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 solutions for edits, reviews and audits.

  • See the before and after results of three organizations tackling coding issues with an upstream coding solution.

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    Video: 3M™ 360 Encompass™ Audit Expert System

    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.

  • Learn how a large health network captured $18 million in revenue through more precise documentation and close attention to severity of illness and risk of mortality.

  • 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.

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    Video: University of Utah’s experience with 3M Code Audit

    University of Utah Health partnered with 3M to bring critical audit information into the same system in which the coding and documentation originated.

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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.


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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