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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.

Media

Media

Integrations Supported

Avalon Laboratory System

Integrations Supported

Axys

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

Not specified

Supported Platforms

SaaS

Customer Service / Support

Not specified

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Not specified

Training Options

Documentation Hub
Webinars
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)

Compliance Tracking
Self Service Portal

Categories and Features

Medical Billing

Claims Processing
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Quotes/Estimates

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