Improve the revenue cycle
- Help improve claims payment accuracy through improved revenue cycle management.
- Free pharmacy resources by outsourcing claims chasing to a dedicated collections analyst.
- Track MAC appeal submissions, correspondence and gains, and explore MAC trend summaries and exceptions with powerful, multilevel reporting.
- Integrate with multiple pharmacy management systems, and get running quickly with an easy implementation process.
- Monitor ongoing audits, conduct risk vs. result analysis, set audit prevention triggers, and create and manage audit events.
- Streamline contract management to ensure compliance, verify prescriptions are paid at contract rate, analyze DIR accruals vs. actual and perform impact analysis.
Help enhance profit to secure a financial future
Revenue cycle management
Achieve robust revenue cycle management
Gain insights and experience from a dedicated team, track direct and indirect remuneration at patient and roster billing level, and see trends impacting the revenue cycle from more than 300 available reports.
Flexible reporting
Flexible reporting and data analytics
Gain visibility into the revenue cycle with a custom ad-hoc report writer. Get enhanced data visualization with customized scheduling and delivery, and easily create custom dashboards.
Related healthcare insights
Report
New drugs for myasthenia gravis and hereditary angioedema will be easier to take, more effective, and add competition.
Article
Discover the benefits of outsourcing payment processes to a trusted leader.
![Quick and Safe Digital Specialty Pharmacy Service [Video]](/content/dam/optum-dam/resources/videos/business/digital-pharmacy-video/digital-pharmacy-video-1080x720.jpg)
Video
Optum Specialty Pharmacy leverages specialized expertise and resources with flexibility, delivering personalized care that drives better outcomes.