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Edits, reviews and audits

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Front end accuracy for cleaner claims
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Compliance issues can be expensive. Sending a patient bill with the wrong information can lead to delays, rework or denials. Understanding where problems might be occurring is essential to addressing edit fatigue and key to a health care organization’s financial well-being. Whether it’s coding rules or regulations managed at the front end of the coding session, or audit capabilities needed for compliance programs, 3M coding software and services ensure you have the tools for success.


Features for one touch coding and accurate, clean and complete claims

  • 3M™ 360 Encompass™ Audit Expert System Inpatient Prebill Review is a denials prevention solution that employs custom actionable edits at the point of coding, plus edit-driven reviews. These actionable edits provide coders with guidance and education as they are coding, so they can correct issues before they become a problem. Actionable edits address coding pain points that align with an organization’s coding policies and procedures without sacrificing coder productivity.

  • 3M™ 360 Encompass™ Audit Expert System – Code Audit leverages the 3M™ 360 Encompass™ System to audit coding accuracy, review diagnosis related groups (DRGs) and monitor other trends throughout the revenue cycle. Improve detection, correction, prevention and verification with integrated batch-driven auditing capabilities and enhance DRG accuracy through edits and additional reviews.


Resources for edits, reviews and audits

Want to know more? Check out what our clients and 3M experts have to say about our edits, reviews and audits solutions.


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Blogs and podcasts for edits, reviews and audits

Explore expert insights and discoveries at the intersection of data science and health care.

SEE MORE ON INSIDE ANGLE
  • Twice annual ICD-10 code updates and more COVID-19 ICD-10-CM/PCS code proposals

    Rhonda Butler breaks down the ICD-10 Coordination and Maintenance Committee meeting, outlining new code proposals and more.

  • HCCs: The importance of coders

    Providing timely and accurate documentation and submitting correct HCC codes is essential for accurate reimbursement.

  • Closing the coding and documentation denial gap

    Reducing denials is a top priority for every health care organization and revenue cycle department. The ultimate goal is to somehow create a process that eliminates the need to review a claim that has already gone through the billing system and determine why it was denied or not paid.

3M solutions for edits, reviews and audits

Want to know more about our 3M solutions for edits, reviews and audits? Choose your solution below.

  • The 3M 360 Encompass System platform helps hospitals take their revenue cycle efficiency and accuracy to the next level by integrating computer-assisted coding (CAC), computer-assisted CDI, quality metrics and analytics into one application.

  • Inpatient Prebill Review gives coders the means to resolve potential issues early on, keeping small issues from becoming large ones.

  • Code Audit leverages the single platform of the 3M™ 360 Encompass™ System to audit coding accuracy, review DRGs and monitor other trends throughout the revenue cycle.


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