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Solventum Introduces Denials Prevention Solution, an AI-powered Tool, Empowering Health Systems to Help Reduce Write-offs and Improve Top Line Revenue

Solventum Introduces Denials Prevention Solution, an AI-powered Tool, Empowering Health Systems to Help Reduce Write-offs and Improve Top Line Revenue

Solventum介绍了Denials Prevention Solution,一种由人工智能驱动的工具,赋予医疗系统帮助减少核销和提高营业收入的能力。
PR Newswire ·  06/24 09:00

ST. PAUL, Minn., June 24, 2024 /PRNewswire/ -- Solventum (NYSE: SOLV), [formerly 3M Health Care] today announced a new artificial intelligence (AI)-driven payment integrity and revenue cycle solution, Solventum Revenue Integrity System. In collaboration with Sift Healthcare, this solution is designed to help health systems not only reduce potential denials but prevent them and ensure timely and accurate payer reimbursement.

2024年6月24日,明尼苏达州圣保罗市/美通社——Solventum(纽交所:SOLV)[前身为3m医疗保健]今天宣布推出了一款新的人工智能(AI)-驱动的支付完整性和营业收入循环解决方案,Solventum营业收入完整性系统。与Sift Healthcare合作,这个解决方案旨在帮助医疗系统不仅减少潜在的拒付,而且防止它们并确保及时准确的支付者报销。这种解决方案旨在协同工作,以帮助医疗系统减少可能的拒付,防止它们并确保及时准确的支付者报销。与健康系统的紧张预算和有限资源相对应,来自支付者的申请否认是医疗保健行业中持续存在的挑战,导致了重要的营业收入损失和增加的行政成本。卫生保健组织把申请否认称为最大的营业收入循环管理挑战,超过一半的受访者(58%)把它列为首选,其次是“特定的支付者挑战”(44%),雇员(41%)和收款成本(26%)。

With tight margins and reduced resources, claim denials from payers are a persistent challenge across the healthcare industry, leading to significant revenue loss and increased administrative costs. Healthcare organizations cited claim denials as the greatest revenue cycle management challenge, with more than half of respondents (58%) giving it a top rank, followed by "specific payer challenges" (44%), staffing (41%) and cost of collections (26%).

Solventum的目标是针对临床文档完整性(CDI)、编码和利用审查工作流程,通过将基于机器学习的干预、编码和预账单验证与医疗保健营业收入的前端集成,从而改变拒付防范工作。

Targeting clinical documentation integrity (CDI), coding and utilization review workflows, Solventum aims to transform denials prevention by integrating machine learning-based interventions, coding and prebill validation into the front end of the healthcare revenue cycle.

Solventum的做法是从临床文档完整性(CDI)、编码和利用审查工作流程入手,通过将基于机器学习的干预、编码和预账单验证与医疗保健营业收入的前端进行集成,从而改变拒付防范。

"As healthcare systems continue to face increased write-offs due to the growing denials burden, the current reactionary approach of relying on claims data to reverse engineer denials isn't working," said Garri Garrison, president, Health Information Systems, Solventum. "Our new solution, developed in collaboration with Sift, will help equip health systems to move from a reactionary stance to a proactive strategy, ultimately preventing denials in the clinical workflow."

Solventum的做法是从临床文档完整性(CDI)、编码和利用审查工作流程入手,通过将基于机器学习的干预、编码和预账单验证与医疗保健营业收入的前端进行集成,从而改变拒付防范。Solventum的做法是从临床文档完整性(CDI)、编码和利用审查工作流程入手,通过将基于机器学习的干预、编码和预账单验证与医疗保健营业收入的前端集成,从而改变拒付防范。Solventum健康信息系统总裁Garri Garrison说:“随着医疗系统在越来越多的拒付负担下面临不断增加的坏账,目前的针对性反应方法——仅依靠索赔数据来逆向工程拒付——已经不再奏效。我们与Sift合作开发的新解决方案将帮助医疗系统转变为积极的策略,从而在临床工作流程中预防拒付问题。”

With this technology, healthcare providers are empowered to optimize payment outcomes by predicting reimbursement at every step of the patient's clinical journey. Functioning as an integrated artificial intelligence (AI) agent within clinical workflows, Solventum Revenue Integrity provides health systems with near real time insights into reimbursement likelihoods and offer strategic, compliant and actionable recommendations for intervention.

这项技术赋予医疗保健提供商优化支付结果的权力,通过预测患者临床旅程的每一步来实现。作为综合艺术智能(AI)代理在临床工作流程中发挥作用,Solventum营业收入完整性为健康系统提供接近实时的报销可能性洞察,并为干预提供战略、合规和可行的建议。

"Our objective in collaborating with Solventum is to reshape how healthcare systems handle denials prevention and, more broadly, support a timely and accurate payer reimbursement outcome," said Justin Nicols, founder and CEO of Sift Healthcare. "This solution facilitates near real time intelligence and guides data-driven decisions, truly empowering providers to optimize payment outcomes."

Sift Healthcare的创始人兼首席执行官Justin Nicols说:“我们与Solventum合作的目标是重塑医疗系统如何处理拒付预防,更广泛地支持及时准确的支付者报销结果。这个解决方案实现了接近实时的智能,并指导基于数据的决策,真正赋予提供商优化支付结果的权力。”

The Solventum Revenue Integrity solution complements Solventum's existing suite of healthcare information system software that supports the entire journey, from the first patient visit to the final payment. To learn more about the Health Information Systems business of Solventum, visit .

Solventum的营业收入完整性解决方案是Solventum现有的医疗保健信息系统软件套件的补充,支持从第一次患者接诊到最终付款的整个旅程。更多了解Solventum的健康信息系统业务,请访问。

About Solventum
At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better — while empowering healthcare professionals to perform at their best. See how at Solventum.com.

关于Solventum,在Solventum,我们使医疗保健更好、更智能、更安全,以改善人们的生活。作为一个创建突破性解决方案,解决客户面临的最棘手问题的新公司,我们在健康、物质和数据科学的交叉口上开创了改变患者生活的游戏性创新,同时赋予医疗保健专业人士发挥最佳水平的能力。请访问Solventum.com查看详情。
关于Sift Healthcare,Sift Healthcare是一家行业领先的医疗保健付款分析和数据科学公司。Sift的Payments Intelligence平台、AI解决方案和高级分析使医疗保健提供商充分利用他们的支付数据,减少坏账、加速保险报销、改善患者支付策略和优化营业收入循环效率。请访问Sift Healthcare了解更多信息。

About Sift Healthcare
Sift Healthcare is an industry-leading healthcare payments analytics and data science company. Sift's Payments Intelligence Platform, AI solutions and advanced analytics enable healthcare providers to fully leverage their payments data to reduce write-offs, accelerate insurance reimbursement, improve patient payment strategies and optimize revenue cycle efficiency. To learn more about Sift Healthcare, visit .

关于Sift医疗保健
Sift Healthcare是一家行业领先的医疗保健付款分析和数据科学公司。Sift的Payments Intelligence平台、AI解决方案和高级分析使医疗保健提供商充分利用他们的支付数据,减少坏账、加速保险报销、改善患者支付策略和优化营业收入循环效率。请访问Sift Healthcare了解更多信息。

SOURCE Solventum

来源:Solventum

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