The 3M Grouper Applications solutions contain the necessary tables and logic to accurately classify inpatient and outpatient services and can be licensed with a single grouper or a combination to meet your unique needs.
CMS Medicare Code Editor (MCE) – provided with 3M’s inpatient groupers, helps you ensure that ICD-10 diagnosis and procedure codes are valid and used appropriately.
3M present on admission (POA) editor – provided with 3M’s inpatient groupers, helps you ensure that POA indicators are appropriate for the ICD-10 code they are reported with.
3M solutions for medical necessity edits – standalone editing for outpatient services which includes Medicare National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), and frequency, age and gender restrictions; ICD-10 diagnosis code and modifier validity; and other state Medicaid and payer specific edits.
Outpatient edits –
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With 3M’s grouping and methodology solutions, you can address population health reporting and management needs and closely look at hospitalizations, readmissions, complications, ED visits and ancillary services and associated costs. 3M’s population health solutions include:
Health care is a dynamic industry, and 3M constantly updates its grouping, editing and reimbursement content to meet market needs. While these lists are current at the time of publication, your 3M representative can verify all the latest content additions for you.
For more information on 3M’s grouping solutions, refer to these fact sheet pages:
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