Optum launches AI-powered RCM platform for hospitals

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Optum has launched a new AI-powered revenue cycle platform aimed at reducing administrative burden for health systems through better clinical documentation and coding accuracy.

Optum Integrity One consolidates several RCM functions into a single interface, allowing hospital employees to remove manual processes across multiple platforms, according to a May 7 news release. The platform uses AI to automate revenue cycle tasks from point of care through final coding, such as reviewing clinical documentation, assigning codes and capturing services for billing. This will enable more accurate documentation and billing, allow providers to receive proper reimbursement, help patients avoid surprise charges, and enable more efficient claims processing.

Fully autonomous and partially autonomous coding is available and will allow humans to oversee complex and specialized cases.

Optum partners with health systems nationwide to manage administrative services such as RCM and information technology. The UnitedHealth company said that a recent pilot program for the new RCM platform with a health system showed a coding productivity increase of over 20%.

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Register to Attend Webinar

Reconsider What’s Possible: Enterprise RCM and the Pro-Fee Practice

Tuesday, July 28
11:00 AM - 12:00 PM CDT

Presenters: Garett Kreitz, Med-MetrixJohn Stefanowicz, Med-MetrixPaul Summers, Nevada Heart & Vascular

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