Solventum™ CodeAssist™ System

Leverages state-of-the-art NLP to examine the full text of a physician’s report and automatically assign accurate codes

Enhances compliance while at the same time facilitates appropriate, accurate reimbursement

Improves coding efficiency while reducing denials, A/R days and total cost to collect

Making the language of health care meaningful

Protecting the physician’s narrative and translating the power of clinical language into quality coding and appropriate reimbursement are complex challenges. The Solventum CodeAssist System’s success and engine accuracy are directly proportional to the Solventum community of clients. Solventum combines expert rules with statistical, data-driven methodologies borne out of NLP learning techniques. By leveraging the community’s user expertise, Solventum establishes a linguistic foundation across the full spectrum of medical specialties. It is Metcalfe’s Law at work: the value of the Solventum NLP engine for all clients grows as the community expands.

Greater productivity right from the start

Solventum CodeAssist can provide organizations with dramatic productivity improvements. The technology quickly eliminates backlogs and any associated overtime, as well as piles of paper, courier fees, manual sorting, data entry errors and costly document storage.

Automated, front-end integrity checks help coders resolve issues before codes enter the billing system, where corrections or denial management become time-consuming and cost-prohibitive. Clients can experience substantial savings through reductions in turnaround time, denials and A/R days. Coding overtime and backlogs can become a thing of the past.

Streamlined from end to end

Clients can streamline their entire coding, billing and management operations without the hassle of installing and managing a new computer system. Clients simply log into the web-based application and can instantly code or review clinical documents. Solventum CodeAssist offers valuable insight into an organization’s processes with real-time dashboards to show what’s happening throughout a department and quickly present individual coder productivity results

Because productivity is closely monitored, coding managers can observe the work of remote coders as easily as they monitor office-based staff. This capability gives clients the opportunity to hire top talent, regardless of geographic location. Even with coders in multiple locations, Solventum CodeAssist’s web-based system is highly secure—patient data is never stored on a computer’s local hard drive.

Built for compliance

Solventum’s NLP engine was built for compliance based on established national coding guidelines, including the ICD-9-CM and ICD-10-CM Official Guidelines for Coding and Reporting, AMA’s CPT® Assistant (official coding advice published quarterly by the American Medical Association), and more than a dozen other related, payer and specialty publications.

Solventum CodeAssist evaluates the complete record so all procedures are coded. The system easily accounts for nuances in physician language, such as negation, context and time references, while also identifying patterns of deficient documentation in medical dictation. As a result, clients can offer valuable feedback to physicians about documentation habits, further improving compliance.

Solventum CodeAssist codes medical records based solely on the language and evidence contained in a report. The NLP engine automatically checks every report for evidence to assign codes. It is continually updated so that no matter when a record is processed, codes are appropriate based on date of service. The engine codes the same record the same way, removing the natural variability that can be introduced by human coders.

Thorough auditing

Solventum constructed its application around the ability to audit, following OIG guidelines and other best practices. One-of-a-kind prospective auditing allows clients to closely monitor coder accuracy by auditing reports before they go to billing. Records that meet a client’s audit criteria are automatically moved to a special queue upon approval by coders for auditing. The records then go to billing once confirmed or adjusted. Solventum CodeAssist codes medical records based solely on the language, and evidence-integrated retrospective auditing helps clients perform traditional audits of reports based on specific parameters.

Powerful search capabilities

Solventum also provides a powerful search capability within Solventum CodeAssist. With the Power Search functionality, no additional expertise is needed, and users can search medical records by ICD or CPT® code or by payer whenever they need to troubleshoot data issues. For example, with the power to search up to 100,000 medical records and the related metadata in just seconds, coding managers can quickly identify downcoding and inefficient or incomplete phrasing entered by clinicians. This automated search functionality can help eliminate what is usually a time-consuming, manual process or the need to request a custom report. The result is improved data transparency and portability.

Stellar client service

With the Solventum CodeAssist System, clients also benefit from the assistance of a dedicated team of coding and service professionals before, during and after implementation. Each client has a dedicated client engagement executive and coding analyst who serve as the main Solventum contact and client advocate, incorporating best practices and driving ROI.