RevenueCyclePro.com from Optum360 is the one-stop reference solution for coding, billing, compliance, denial management, and reimbursement needs.
Catering to responsibilities and departments throughout the hospital revenue cycle, RevenueCyclePro.com improves productivity and eliminates the need for multiple resources.
In addition to convenient online access to up-to-date coding content, RevenueCyclePro.com includes comprehensive sets of references, edits, crosswalks, and supportive documentation to help you address many of the shortfalls that often result in claim rejections, denials, and underpayments.
Let's take a closer look. Healthcare professionals involved in patient access or coding know the value of an efficient current online code look-up solution.
Our code search simplifies the research process and boosts productivity by featuring a search engine that helps you quickly find codes you're looking for using acronyms, abbreviations or medical terms. Clinically accurate results are provided in one organized view.
One of the unique values of RevenueCyclePro.com is its ability to offer a central source of real-time information for the specific code you're reviewing, including code-specific Medicare edits, Medicare Pub-100 references, coverage policies, CMS transmittals, reimbursement, full code descriptions, lay definitions, and images. You'll also find access to exclusive Optum data, crosswalks to modifiers, revenue codes, and proprietary content such as CPT/HCPCS to ICD-10-PCS crosswalks all in a single view.
Designed to work hand-in-hand with RevenueCyclePro.com, add-on modules include AHA Coding Clinics for HCPCS and ICD, AMA CPT Content Module, Clinical Documentation Improvement, Claim Appeal and Denial Support, AMA CPT Assistant, AMA CPT Changes: An Insider's View, Total CPT, DRG Grouper Calculator, Dental Codes, ICD-10 Essentials: Operation PCS, Optum360 Coders' Dictionary, Post-acute Care, Doctor Z's Medical Coding Series, Interventional Radiology, and Optum360 DrugReimbursement.com.
Access to this essential content is dynamically linked on the code detail page, or you may search for articles via the add-on search feature.
RevenueCyclePro.com delivers superior, relevant, comprehensive content for all code types and supplies dynamic crosswalks applicable to each of those code types. Optum360 unique mapping information includes both the CMS GEM and Optum360 mapping content for both forward mapping from ICD-9 to ICD-10 and backwards mapping from ICD-10 to ICD-9. Users can utilize the ICD-9 to ICD-10 mapping crosswalk to identify the most clinically correct ICD-10 codes. The Optum360 ICD-10 PCS code builder allows users to construct a valid procedure code, view all PCS table permutations, and review relevant reference content. Health information management professionals will absolutely appreciate the thorough presentation of MDC codes, associated MS-DRG descriptions, and any applicable benefits, such as the MS-DRG crosswalk, CCMCC, and CCMCC excludes lists. These valuable time-saving tools are just a few of the ways RevenueCyclePro.com eliminates confusion and improves productivity throughout the hospital.
RevenueCyclePro.com includes the complete uniform billing editor e-book and offers convenient clickable access to quickly locate topics based on field locators, revenue codes, or coding structures.
To greatly improve billing and coding accuracy, billing and coding tips assist you with new guidelines for all form locators, value and condition codes, and revenue codes.
RevenueCyclePro.com provides instant access to complete updated coverage policies for NCD and part A and part B LCD, allowing you to conduct a search for policies across all contractors.
Then you can drill straight through to the policy ID number to see the contractors' policy for that particular drug or service.
RevenueCyclePro.com also offers a robust medical necessity checker and ABN generation tool. Used to screen physician orders and generate an advance beneficiary notice for a patient's signature, this valuable tool can help hospitals decrease write-offs, improve and obtain revenue capture, decrease claim denials, automatically produce required forms for patients in advance of service, and help inform patients for point of care decision-making.
Additionally, this tool provides official LCD, NCD, and CCI source material based on date of service that can assist in the denial resolution process.
RevenueCyclePro.com offers an embedded APC calculator. Using IOCE packaged code logic, the calculator helps identify underpayments, determine a patient's co-payment amount, and validate expected reimbursement from Medicare. The RevenueCyclePro.com DRG calculator gives you a more accurate DRG level payment rate using hospital-specific DRG calculations for each DRG based on the operating and capital values in effect for each provider number.
RevenueCyclePro.com is a comprehensive online problem-solving tool that compiles reference data that hospitals depend on to answer questions about coding, billing, coverage, and reimbursement.
In addition to increasing efficiency across your entire revenue cycle, access to the RevenueCyclePro.com database helps maximize coding compliance efforts and minimize rejected and denied claims.
To learn more about RevenueCyclePro.com, please contact us today.
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