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  5. Patient classification methodologies
  6. Risk adjustment Midwest
Health Information Systems

Risk adjustment initiatives in the Midwest

Many risk adjustment initiatives are happening across your region. Some apply to payment, some to reporting and still others to quality. Find out what initiatives are impacting you.

  • Midwest states
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
National

3M™ APR DRGs Cost Weights and Trims
CMS Inpatient Prospective Payment System
CMS Long Term Care
CMS Inpatient Psychiatric Facilities
TRICARE Inpatient Prospective Payment System
 

Read more.
Kentucky

No current initiatives

Indiana

3M™ APR DRGs
3M™ Population-focused Preventables Software

Read more.
Ohio

3M™ Enhanced APGs
3M™ APR DRGs
3M™ Potentially Preventable Readmissions (PPRs)
3M™ Population-focused Preventables

Read more.
Missouri

No current initiatives

Kansas

No current initiatives

Illinois

3M™ APR DRGs
3M™ Enhanced APGs

Read more.
Iowa

3M™ Potentially Preventable Events
3M℠ Value Index Score

Read more.
Nebraska

3M™ APR DRGs

3M™ Enhanced APGs for Medicaid

Read more.
Wisconsin
3M™ Potentially Preventable Readmissions (PPRs)
3M™ APR DRGs
3M™ Enhanced APGs
 
Read more.
Michigan

3M™ APR DRGs
 

Read more.
Minnesota

3M™ APR DRGs
3M™ Potentially Preventable Readmissions (PPRs)
3M™ Potentially Preventable Complications (PPCs)
3M™ Population-focused Preventables

Read more.
South Dakota

No current initiatives

North Dakota

3M™ APR DRGs
3M™ EAPGs

Read more.

  • The 3M clinical grouping solutions calculate expected reimbursement using predefined logic and a custom rate schedule. You can define the parameters—hospital values, statistics files, and other reimbursement variables—governing payment processing of your patient claims. Look below to find out what is available in your state.

  • National grouping soutions

    National

    • 3M software also allows hospitals and other interested parties to model grouping and pricing software used by national payers. The software considers regional and hospital-specific factors such as wage areas and graduate medical education payments.
    • The Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System – CMS DRGs and Medicare Severity Diagnosis Related Groups (MS-DRGs) – were developed for classifying claims for Medicare patients in acute care hospitals, long-term care hospitals (LTCHs) and inpatient psychiatric facilities.
    • The Centers for Medicare and Medicare Services (CMS) Outpatient Prospective Payment System – CMS Ambulatory Payment Classifications (APCs).
    • The TRICARE Inpatient and Outpatient Prospective Payment System -- Developed and maintained by 3M for the Department of Defense (DoD), this system includes additional DRGs not related to the Medicare population and is used by the Department of Veterans Affairs and DoD facilities.
    • Interested in licensing these methodologies? Let our team help.
  • Indiana

    Indiana

    • Initiative: 3M™ Population-focused Preventables Software, Potentially Preventable Emergency Department Visits module for Medicaid Policy
      Type: Reporting
      Implemented: August 2017
    • Initiative: 3M™ APR DRGs for Office of Medicaid Policy
      Type: Payment
      Implemented: October 2015
    • Interested in licensing these methodologies? Let our team help.
  • Minnesota

    Minnesota

    • Initiative: 3M™ APR DRGs for Medicaid
      Type: Payment
      Implemented: December 2016
    • Initiative: 3M™ Potentially Preventable Readmissions (PPRs) for Minnesota Hospital Association
      Type: Reporting
      Implemented: October 2011
    • Initiative: 3M™ Potentially Preventable Complications (PPCs) for Minnesota Hospital Association
      Type: Reporting
      Implemented: October 2011
    • Initiative: 3M™ Population-focused Preventables Software, Potentially Preventable Admissions module for Minnesota Hospital Association
      Type: Reporting
      Implemented: October 2011
    • Initiative: 3M™ APR DRGs for Minnesota Department of Health
      Type: Reporting
      Implemented: January 2009
    • Interested in licensing these methodologies? Let our team help.
  • Ohio

    Ohio

    • Initiative: 3M™ APR DRGs for Medicaid
      Type: Payment
      Implemented: July 2013
    • Initiative: 3M™ Enhanced APGs for Medicaid
      Type: Payment
      Implemented: August 2017
    • Initiative: 3M™ Potentially Preventable Readmissions (PPRs) for Medicaid
      Type: Payment Adjustment
      Implemented: January 2017
    • Initiative: 3M™ Population-focused Preventables Software, Potentially Preventable Admissions module for Medicaid
      Type: Payment Adjustment
      Implemented: July 2016
    • Interested in licensing these methodologies? Let our team help.
  • Wisconsin

    Wisconsin

    • Initiative: 3M™ Potentially Preventable Readmissions (PPRs) for Medicaid
      Type: Reporting
      Implemented: January 2017
    • Initiative: 3M™ Enhanced APGs for Medicaid
      Type: Payment
      Implemented: April 2013
    • Initiative: 3M™ APR DRGs for Medicaid FFS and MCO
      Type: Payment
      Implemented: January 2017
    • Initiative: 3M™ Enhanced APGs for Medicaid Managed Care
      Type: Payment
      Implemented: January 2015
    • Interested in licensing these methodologies? Let our team help.

Want to learn more about 3M patient classification methodologies?

Want to get to know our methodologies a little better? Read up on the latest.

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  • You can license the 3M patient classification methodologies through whichever 3M product fits your needs. Our product specialist can help you find the solution that best fits your needs.

  • All fields are required unless indicated optional

  • What methodology are you most interested in? (Check all that apply)

  • Select the communications you’d like to receive from 3M Health Information Systems by simply checking the box next to the content subscriptions available.

  • 3M takes your privacy seriously. 3M and its authorized third parties will use the information you provided in accordance with our Privacy Policy to send you communications which may include promotions, product information and service offers. Please be aware that this information may be stored on a server located in the U.S. If you do not consent to this use of your personal information, please do not use this system.

  • Submit

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An error has occurred while submitting. Please try again later...

Thank you!

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