Solventum

Solventum Coding and grouping solutions

Infomedika is the exclusive distributor of Solventum coding and grouping solutions in Puerto Rico. Solventum, formerly 3M Health Care, enables better, smarter, safer healthcare to improve lives. As a new company with a long legacy, Solventum offers a broad array of innovative software solutions and services designed to eliminate revenue cycle waste, create more time to care, and advance value-based care.

Many healthcare organizations experience disconnected workflows and siloed workforces, resulting in inefficiencies and inaccuracies that can lead to burnout and poor outcomes. With a deep understanding of the drivers of financial, quality and care outcomes, Solventum delivers trusted insights at critical points across health information management workflows.

Coding Solutions

Solventum™ Coding and Reimbursement System (CRS)

A sophisticated yet easy-to-use suite of tools, Solventum CRS guides medical coders through the coding process, covering a range of situations from complex oncology treatments to repetitive or typical patient encounters. Solventum CRS provides access to valuable references right within the coding workflow, linking specific reference content to ICD-10-CM/PCS and Current Procedural Terminology (CPT^®) codes to expedite the lookup process and help improve coding accuracy and consistency.

In addition, these powerful components of Solventum CRS can help your coding team stay up to date, support compliance and receive appropriate reimbursement:

Solventum™ All Patient Refined Diagnosis Related Groups (APR DRGs) Classification System classifies hospital inpatients according to their reason for admission, severity of illness and risk of mortality. Solventum APR DRGs are suitable for all populations including newborns, pediatrics and obstetrics.
Solventum™ Codefinder™ Software helps manage the complex rules and terminology found in mandated rules, principles and guidelines.

Solventum™ DRGfinder™ Software provides accurate Medicare Severity Diagnosis Related Groups (MS-DRG) grouping capabilities for Medicare and other payers. Automatic DRG assignment helps improve coder productivity, especially because multiple DRGs can be calculated simultaneously. The software also indicates whether a code represents a complication and comorbidity (CC) or major complication or comorbidity (MCC).

Solventum™ HCPCS/CPTfinder Software helps determine the standard five-digit code for outpatient procedures and services.

Solventum™ Reimbursement Calculation Software instantly calculates expected reimbursement using formulas that factor in national and hospital-specific variables. The software takes into account Medicare inpatient and outpatient formulas and accommodates various other payers as well.

Solventum™ Coding Reference Software

With Solventum Coding Reference Software, coding teams get simple, integrated access to current versions of these valuable industry references:

• American Hospital Association (AHA) Coding Clinic for ICD-10-CM, the official coding resource published quarterly by AHA’s Central Office on ICD-10
• American Medical Association (AMA) CPT® Assistant, the official coding advice published monthly by the AMA
• Clinical Pharmacology powered by ClinicalKey, a drug reference that includes information on prescription, over-the-counter, new and investigational drugs, as well as information on drug interactions and adverse reaction screenings
• Dorland’s Illustrated Medical Dictionary, a robust medical dictionary and easy-to-use anatomical reference that helps coders clarify diagnoses or procedures documented in the medical record

Solventum™ Core Grouping Software (CGS)

Efficiently and effectively process claims data with Solventum CGS, an on-premises application that classifies patients, evaluates the accuracy and completeness of clinical data, identifies potential errors and calculates expected reimbursement. The software combines grouping methodologies, editing components and reimbursement formulas in a single, comprehensive tool that:

Provides fast, accurate grouping of claims for Medicare and non-Medicare patients
Delivers appropriate inpatient, outpatient and professional edits to help reduce compliance risk
Calculates expected reimbursement for valid claims
Generates ready-to-bill claims and reduces rework

Solventum™ Medical Necessity Dictionaries Software

Designed for easy integration with many Solventum solutions, this software provides medical necessity validation at one or more key points in the enterprise workflow, including at the point of registration, order entry, billing and coding. Solventum Medical Necessity Dictionaries can help:

Reduce outpatient denials, write-offs and claims rework due to disputed medical necessity
Boost accurate coding to support appropriate, timely reimbursement
Determine ICD-10 National and Local Coverage Determinations (NCDs and LCDs) for Medicare Part A and Part B claims
Account for multi-level policy restrictions including frequency, age, gender, previous procedure or accompanying service

Solventum Core Grouping Software

Need already-embedded ICD-10 functionality for training, translation, analysis, and native coding? You’ve got it in Solventum Coding & Reimbursement System.