Optum CAC offers automatic review of physician selected coding

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Speaker: As the healthcare industry transitions to new payment models, the trend towards hospital-managed physician groups presents new challenges including physician assigned coding in the EMR. The hospital EMR system may seem good enough for professional coding, but may not actually be the most effective technology to ensure accuracy. You need a reliable way to scrutinize the physicians coding entries to achieve appropriate revenue capture, and prevent inefficient denied claims and rework.

This is where Optum Computer-Assisted Coding Professional with its Coding Review Module can help. It continuously monitors physician-selected coding and alerts your staff to encounters needing review. Leveraging powerful natural language processing technology, it lets you configure rules and customize workflow to meet your specific needs. Imagine the benefits of targeted prospective physician coding review. Achieve more accurate coding up front when you provide your organization with the right technology to identify problem areas, reduce risk and preserve revenue.

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