100% of your cases to support more complete and accurate documentation, coding and reimbursement. The Optum shared platform promotes seamless communication between coding and CDI teams, enabling quick turnaround of difficult cases.

Optum CAC Professional

Optum CAC Professional leverages NLP to support consistent, compliant professional coding for optimal operations and accurate revenue capture. Its Coding Review Module helps verify the accuracy of physician-assigned codes to support appropriate reimbursement and decrease denials.

Optum LYNX Outpatient Charging Applications

Optum® LYNX Outpatient Charging Applications use proprietary algorithms and apply OPPS guidelines to facilitate consistent charge capture and code assignment. The integrated validation module helps confirm visit levels are accurately coded every time. We offer comprehensive CDI and coding collaboration tools for emergency department, clinic, oncology, observation and infusion services.

Advanced intelligence for superior results

   

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Reduce A/R days, DNFB status

Dignity Health saw an 11% decrease in A/R days.

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Decrease wasted CDI reviews

The Clinical Language Intelligence engine reviews charts continuously, marking charts for CDI review as needed.

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Increase coding productivity

Trinity Health in Minot, ND, increased inpatient coder productivity by 21%.

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Explore our solutions

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Clinical Language Intelligence (CLI)

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Enterprise CAC and CDI 3D

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Professional Computer Assisted Coding (CAC)

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Optum LYNX Outpatient Charge Capture

See how Optum coding and CDI solutions can help your organization