Optum CDI and coding solutions

Optum® CAC Professional enables consistent, compliant coding for optimal operations and accurate revenue capture. Powered by Optum patented natural language processing (NLP) technology, CAC Professional is a premier solution for physicians, billing companies and medical centers.

CAC Professional automates continuous documentation review and coding suggestions, providing audit trails, minimizing manual processes and speeding revenue recovery. It helps you streamline and improve coding and charge capture processes and reduce denial rates.

Modules deliver efficient review and chart audit support

• The Optum® Coding Review Module compares physician-selected coding to NLP-assigned codes. Its clinical intelligence, configurable rules and custom workflows identify specific or misaligned codes and enable targeted action to improve accuracy and reduce risk.
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• The Optum® CAC Audit Module works with CAC Professional to automate and accelerate chart audits. It leverages proprietary algorithms based on OIG methodology, including RAT-STATS, as well as Optum® NLP, to support complete and compliant coding and reduce audit risk.
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• The Optum® Reconciliation Module works in conjunction with CAC Professional to solve the challenges associated with reconciliation while simultaneously improving audit outcomes and  facilitating appropriate reimbursement.