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3M™ Core Grouping Software

3M Product Number 
  • Reduces reprocessing time by generating accurate data for ready-to-bill claims
  • Delivers appropriate edits to reduce compliance risk
  • Provides timely access to updates as regulatory policies change
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Specifications
Attribute Name
Value
Help Me With
Predictive Modeling, Preventable Events, Provider Quality Comparison, Risk-based Provider Payment
Organization Type
Business Partner, Government, Health System/Hospital, Payer, Provider
Role
Financial, IT, Quality
Product Details
  • Reduces reprocessing time by generating accurate data for ready-to-bill claims
  • Delivers appropriate edits to reduce compliance risk
  • Provides timely access to updates as regulatory policies change

Running on a Microsoft® Windows®-based platform, the 3M Core Grouping Software (CGS) processes inpatient and ambulatory claims according to a variety of payment and classification methodologies as selected by the user. 3M CGS provides one delivery platform for your particular grouping and editing needs. Prompt updates and reliable edits help users generate cleaner claims and reduce reprocessing.

Depending on the selected payment or classification software, it can be used to:

  • - Assign patient records to inpatient or outpatient groups
  • - Evaluate the accuracy and completeness of clinical data
  • - Identify potential coding errors
  • - Check for medical necessity of outpatient claims
  • - Verify expected reimbursement
  • 3M CGS provides one delivery platform for your particular grouping and editing needs, including a wide variety of CMS, Medicaid, and commercial payment methodologies as well as several 3M proprietary methodologies for value-based care.

    • - Prompt updates mean that 3M CGS content reflects current CMS and payer rules.
    • - Reliable inpatient and outpatient edits help providers generate cleaner claims, reduce compliance risk and reduce reprocessing.
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