Financial Compliance and Audit Management
OptumTM Compliance Checking helps you demonstrate your intent to fully comply with all guidelines from the Centers for Medicare & Medicaid Services and Office of Inspector General, as well as your commitment to achieving accurate and proper documentation for full and appropriate reimbursement.
Through comprehensive medical necessity checking prior to providing services, Compliance Checking helps you reflect reasonable and necessary services ordered by a licensed medical professional — promoting accurate Medicare billing information, regulatory compliance and timely reimbursement.
- Reduce the risk of potential fines for billing non-covered services to Medicare
- Improve patient satisfaction by clarifying patient rights and obligations prior to service
- Reduce bad debt, denials and unnecessary write-offs
- Reduce accounts receivable days while achieving accurate reimbursement