Case Study: Trinity Health achieves significant operational efficiency and financial gains with Optum360 Enterprise CAC

Trinity Health achieves significant operational efficiency and financial gains with Optum Enterprise CAC

Trinity Health, a nonprofit integrated health system serving North Dakota and Eastern Montana with three hospitals and a large regional footprint, faced a persistent coding backlog that hurt financial operations. Located in a rural area with limited HIM education resources, Trinity struggled to recruit qualified coders and lacked the technology to enable remote coding and timely, accurate completion of encounters — challenges it addressed by selecting Optum360’s Enterprise CAC solution.

Optum360 implemented its Enterprise CAC platform (including the LifeCode NLP engine and robust workflow tools) to enable remote coding, streamline work queues and support coder training. The solution delivered measurable impact: a 15% reduction in A/R days, a 22% decrease in DNFB, DNFC improvement (over $5.6M and highlighted as a 46% improvement), inpatient coding productivity up 21% and outpatient productivity up 72%, a 22% increase in CMI, and a halving of outsourced coder use in the first year. Optum360’s platform also sped billing, improved coding accuracy and supported Trinity’s apprenticeship and remote staffing initiatives.

Trinity Health

Deb Boppre

Enterprise HIM Director