A leading nonprofit health system in the Upper Midwest partnered with Solventum to improve trust and efficiency through autonomous outpatient coding. The organization faced rising patient volumes, staffing shortages, and reimbursement pressures that made manual coding unsustainable. Coders were spending too much time on repetitive, low‑complexity cases instead of focusing on higher‑value work.
To address these challenges, the health system implemented the Solventum™ 360 Encompass™ Autonomous Coding System within its Meditech Expanse EHR. Powered by Solventum’s expert‑guided AI, the solution reads clinical documentation, assigns codes, and prepares visits for billing without human intervention. A phased rollout, supported by prospective audits and hands‑on engagement from trained super users, helped build trust and confidence across teams.
The results were significant. Across four facilities, 80–90% of eligible ancillary visits qualified for autonomous coding, with 70–80% flowing directly to billing without coder review. Coding accuracy reached 95–98% by account category, without affecting claim edits or denials. Operationally, the organization has upskilled staff to focus on more complex cases, improving productivity and job satisfaction.
The health system plans to extend autonomous coding into its Epic EHR following a 2026 migration and expand automation across additional service lines and locations.
Download this white paper to:
Understand the importance of recruiting super users to validate the system and instill trust in automated technology
Create a roadmap for autonomous coding adoption based on this health system’s experience
Learn from this health system’s journey into autonomous coding
Gain insights into best practices, lessons learned, and where to start automating for success
