How Optum NLP transforms CDI

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Male Speaker: Regulatory changes, and the movement towards value-based care are putting pressure on CDI encoding departments to expand their scope of work. They need to review cases for all payers, incorporate quality initiatives, and drive results around risk adjustment, without having extra staff. To meet these industry demands organizations need the right technology. The key to success is incorporating artificial intelligence like Optum natural Language Processing or NLP at the point of care.

What makes our NLP different? Optum's NLP has a unique ability to identify clinically relevant findings that indicate gaps in documentation, as well as potential quality events. It automatically reviews 100% of cases, and flags specific cases for CDI review, based on what the physician didn't say. The technology enables a more holistic program that incorporates quality reviews, conditions affecting risk adjustment, and financial impacts. NLP also concurrently translates documentation into the appropriate codes.

Complete accurate documentation and coding early in the revenue cycle means fewer denials, less rework and improved code to billing metrics. Ensure the great care provided by your organization is captured and translated into the appropriate outcomes by placing the right tools in the hands of your CDI encoding departments.

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