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3M™ M*Modal HCC Management

Identify accurate risk scores from the start with real time HCC guidance.

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  • To achieve accurate hierarchical condition category (HCC) coding and receive appropriate reimbursement, an organization must capture a complete diagnostic profile of every patient, including all information that impacts a patient’s evaluation, care and treatment. 3M™ M*Modal HCC Management is a comprehensive, technology-driven solution that leverages AI to deliver frontline assistance to physicians so that HCC opportunities aren’t missed while documenting the patient encounter. When combined with 3M’s outpatient CDI workflow, 3M HCC Management can help you close documented HCC gaps before claims are submitted.

    Key benefits


    • Delivers proactive, real time HCC information to physicians using AI-powered computer-assisted physician documentation (CAPD)
    • Helps health care organizations improve the accuracy of their HCC risk scores
    • Provides summarized clinical evidence for a patient’s entire history
    • Built to help health care organizations improve care quality and financial outcomes

  • Tami McMasters-Gomez � Why UC Davis leveraged 3M M*Modal HCC Management for their risk adjustment population � Described Video (DESCRIBED VIDEO) Text appears on screen that reads: Why UC Davis leveraged 3M M*Modal HCC Management for their risk adjustment population (TAMI MCMASTERS-GOMEZ) We embarked upon our journey to develop an outpatient CDI program in early 2018. (DESCRIBED VIDEO) Tami McMasters-Gomez, who is seated in a beautiful outdoor courtyard, begins speaking and title text appears on screen over video: Tami McMasters Gomez Director of coding and CDI services UC Davis Health Sacramento, CA (TAMI MCMASTERS-GOMEZ) And we decided to staff about eight FTEs to do that. And that was to look at one risk adjusted population that had about 30,000 lives. However, this risk adjustment population was going to continue to expand as more and more payers start to adopt the risk adjustment. We needed to figure out how we could adopt or leverage technology to do the work for us. So, we reached out to 3M, who we were already engaged with, to see what they had in terms of automation and tools around HCC and querying providers. And we talked about it and I went to leadership and I said, "I think this is the answer." And so, we have started to implement that, and pilot provider groups and are working to implement that long term as our solution on the outpatient CDI side as well. (DESCRIBED VIDEO) 3M Science Applied to Life logo appears on screen and fades away.

    Tami Gomez McMasters, director of coding and CDI services at UC Davis Health
  • Why UC Davis leveraged 3M™ M*Modal HCC Management

    Learn how UC Davis was able to leverage 3M™ M*Modal HCC Management for their risk adjustment population.


3M HCC Management streamlines both CDI and clinician workflows

  • Through a single-access web interface, 3M HCC Management can help multiple stakeholders collaborate on the patient chart and monitor HCC coding, gaining these distinct advantages:
     

    • Proactive clinician workflow delivers real time, automated HCC-related information to physicians during the patient visit, with fully specified notes in the normal EHR documentation workflow. This helps create complete, compliant documentation of chronic conditions.
    • Outpatient CDI workflow prioritizes patient record reviews based on gaps in patient risk scores and helps identify diagnoses not yet captured on claims for the current year. The solution also leverages natural language understanding (NLU) to identify HCC opportunities that would otherwise be missed.
    • Risk adjustment factor (RAF) scores management calculates RAF scores for all patients in a facility’s population, helping auditors identify gaps in chronic conditions from year to year. In addition, revenue cycle managers have a clear picture of population RAF scores and gaps, using the same data models applied by CMS.

Learn more about HCC management


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