105 Optum Testimonials

“By remaining focused on accurate and timely billing, we enable our patients and their families to keep their focus on spending time together during this important time of their lives - the end of life."

"Because it’s an SQL database that we can access, and RelayHealth is comfortable sharing things like the data dictionary, we’ve been able to build interfaces to extend the functionality of the system with pulling data in and out in ways in that we could not do previously. We really like that."

"Those meetings are not always pleasant, but they do help find holes in claims processes. We now can pull great data to go back to payers and explain what’s going on. When a payer raises an issue, we can quickly check our records. “One payer asked us to verify how long it was taking us to submit claims. Using Acuity, we had that information right at hand."

"They want to see the data and know it’s trustworthy. With the speed-to-pay metrics from RelayAnalytics Pulse, we are able to see and have discussions for how we can improve our processes. By engaging in this process, we don’t get into conflict discussions. We’re already looking forward as a group, so we’re able to agree on measures to correct behavior."

"When it’s all said and done, we have hospitals much bigger than us asking how we do things. At HFMA meetings, I talk to people who are working now on issues we solved three to five years ago. I talked to one woman recently who was hiring three people for a process that we’ve already automated.”

"It takes us a little longer to get claims out the door following discharge, but it’s paying dividends because our pass rate is better and claims are being paid quicker. Also when considering the workload and efficiency impact of denials, including rework and the appeals process, the small amount of extra time it takes to get the claim out clean the first time is worth it in staff productivity returns later. So while it may appear that we are behind on certain measures, we come out ahead on the metrics that I think are more important. We would not know this with any level of confidence without Pulse.”

"Finally the day has arrived that providers who use clearinghouses are no longer eliminated from real testing opportunities with payers."

"AhiQa has 260-plus rules built into the system, throwing up flags that the registrar can follow up on while the patient is still in the waiting area. If it’s a policy number, for example, we can go in and fix it that day, which prevents the claim from kicking out or getting a denial and having to work it later."

"A major benefit of having a partner take over submitter management and creating a single business rule engine for us is that their software and services save us hours a month in human resources that would typically be spent on manual claim review and technical support. With one simple front-end solution, we can better manage our compliance edits and specific business rules.”

"It’s going to make our telemonitoring faster and easier, and will allow us to track data that supports our progress. The whole process will be simplified and automated.”

“It’s been huge to find invalid CPT codes that, with our old system, would have gone out the door and resulted in a missed reimbursement.”

"MultiCare Connected Care, a wholly owned subsidiary of MultiCare Health System, is an accountable care organization that supports a clinically integrated network called MultiCare Connected Care Network. MultiCare Connected Care has 80,000 attributed members. Fuse provides a single view of data to manage the health of populations and achieve financial goals."

"Southern Prairie Community Care (SPCC) is a 12 county collaboration in southwestern Minnesota. SPCC has 26,000 attributed members and saved taxpayers more than $10 million dollars in projected State spending. Fuse reduces interoperability implementation time and provides aggregated data from across multiple EMRs and data systems for care coordination and analysis."

"US Oncology Network empowers advanced, integrated cancer care delivery. Over 800 US Oncology providers are leading in value-based care through participation with the Center for Medicare and Medicaid Innovation Oncology Care Model. Supported by McKesson Specialty Health, Fuse is providing aggregated data quality measure analysis to foster OCM success."

“Right now, we’re reporting the basic stats to the management team. The next step is to formalize a program where we use this trend data and meet with specific departments on a regular basis to discuss their performance and have a discussion about changing internal processes.”