ICD-10 readiness recommendations

Optum is committed to industry-wide ICD-10 success.

At Optum™, our focus is on working with our clients to ensure a smooth and timely migration to ICD-10 and achieve optimal financial performance and quality of care during and after the transition. We support clients’ efforts — in keeping with overall financial and compliance needs — by delivering clinical and administrative training, maximizing testing of systems and third-party technologies, and formulating analytics strategies that leverage the potential of ICD-10.

Recommendations for hospitals and health systems

Recommendations for payers

Recommendations for government

The new coding standard dramatically expands the number of diagnosis and treatment code combinations, leading to a high-definition view of patient health issues and their severity. Ultimately, ICD-10 adoption will enable powerful analytics that will enhance our efforts to serve our clients and make the health system work better for everyone.

Still, the transition to ICD-10 comes at a time of many other dynamic changes in health care. The complexity of the new code set and interconnected nature of the health system mean efforts to implement this change threaten to disrupt the systems and processes that support health care operations, ranging from patient intake to care delivery, and from claims coding to payment and reimbursement.

With deep domain expertise and comprehensive technology, services and analytics capabilities, Optum is best and most uniquely suited to help physicians and hospitals meet ICD-10 compliance and leverage their investments to improve their performance.

Helping clients leverage ICD-10 for strategic advantage
Benefiting from the knowledge and expertise of more than 1,500 consultants specializing in health care — including hundreds of board-certified physicians, nurses and affiliated health professionals — Optum clients are already leveraging the ICD-10 mandate to strengthen their business models, improve their clinical and administrative workflow capabilities and advance their organization’s agendas.

Providing leading-edge solutions
All Optum solutions will be fully compliant with ICD-10 mandates from the Department of Health and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS). We also recognize the importance of data integrity and continuing measurement and analysis of trends in patient care quality, treatment outcomes, health payments and utilization of services, across different code sets. Optum will help our clients manage both ICD-9 and ICD-10 systems, and map between coding systems where appropriate.

We are committed to our clients’ success and to the widespread adoption of advanced technologies that will improve population health. We have established detailed implementation schedules across all of our solutions to help our clients prepare for ICD-10 adoption.

To request specific product information, please complete the request form. Or, for more information about ICD-10 compliance requirements, we invite you to visit the CMS or contact Optum.