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Capturing complete patient risk and quality profiles

Product details

Solventum AI platform

Our AI-driven platform analyzes all patient documentation across visits, presenting automated pre-review that surfaces prioritized diagnosis opportunities—recapture, new capture, and suspected conditions—before the CDI review begins.

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Patient pre-visit and case reviews

AI-driven longitudinal record review identifies and prioritizes patient conditions and care insights.

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Provider visit insights

Patient clinical insights are delivered during patient visits, followed by a post-documentation completeness check.

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Pre-claims exception reviews

Real-time documentation and coding review identifies missed or unsupported diagnoses for coding efficiency.

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Analytics and reporting

Comprehensive dashboards track program performance, ROI, and clinical and quality insights to support strategic operational management.

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Features

  • AI-driven pre-visit outpatient CDI workflow prioritizes key patient risk factors, identifying diagnosis opportunities not yet captured on current year claims
  • Pre-visit physician notifications sent within the existing electronic health record (EHR) workflow for easy documentation during the patient encounter
  • Expanded risk and quality content for use when identifying documentation opportunities
  • Reports and analytics provide detailed analysis to track and manage utilization, financial impact and other enhancement opportunities
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Benefits

  • Identifies, surfaces and prioritizes patient risk factors to focus on highest impact
  • Less administrative burden which allows physicians to focus on patient care during the visit
  • Provides a complete patient profile for more accurate care management
  • Closes the loop between clinical care and revenue integrity needed for operational performance
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A comprehensive outpatient CDI process

Through a single-access web interface, multiple teams can collaborate on the patient chart and monitor risk factors and coding and experience, gaining these distinct advantages:

  • Outpatient CDI AI platform combines clinical and claims data to identify gaps in patient quality and risk profiles, prioritizing cases to ensure reviewers focus on the cases with the highest impact.
  • Pre-visit clinical insights are sent to physicians through their existing EHR workflow, allowing physicians to view and document patient conditions during the visit, accurately capturing the patient’s risk and quality profile.
  • Expanded risk and quality content includes U.S. Department of Health and Human Services (HHS) and the Centers for Medicaid & Medicare Services (CMS), hierarchical condition categories (HCCs), social determinants of health (SDoH), frailty, Elixhauser, clinical risk groups (CRGs) and more. The extensive risk and quality factors can enhance quality and clinical content and patient care.
  • Reports and analytics allow users to monitor and measure key metrics for performance.

Build and expand your outpatient and professional revenue cycle

by partnering with outpatient consulting services

Solventum™ Outpatient and Professional Revenue Cycle Services provide expert-led revenue cycle services to optimize coding, documentation and billing in outpatient and professional healthcare settings. Our approach combines deep analysis, targeted education and continuous performance tracking to drive measurable financial gains.

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