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Optum EncoderPro with CDI Add-On

Optum EncoderPro with CDI Add-On logo

Product description

An online code look-up software, offering fast, detailed search capabilities of over 20 volumes of procedure, service and supply, and diagnosis reference material and lay descriptions in real-time. The Clinical Documentation Improvement (CDI) Add-on provides essential information to assist coders in translating clinical documentation for complete and accurate coding, as well as assisting clinicians in thorough documentation at the point of care for proper code identification.

How we use Optum EncoderPro with CDI Add-On at VA

Coders use this product to research the proper coding for clinical documentation in medical records.

No VA Data

For SaaS products that do not contain VA-owned data*, there is now an expedited process that does not require a traditional VA authority to operate (ATO). Criteria include the following:

  • User owns a device (even if VA paid for the purchase of the device) such as a CPAP or glucometer that uses a SaaS product to share patient data (non-VA data*).
  • SaaS product has no direct connections or interfaces to VA systems or network.
  • Users consent to share their data (which may include PII and PHI) directly with the SaaS provider.
  • SaaS providers must have published terms and conditions for user consent.
  • VA providers access data in a view-only mode or with limited functionality per the userโ€™s consent.

*According to Circular a130, anything that VA creates, collects, processes, maintains, disseminates, or disposes of by or for the federal government is considered federal information (VA data).

VA providers may not enter any VA information into this product; it must adhere to no VA data standards mentioned above.

The next step

If VA employees would like to use or purchase this previously approved service, please submit a SaaS inquiry form to confirm your use case and get procurement approval.

Submit a Request

Other products in the Marketplace from Optum

  • Status: Approved
  • VA Authorization Level: No VA Data
  • Funding: End-user funding required
  • Product Line: Health Care Administration

Link Disclaimer

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Statement of Endorsement

Reference herein to any specific commercial products, process, or service by trade name, trademark, manufacturer, or otherwise, does not necessarily constitute or imply its endorsement, recommendation, or favoring by the United States Government, and shall not be used for advertising or product endorsement purposes.