3M™ 360 Encompass™ Audit Expert System – Code Audit

  • Retrospective review, referencing the documents and codes used to create the patient claim, to ensure a compliant coding process  
  • Batch-driven inpatient audits either at random or by selecting specific criteria  
  • Customizable routing edits and worklists to identify outpatient visits based on specific search criteria   
  • Integrated workflows and interactive dashboards for real time data management  
  • Includes 3M™ Denial Tracker, a feature for managing, tracking and trending denials   
  • Focused productivity and intuitive workflow 

    3M Code Audit brings critical audit information into the same system in which the coding and documentation originated, reducing the time spent on spreadsheets and other manual processes. Specifically, 3M Code Audit’s integrated inpatient batch creation, outpatient routing edits, auditor analysis and reporting deliver transparency and accuracy with fewer clicks. By eliminating manual steps and multiple systems, 3M Code Audit helps organizations save time on compliance audits.  

    Integrated dashboards enable managers to see key information they need to track data in real time, including productivity, record status and financial impact estimates. The single platform workflow: 

    • Allows easy access to all documentation and codes related to the patient record   
    • Eliminates the need for multiple software programs and vendors  
    • Boosts productivity while improving communication between auditors and coders  
  • What it takes to be compliant

    To send accurate, clean and compliant claims to Medicare and other payers, leaders in health information management (HIM), compliance, revenue integrity, clinical documentation integrity (CDI) and risk management departments must implement key strategies when applying coding rules and guidelines:   

    • Detection—identify records with potential problems  
    • Correction—perform regular chart audits and make necessary corrections  
    • Prevention—educate staff to prevent future compliance problems  
    • Verification comparison—build audit trails and performance reporting  

    By adding 3M 360 Encompass Audit Expert and 3M Code Audit to the 3M 360 Encompass System platform, organizations can implement these strategies to support successful coding compliance. 

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