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Solventum™ Revenue Integrity System

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Predict, prioritize and prevent potential denials

There’s no denying it – denials are the squeaky wheel of the revenue cycle. Chasing down missing or inaccurate information takes valuable time – with no guarantee the appeal will be successful. The best way to address denials? Avoid them from the start.

Change the game of denials management with Solventum™ Revenue Integrity System, which is designed to analyze clinical, coding and payment data to identify root causes and leverages proprietary machine learning models to predict potential denials before they happen. Throughout the patient’s journey, the system analyzes documents and clinical data to provide real time insights and strategic recommendations for intervention within revenue cycle workflows – making denial prevention part of what your team does every day.

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Prevent denials and revenue leakage proactively with AI-driven insights

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Enhance coding and clinical documentation accuracy with immersive machine learning

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Streamline workflows with curated, actionable intelligence

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10% or more

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The growing challenge of denials

Denials continue to be a costly and persistent challenge for healthcare organizations, with industry estimates showing 10% or more of claimsopens in a new tab are initially denied. 

Recovering denied claims is complex, resource intensive and often results in significant revenue loss. Traditional denial management approaches focus on reacting to issues after they occur, leading to administrative burdens and missed revenue opportunities. Healthcare leaders need a proactive, artificial intelligence (AI)-powered approach to revenue integrity that prevents denials. Before they happen.

Put all teams on one platform

To avoid disjointed workflows and communication breakdowns within the Solventum™ 360 Encompass™ System.

Learn more about the 360 Encompass System
Catch coding issues

At the point of coding with inpatient prebill review workflow.

Make real time recommendations

For intervention and mitigation within existing workflows with machine learning.

A smarter approach: Denials intelligence

Unlike traditional solutions that rely solely on historical data and rule-based systems, Solventum Revenue Integrity provides denials intelligence that continuously monitors patterns in near real time, anticipating potential risks before claims are submitted. 

By analyzing historical clinical and financial data payer behaviors, coding trends and documentation gaps, revenue cycle teams are provided with actionable insights to prevent denials at the source. This intelligent approach not only reduces costly rework, but improves first pass claim acceptance rates as well.

Immersive machine learning: Because precision matters

Our immersive machine learning goes beyond simple automation by learning from vast amounts of clinical and claims information. This dynamic AI-driven model continuously adapts to your evolving payer rules and regulatory requirements, ensuring that coding and documentation remain accurate and compliant. By embedding intelligence directly into workflows, revenue cycle teams are empowered to make data driven decisions with confidence, reducing errors and increasing efficiency. 

Empowering teams for faster resolution

Data alone is not enough. Healthcare organizations need prioritized actionable information within their existing workflow. 

Solventum Revenue Integrity translates complex coding and clinical documentation integrity (CDI) data into prioritized, easy-to-execute tasks, directing revenue cycle teams to the highest impact opportunities. This helps ensure the right interventions happen at the right time – before bills drop. With intuitive workflows and targeted recommendations, organizations can resolve denials more effectively, accelerate cash flow and reduce administrative burden.

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