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What is Optum360?
Optum360 delivers specialized physician advisory services, integrates evidence-based medical research, and employs cutting-edge artificial intelligence (AI) technology to optimize reimbursement practices and ensure accurate documentation. Our team works alongside your medical staff to pinpoint improvement opportunities. You have the flexibility to choose from our extensive range of services or technology, or even a combination of both, tailored to your unique needs. We offer both on-site and remote services that harness AI for efficient patient status evaluations. Our goal is to improve the efficiency, precision, and reliability of your utilization review processes and outcomes. With our Physician Advisor Services and Case Advisor™ technology, we help reduce denial rates, boost appropriate reimbursement, and mitigate the risk of audits. Additionally, our technology enhances the productivity and effectiveness of your internal physician advisors, enabling them to perform at their best. By merging these resources, we strive to create a cohesive experience that ultimately enhances patient care, streamlines administrative workflows, and fosters collaboration among healthcare professionals.
What is AppealsPlus?
AppealsPlus™ is a cutting-edge cloud-based solution that automatically evaluates ERAs by applying targeted rules to sort ambiguous payments and denials into specific work queues, while also utilizing dashboards and key performance indicators for effective quantitative oversight that informs strategic choices. The regulatory environment is continuously changing and can alter unexpectedly, providing minimal time for both providers and their patients to adjust accordingly. Many providers grapple with uncertainty about their patients' ability or willingness to pay bills after procedures. A common misstep among research, vendors, and software developers is the realization that the term denial is interpreted differently by various physicians, billers, and institutions. To ensure that our solution aligns perfectly with your team's unique requirements, we will facilitate a customized implementation process that spans four weeks. After this initial setup, feel free to contact us anytime with questions or concerns, as we are dedicated to supporting you throughout your entire experience. This ongoing partnership allows for timely adjustments to be made, ultimately improving your overall satisfaction with our service. Additionally, we believe that consistent communication is key to a successful collaboration, ensuring that your needs are always met.
API Availability
Has API
API Availability
Has API
Pricing Information
Pricing not provided.
Free Trial Offered?
Free Version
Pricing Information
Pricing not provided.
Free Trial Offered?
Free Version
Supported Platforms
SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux
Supported Platforms
SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux
Customer Service / Support
Standard Support
24 Hour Support
Web-Based Support
Customer Service / Support
Standard Support
24 Hour Support
Web-Based Support
Training Options
Documentation Hub
Webinars
Online Training
On-Site Training
Training Options
Documentation Hub
Webinars
Online Training
On-Site Training
Company Facts
Organization Name
Optum
Company Location
United States
Company Website
www.optum360.com/solutions/coding-and-documentation/physician-advisor-solutions.html
Company Facts
Organization Name
Etactics
Company Location
United States
Company Website
etactics.com/appealsplus
Categories and Features
Electronic Medical Records (EMR)
Appointment Management
Charting
Compliance Tracking
E-Prescribing
E/M Coding
HIPAA Compliant
Handwriting Recognition
Integrated Telehealth
MIPS Certified
Meaningful Use Certified
ONC-ATCB Certified
Patient Portal
Self Service Portal
Voice Recognition
Categories and Features
Medical Billing
Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice