3M has 30+ years of experience in developing classification, grouping, edits, and reimbursement calculation systems for inpatient, outpatient, and professional settings. Whether you or your clients want to process claims for reimbursement or reporting, edit patient records in real-time, or analyze patient data, 3M is the source for innovative, cost-effective solutions and up-to-date regulatory and classification content.
Today 3M is leveraging web services and cloud technology to provide this content to our clients securely, with significantly reduced maintenance and a seamless, straightforward implementation process.
In an increasingly complex and dynamic regulatory and payment environment, health care providers and their software vendors are challenged to implement and maintain current and comprehensive grouping, editing, and reimbursement content. This content can change daily, weekly, monthly, quarterly, annually— some changes may be minor, others major. Staying up-to-date is critical for managing a business; however, the maintenance is labor-intensive and requires specialized skills.
In addition, increased expectations and demands on IT departments are taking their toll. Measuring the resources and time required for implementation and ongoing maintenance is critical to understanding costs and meeting customer needs. Organizations are looking to newer technologies to allocate resources more effectively and efficiently.
For many years, third-party software vendors, payers, consultants, and analytics companies worldwide have embedded 3M regulatory content within their own applications. This approach gives their clients integrated access to this valuable content or allows them to analyze and report on data for their own clients.
To help businesses faced with intense IT resource pressures and time constraints, 3M offers this same rich regulatory and 3M-proprietary content delivered through web services, industry-standard interfaces, and a cloud environment. 3M™ Grouper Plus Content Services leverages web technology to deliver content with improved timeliness and reduced maintenance. This solution provides up-to-date, secure access to grouping, reimbursement, editing, and pay-for-outcomes classifications, and the content can be viewed from many different workflows.
3M Grouper Plus Content Services provides access to:
With the 3M Grouper Plus Content Services, your organization can access timely, business-critical financial, compliance, and quality content in your workflow with reduced maintenance. As a result, end-users and clients have the advantage of a well-integrated information system that stays current with federal and state regulations—and with minimal use of their IT or technical resources. Software vendors, consultants and analytics firms can also focus on their core products and businesses and enjoy a reduced IT and implementation role.
Patient financial services
Security & administration layer
Web services interface
3M™ Grouper Plus Content Services
CMS MS-DRG, CMS Inpatient Psychiatric Facility, CMS Inpatient Rehabilitation Facility, 3M™ APR DRG, TRICARE
CMS APC, CMS ASC, 3M™ EAPG, TRICARE APC, CMS Home Health Agency (PPS & PDGM)
CMS IPPS, CMS ASC, CMS HOPD, CMS Long-term Care, CMS Inpatient Psychiatric Facility, CMS ESRD, Medicaid & Payer-specific 3M™ APR DRG & 3M™ EAPG, TRICARE OPPS, Professional Claims Reimbursement, CMS Home Health Agency (PPS & PDGM)
Medical Necessity (NCD & LCD), CMS OCE, CMS MCE, CMS MUE, CMS NCCI, CMS HAC, CMS POA, CMS ESRD, Professional Claims Editor, 3M Outpatient Proprietary edits
3M™ Clinical Risk Grouping (CRG), 3M™ Patient-focused Episodes (PFE), 3M™ Population-focused Preventables (PFP)
3M™ Potentially Preventable Complications (PPCs), 3M™ Potentially Preventable Readmissions (PPRs)
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