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Solventum™ Code Monitoring System

This product was previously 3M™ CodeMonitor™ System

Product details All about Solventum Code Monitoring System Resources Related products and services Customer support
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Product details
All about Solventum Code Monitoring System
Resources
Related products and services
Customer support
Efficient workflow designed to support E/M coding precision and faster revenue cycle via controlled automation

Solventum™ Code Monitoring System is a workflow and auditing solution that works from within Solventum™ CodeAssist™ System to provide an automated review of provider coding. It can help you to safeguard appropriate and accurate reimbursement and lessen compliance risk from unintentional over-coding and under-coding when the documentation supports a higher level. The technology uses Solventum’s proprietary natural language processing (NLP) platform to review and select codes based on the clinical documentation.

With Solventum’s software-as-a-service approach, organizations receive a computer-assisted evaluation of their coding results. This provides a vastly improved ability to find and correct records, which can boost the efficiency of your coding and auditing staff.

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Product details

Helps your coding and audit staff find and correct discrepancies in records

Improves coordination and efficiency between compliance, coding and physician staff

Uses “kick-out” criteria to select an appropriate number of records for the available staff

Under-coding? Over-coding? Missed procedures?

With thousands of codes, bundling rules, modifiers, global windows, patient types and payer rules, even well-intentioned coders and providers incorrectly identify service levels, and most physician practices do not systematically audit their clinical documentation against their selected codes.

Evaluation and management (E/M) coding is particularly challenging. The scope and complexity of these codes draw the attention of the Centers for Medicare & Medicaid Services (CMS) and other payers.

Providers may unintentionally over-code services with incomplete documentation that does not support their chosen E/M level. Similarly, under-coding results in lost revenue. Despite the revenue and increased compliance risks this behavior poses, most organizations do not have the time, coding staff or technology to conduct thorough, ongoing audits of their coding.

Strengthen coding compliance and capture appropriate revenue

Both under-coding and over-coding create unnecessary compliance risk and potential for lost revenue. Solventum Code Monitoring System can help organizations combat and reduce coding compliance risks through its comprehensive review of your coding records.

When your organization uses Solventum Code Monitoring System to achieve consistent, compliant coding and documentation, you build a sturdy foundation for capturing appropriate levels of service—in other words, you are paid appropriately for the care you provide. And when the correct codes go to billing to generate a clean bill the first time, your A/R realizes benefits, too.

All about Solventum Code Monitoring System

The Solventum Code Monitoring System offers a specialized workflow that compares the provider-assigned E/M code with the E/M code suggested by the Solventum NLP engine.

If Solventum Code Monitoring System agrees with the provider codes, the note proceeds to billing.

If there is disagreement, the note is routed into a review queue. Each organization establishes the “disagreement threshold” and kick-out percentage that the Solventum software applies.

In addition, management and audit reports allow organizations to assess documentation and coding patterns to address areas of disagreement.

Solventum Code Monitoring System does not support any diagnosis comparison between user-provided diagnosis codes and the Solventum NLP engine-suggested ICD codes. Notes routed directly to billing do not include any Solventum NLP engine-suggested ICD codes.

However, notes routed for coder review are presented with the Solventum NLP engine-suggested ICD codes. Codes approved in the Solventum Code Monitoring System web application are also included in the charge file.

All notes routed directly to billing have the original user-supplied codes returned in the charge file. For those notes routed back to coder work queues, the codes returned in the charge file are those approved by a coder in the Solventum Code Monitoring System web application.

A data interface (HL7 is preferred) is required to connect the following clinical data systems: Electronic medical record (EMR); admission/discharge/transfer (ADT); financial system; ancillary non-EMR; and the Solventum NLP engine.

To do its job, Solventum Code Monitoring System needs the following data:

  • Patient demographics
  • Date of service
  • Signing physician
  • Clinical data, including:
    • Structured clinical note
    • Provider-assigned E/M CPT® code
    • Provider-assigned ancillary CPT® code (if ancillary CPT®matching is requested)
    • Provider-assigned ICD codes
    • ICD codes must be linked to CPT® codes if there is more than one CPT®
    • Visit type