Beruflich Dokumente
Kultur Dokumente
2018年10月31日 15:48
来自 <https://www.optum.com/resources/library/claims-groupings-improve-research1.html>
7. Symmetry® Episode Treatment Groups® Measuring health care with meaningful episodes of
care
https://www.optum.com/content/dam/optum3/optum/en/resources/white-
papers/Symmetry_ETG_White_Paper_Analytics_815.pdf
8. Annual IHE Connectathon Tests Validate OptumInsight Technologies’ Ability to Enable a More
Connected Health System
In addition, the company successfully demonstrated interoperability of its Optum Computer-
Assisted Coding solution via the HL7 CDA (Clinical Document Architecture) standard. This
solution, powered by Optum’s patented LifeCode® natural language processing (NLP)
technology, enriches CDA documents with standardized ICD-9 (International Classification of
Diseases, 9th Edition), CPT (Current Procedural Terminology) and HCPCS Level II (Healthcare
Common Procedure Codes, Level II) codes.
来自 <https://www.optum.com/about/news/annual-ihe-connectathon-tests-validate-optuminsight-technologies-ability-to-enable-a-
more-connected-health-system.html>
10. Health care subrogation: combining science and art to maximize results
https://www.optum.com/content/dam/optum3/optum/en/resources/white-papers/HealthCareSubrogation-
CombiningArtScienceotMaximize%20White%20Paper.pdf
12. Optum® Actuarial Toolbox Proven, sophisticated and market-leading actuarial models for
health plans and benefits consultants
The Optum Actuarial Toolbox is a comprehensive suite of tools that meets a diverse set of
needs and provides solutions to health actuaries that can support many product lines, market
segments and populations.
https://www.optum.com/content/dam/optum3/optum/en/resources/fact-sheets/WF382903
_PAYER_Actuarial_Toolbox_Bro_HR.pdf
14. Intelligent EDI Next-Generation Revenue-Cycle Management Capabilities —All within the EDI
Data Stream
Intelligent EDI helps providers increase revenue by identifying missed billing opportunities.
Positive edit capabilities within the solution alert users when potential codes or modifiers are
missing from claim. This enables users to review and correct errors before submission to earn
full reimbursement for all the care that was delivered.
https://www.optum.com/content/dam/optum/Images/email/Executive_Lead_Nurture/WP_Intelligent_EDI.pdf
Clinical Application
1. Intelligent Coding Technology from Optum Helps Hospitals Accelerate Transition to New
ICD-10 System and Improve Clinical Documentation
Enterprise CAC includes a Coding and Reimbursement Module that combines CAC technology
with comprehensive Optum reference, encoding and reimbursement tools. This single
application eliminates data hand-offs between the applications that scan and render diagnosis
and procedure codes from clinical records and those that apply the codes to billing statements
and other documentation.
来自 <https://www.optum.com/about/news/intelligent-coding-technology-from-optum-helps-hospitals-accelerate-transition-to-new-
icd10-system-and-improve-clinical-docum.html>