Encoder and Compliance
Boost compliance and reduce risk
Optum360 encoder and compliance solutions can help your organization achieve accurate coding that complies with Medicare’s Recovery Audit Contractor (RAC) program and other regulatory requirements.
Optum360 Web.Strat is a versatile encoder that enables coders to use book-based or logic-based encoding — whichever allows them to be more efficient in their work. By supporting all coder preferences and experience levels, Web.Strat can measurably shorten the time needed to code a claim while enhancing coding consistency and data quality.
In addition, the solution’s ICD-10 features educate users on the new code set, providing access to the ICD-10-CM/PCS book encoder, ICD-10 logic encoder, ICD-10 coding sessions, ICD-10 reference materials and more.
Web.Strat Compliance Module
Optum360 Web.Strat Compliance Module helps improve coding accuracy while supporting auditing, monitoring and impact analysis activities. A combination of Optum360-defined and facility-defined compliance audit triggers catch errors before they are billed, enhancing your RAC compliance, and helping you maximizinge your coder productivity and helping you secure accurate reimbursement.optimize revenue.
Optum360 EASYGroup, a portable software library for managing prospective payment system risk, can help hospitals save money by accurately booking receivables and keeping up with changing regulations. EASYGroup seamlessly integrates with existing host systems to manage prospective payment for 11 federal payment systems as well as more than 40 state- and payer-specific payment systems.
EASYGroup enables you to:
- Stay current with ongoing changes to rules and content
- Book accurate receivables for Medicare and other payers
- Minimize claim denials, adjustments and corrections
With automatic regulatory content updates and PPS data integration into your core HIM and claims applications, EASYGroup enables you to provide current, consistent results across different functions, including patient access, charge capture, coding, billing, contract management and decision support.