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Confidence from a proven solution

Optum360 has developed comprehensive charge capture technology with proprietary algorithms to reliably capture resource utilization and patient care complexity for consistent charging across outpatient operations. 

Optum® Lynx Outpatient Charging Applications are available for Emergency Department, clinic, oncology, observation and infusion services. Each application integrates with your existing EMR workflow and allows customization to meet each department’s specific needs.  

The Optum Lynx technology uses regulatory guidelines maintained by industry experts to facilitate hospital and clinic charge capture and code assignment. These guidelines drive consistency by assigning the same charges for identical services across an organization.  

For more than 30 years, the results of the Optum Lynx algorithms have been evaluated hospital-by-hospital and record-by-record. Clients can be confident the appropriate charges are calculated for the services provided.

Infusion and injection calculations are included across multiple service lines.

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Comprehensive charging capabilities

The Optum Lynx Emergency Department Charging Application helps you achieve consistent and compliant charging in the Emergency Department.  

Our algorithm uses a unique combination of presenting problem plus other unique clinical resources utilized during the encounter to calculate a visit level that is accurate and defendable.

The Optum® Lynx Observation Charging Application can help hospitals achieve compliant and consistent charging for observation services. The application calculates appropriate observation charges and reconciles exclusion or carve-out time.

The Optum® Lynx Clinic Charging Application integrates unique clinic workflows to capture consistent facility visit levels and calculate charges based on a variety of factors, such as complicated intravenous administration rules.

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Protect the revenue stream

Reduce denials and ensure correct reimbursement.

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Maintain consistency 

No manual updates with our software-as-a-service model. 

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Stay compliant

Facility visit-level calculation aligns with OPPS guidelines.

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Optum Lynx Outpatient Charging Applications have been in the market for more than 33 years with users in over 1,500 facilities. We developed our algorithms through a comprehensive review of national standards, evaluation of clinical risk factors and field testing. 

We analyze your organization’s charging consistency and metrics before, during and after implementation to support a cycle of assessing, refining and improving operations. A quarterly detailed analysis identifies opportunities to optimize your use of the technology.

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Start the conversation

The path to a denial-free future is possible with the right partner. Our flexible engagement model can adjust to match your organizational needs.

Contact us online

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