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Advancing the revenue cycle for provider resiliency

Optum360® advances the revenue cycle by aligning payers, providers and consumers to remove costs, drive growth, and enable a better consumer experience.  

Our approach brings together leading-edge technology, process innovation, clinical intelligence and analytics to improve financial performance.

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$1.1M

Average unbilled revenue identified per client, per year

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$4.3M

Average cost avoidance based on denial prevention edits

~$70B

New patient revenue managed 

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Revenue performance capabilities

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Coding and documentation

We help unify clinical and financial domains to improve revenue integrity.

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Claims

Our expansive knowledge base of payer regulations and industry guidelines drives clean claims.

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Reimbursement

We help reduce denials and speed A/R recovery.

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Utilization review

Our AI-powered technology and services revolutionize utilization review. 

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Research

Work smarter and faster through thought-provoking, actionable strategies and practical tools from Advisory Board Research.

Analyst recogniztion

Optum health system revenue cycle management solutions have been recognized for excellence by leading industry analysts.

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Avasant

Leader: RCM Business Process Transformation 2021

Optum was named a Leader in the Avasant RadarView report, recognizing superior quality, reliability and innovation.

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Everest Group

Leader: PEAK Matrix RCM Operations 2021

PEAK Matrix® Leaders have established themselves as front-runners based on market impact, vision and capability.

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Frost & Sullivan

2021 Population Health Management Company of the Year Award

In a field of 50 participants, Optum received this honor for the third year in a row.

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HFS

2020 Winner's Circle: Healthcare Sector Service Providers

Optum ranked first in: Execution, Business Process Services, Provider Experience, and Size, Scale and Growth.

Evolving your revenue cycle to embrace modern challenges

Value-based care, the rise of consumerism and shifting payer trends have fundamentally altered the provider health care landscape. 

Featured insights

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Video

Improving patient access and your bottom line

Help physician groups solve for total patient engagement.

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Podcast

Improve clinical validation to help prevent denials

Technology can help address this increasingly important area of focus to aid in denial prevention. 

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White paper

Five things your denial rate isn’t telling you

Dig deeper to uncover areas for improvement.

Optum360 helps hospitals and health systems meet coding, billing, coverage and reimbursement needs