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Advancing the revenue cycle for provider resiliency

Optum 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

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Average unbilled revenue identified per client, per year

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$4.3M

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Average cost avoidance based on denial prevention edits

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~$75B

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Net patient revenue managed 

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 claims editing content and logic 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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Analyst recognition

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.

Featured insights

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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.

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