O4 Detail Hero Banner

Revenue Cycle Performance

Innovate the revenue cycle for peak performance.

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.

""

$1.1M

Average unbilled revenue identified per client, per year

""

$4.3M

Average cost avoidance based on denial prevention edits

~$70B

New patient revenue managed 

O4 Simple Cards

Revenue performance capabilities

O4 Simple Card

Coding and documentation

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

O4 Simple Card

Claims

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

O4 Simple Card

Reimbursement

We help reduce denials and speed A/R recovery.

O4 Simple Card

Utilization review

Our AI-powered technology and services revolutionize utilization review. 

O4 Simple Card

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.

O4 Complex Card
Avasant

Leader: RCM Business Process Transformation 2021

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

O4 Complex Card
Everest Group

Leader: PEAK Matrix RCM Operations 2021

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

O4 Complex Card
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.

O4 Complex Card
""
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

O4 Complex Card
""
Video

Improving patient access and your bottom line

Help physician groups solve for total patient engagement.

O4 Complex Card
""
Podcast

Improve clinical validation to help prevent denials

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

O4 Complex Card
""
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