Enterprise Computer-Assisted Coding (CAC)
NLP-powered coding technology improves coding accuracy and efficiency
NLP-powered hospital coding technology
Optum® Enterprise CAC applies clinically intelligent Optum natural language processing (NLP) to review medical records and deliver comprehensive, accurate code suggestions. It optimizes hospital coding operations and increases efficiency as it reduces denials, costly rework and lost revenue.
Enterprise CAC and CDI 3D share a single technology platform that enables greater efficiency, consistency and communication across departments. Targeted modules and capabilities help address specific challenges and optimize operations.
Our NLP recommends codes by understanding clinical concepts.
Robust coding edits
An extensive library of custom edits raises coding accuracy.
Boost case mix index (CMI)
Improve quality metrics through more complete code capture.
Organizations can further streamline and simplify their processes with optional Enterprise CAC modules:
Coding and Reimbursement Module
Coding and Reimbursement Module supports accurate case completion with our coding tools: encoders, comprehensive edits and medical necessity indicators.
Audit and Compliance Manager
Audit and Compliance Manager identifies cases at risk for denial, enabling hospitals to proactively target pre-bill audits, prevent downstream denials and preserve revenue integrity.
Lynx Infusion Charging Module
Lynx Infusion Charging Module uses a proprietary algorithm to correctly charge for infusion and injection services.
Medical Reference Engine
Medical Reference Engine offers a database of reference books, Medicare and Medicaid documents, Coders Desk References and Dr. Z’s Medical Coding Series: Interventional Radiology, CPT Assistant and AHA Coding Clinic.
Workflow Module provides flexible work queue parameters, prioritizes CDI based on potential impact, applies customized rules to assign cases, and boosts CDIS, coder and manager productivity.
The Optum NLP difference
Read our white paper to learn why “clinically intelligent NLP” is superior to other forms of NLP.