Solventum Corporation 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. 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 greater revenue cycle management challenge, with more than half of responders (58%) giving it a top rank, followed by "specific payer challenges" (44%), staffing (41%) and cost of collections (26%). 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. 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. 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.