Alleviating mid-revenue cycle challenges with AI
Explore five core pain points many leaders encounter within today’s healthcare financial landscape, the opportunities those pain points present and insights into how artificial intelligence (AI)-driven solutions can help ease the pain.
Address staffing challenges amid rising costs
Many hospitals face persistent staffing shortages that drive up costs and place extra strain on existing team members. Retaining specialized staff for clinical documentation integrity (CDI), coding and denials management has become increasingly challenging and costly.
In a survey, 35% of medical groups in the U.S. report that medical coder is the most difficult revenue cycle role to hire.
How Solventum AI can help
Results
As a result of standardization and automation technology, a multi-state health system in the Midwestern U.S. saw a reduction in the time it takes to code a chart.
Navigate budget constraints with efficiency
Leaders are continually challenged to operate within tight margins while keeping growing revenue cycle functions running smoothly and efficiently.
Nearly 50% of U.S. hospitals experienced negative operating margins in 2022. Rising labor costs continue to strain budgets and make process efficiency a top priority.
How Solventum AI can help
Results
By incorporating Solventum™ 360 Encompass™ Audit Expert System, a five-hospital system streamlined its prospective and retrospective review and audits into a single system aligned with its coding workflow.
reduction in average monthly vendor costs and fees
Mitigate revenue pressure through denials prevention
Clinical denials continue to impact cash flow, requiring significant resources for rework and appeals—often with only partial success.
of charges or 3.3% of net patient revenue are at risk due to denials although nearly two-thirds of denied claims are typically recoverable, the appeals process is costly and inefficient.
Nearly two-thirds of these being recoverable through appeals, yet only a small fraction is actually recaptured due to process inefficiencies.
Change Healthcare
How Solventum AI can help
"There’s a lot of great tools out there, and they have come a long way since they’ve been invented. Physicians are starting to engage with them more and starting to actually seek out computer-assisted physician documentation. Part of that is the AI tools have gotten better so that they’re not getting interrupted. It’s actually a part of their workflow. And so I do think that’s the future of provider documentation."
Dr. Mary Bourland
Mercy Health
Enhance data security in a sensitive environment
Hospitals are responsible for protecting massive volumes of patient data. Any breach can lead to compliance fines, reputational damage and loss of patient trust.
The average cost of a data breach in healthcare reached $9.7 million in 2024, according to IBM’s annual Cost of a Data Breach report. This is nearly double the average for other industries, emphasizing the high stakes of data security for hospitals.
How Solventum AI can help
Gain real time insights for better decision making
Siloed data within the revenue cycle makes it difficult for leaders to
gain a full picture of revenue performance, wasting valuable opportunities for improvement.
Using a multidisciplinary approach can lead to a 10–30% increase in operational efficiency as departments align their goals to achieve financial outcomes.
How Solventum AI can help
Leveraging robust analytics tools for CDI, coding and quality teams enables leaders to help:
- Promote patient-centric care
- Support regulatory compliance
- Enhance revenue cycle management
- Drive performance improvements
