Grouping and reimbursement
Innovative patient grouping and classification solutions
Whether you or your clients want to process claims for hospital reimbursement and reporting, edit patient records in real time, or leverage patient data for improved risk stratification, Solventum is the standard for innovative patient grouping and classification solutions.
Like maths, medicine is a science. Unlike maths, with medicine, problems don’t have one correct answer. Variations from case to case make it difficult to apply uniform treatment. Yet healthcare systems are challenged to efficiently serve every stakeholder, provide appropriate care to each patient, and charge accordingly.
This is where our proprietary patient classification methodologies and grouper applications bring order to what might otherwise be chaos. By stratifying patients based on risk, clinical characteristics, and other metrics, these groundbreaking solutions replace the grey areas with a common language that healthcare systems, payers, providers, and regulatory agents can share.
They can also energise your entire enterprise, and multiply your ability to contain costs, enhance facility performance, and significantly improve population health.
Which is the kind of maths both medicine and healthcare can appreciate.
Drive your organisation’s shift to value-based care
Whether for inpatient and outpatient populations, grouping applications enable better cost control, quality improvement, performance measurement, and data-driven decision-making.
Improve population health outcomes and measure risk adjustment
Actionable analytics and risk adjustment data simplify provider performance comparisons and make it easier to set up accurate payment models, implement timely interventions and make more informed choices.
Enhance workflows via accurate data and real-time reporting
Disparate teams can collaborate smoothly to pinpoint gaps and address them, for more accurate documentation, enhanced financial benefits, quality scores and more.
Measure facility performance with analytics and reporting
Get the granular details you need to optimise resource management, compliance, risk management, predictive analytics, quality of care and more, and identify every opportunity for improvement.
Provides accurate AR-DRG grouping capabilities for national and state-based reimbursement methodologies
DRGs are automatically computed during coding to help improve coder productivity, and multiple DRG versions can be calculated simultaneously.
- Reimbursement can be calculated including funding adjustments based on current requirements.
- Hospital Acquired Complications are flagged.
Featured grouping solutions
Maximise your resources with intelligent grouping applications for more efficient risk stratification, targeted interventions, and coordinated care.