The comprehensive solution for professional coding
Optum® Computer Assisted Coding (CAC) Professional is a comprehensive coding solution powered by our patented, proven natural language processing (NLP) technology. It offers broad flexibility to support your unique business structure and operational needs.
This product enables you to hone coding and charge capture processes to reduce denial rates, accelerate payments and capture correct revenue.
Accurate, efficient and compliant coding
Optum NLP automates code assignment to protect reimbursement and improve coder efficiency and bottom-line performance.
Increase productivity and functionality of ambulatory coding with a single, standardized platform across all locations and regions.
Automate and streamline continuous documentation review and coding updates, minimizing manual work and speeding revenue recovery.
Coding Review Module
Coding Review Module uses clinical intelligence, configurable rules and custom workflows to identify specific or misaligned physician-selected codes and enable targeted action to improve accuracy and reduce risk.
Reconciliation Module solves the challenges associated with reconciliation while simultaneously improving audit outcomes and facilitating appropriate reimbursement.
Audit Module leverages proprietary algorithms and NLP — based on OIG methodology including RAT-STATS — to automate and accelerate complete and compliant coding and reduce audit risk.
The Optum NLP difference
Our patented, clinically intelligent Optum NLP technology leverages over 10 million medical facts to read medical records. Read our white paper to learn about our clinically intelligent NLP.