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Enterprise Computer-Assisted Coding (CAC)

NLP-powered coding technology improves coding accuracy and efficiency

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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.

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Industry-leading NLP

Our NLP recommends codes by understanding clinical concepts.

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Robust coding edits

An extensive library of custom edits raises coding accuracy.

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Boost case mix index (CMI)

Improve quality metrics through more complete code capture.

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Organizations can further streamline and simplify their processes with optional Enterprise CAC modules:

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Coding and Reimbursement Module

Coding and Reimbursement Module supports accurate case completion with our coding tools: encoders, comprehensive edits and medical necessity indicators.

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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.

 

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Lynx Infusion Charging Module

Lynx Infusion Charging Module uses a proprietary algorithm to correctly charge for infusion and injection services.

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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.

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Workflow Module

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.

 

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White paper

The Optum NLP difference

Read our white paper to learn why “clinically intelligent NLP” is superior to other forms of NLP.

Read white paper

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Talk to experts to learn more insights on how to empower your programs.

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