3M™ Core Grouping Software for Microsoft® Windows®-based systems

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

  • The challenge

    Providers, insurance companies, managed care companies, claims review companies and state and federal agencies — they all need to generate clean, compliant and accurate claims for a broad variety of patient types.

    Industry-wide payment reform means the number of state and commercial payment programs continues to grow. Each patient type and payer brings a unique set of grouping and compliance rules and reimbursement rates. These rules and rates can change often to reflect a continual need to control health care costs.

    Considering all the different patient types and payers, it can be very difficult to get the claims processing tools needed to handle them all and stay on top of the latest changes.

  • The solution: A single tool to meet processing needs

    3M Core Grouping Software (CGS) is a computerized application that efficiently and effectively processes claims data. With 3M’s proven grouping, editing and reimbursement calculation at its core, the software classifies patients, evaluates the accuracy and completeness of clinical data, identifies potential errors and calculates expected reimbursement. The software includes a number of continually updated grouping methodologies, editing components and reimbursement formulas delivered in a single, comprehensive tool that can help:

    • Evaluate the accuracy and completeness of clinical data
    • Review coding accuracy
    • Monitor and control costs
    • Understand expected reimbursement
    • Manage claim denials
    • Estimate profitability
    • Project expected reimbursement for budgetary and management purposes

    Download the fact sheet for more information.

    Download fact sheet (PDF, 159 KB)


Let’s talk about how we can help you and your organization

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