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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.
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.
Want to know more? Check out what our clients and 3M experts have to say about our edits, reviews and audits solutions.
How do you ensure coding accuracy and compliance? Start with an upstream solution that begins at the point of coding.
3M participated with the National Association of Healthcare Revenue Integrity (NAHRI), an organization focused on revenue integrity, and a panel of revenue cycle leaders to better understand how health care organizations could close that denial gap.
Integrated within the 3M 360 Encompass System workflow, 3M Inpatient Prebill Review helps coders resolve small issues early on before they become larger ones.
Code Audit offers a user-friendly workflow to develop focused or randomized batch-driven audits based on organizational needs.
The health information management (HIM) leaders at University of Utah Health needed a simpler way to manage their auditing program. 3M Code Audit has helped auditors do their jobs more accurately and efficiently—and sped up the entire process.
University of Utah Health partnered with 3M to bring critical audit information into the same system in which the coding and documentation originated.
Rhonda Butler breaks down the ICD-10 Coordination and Maintenance Committee meeting, outlining new code proposals and more.
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.
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.
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.
3M services and solutions can help teams go beyond closing the loop between clinical care and revenue integrity.
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