Succeed with clinically intelligent solutions
We bring artificial intelligence into revenue cycle operations to help you achieve regulatory compliance and proper reimbursement. Our proprietary natural language processing comprehends clinical documentation, identifies discrepancies and applies appropriate coding.
Our AI technology and clinical and regulatory experts help you create a high-performance environment. We surround your core systems with a rich combination of technology and expertise. This curbs errors, speeds reimbursement and improves financial performance.
You gain accurate quality reporting, improved medical necessity determinations and reduced denials. By attaining complete and accurate documentation and coding, you reduce friction with payers, rework and lost revenue.
Capture complete and accurate information throughout the patient stay
- Utilization review
- Clinical documentation
U.S. hospitals rely on our information and capabilities
Medical facts and clinical algorithms inform our NLP process
Years coding content experience
Artificial intelligence transforms CDI
Imagine if your team knew right away which cases had an opportunity for improvement, and where to focus. Learn how we do it with Optum CDI 3D.
Because our queries are routed within the physician workflow, our response rate has improved from about 30 percent to well over 90 percent.– Leighann Michitson – Coding and CDI Operations Manager, Hallmark Health System