As part of the 3M 360 Encompass Audit Expert System, Inpatient Prebill Review uses customized, actionable edits specific to the organization to address risk areas at the point of coding. Edits are triggered in the 3M system and automatically routed to secondary review, when specified.
Inpatient Prebill Review’s flexible, intuitive design helps organizations address unique coding challenges and generate more accurate patient claims.
Integrated within the 3M 360 Encompass System workflow, Inpatient Prebill Review gives coders the means to resolve potential issues early on, keeping small issues from becoming large ones.
Inpatient Prebill Review’s actionable edits address coding pain points that align with an organization’s coding policies and procedures. These edits provide coders with guidance and education as they are coding, so they can correct issues before they become problems. Actionable edits that are used during a coding session are also recorded for tracking, trending, routing and reporting purposes.
The Inpatient Prebill Review workflow supports edit-driven second level reviews, or additional reviews as specified. It is integrated within 3M 360 Encompass and includes:
To send accurate, clean and complete claims to Medicare and other payers, compliance professionals and HIM departments can make a real difference by implementing these key strategies when complying with coding rules and guidelines:
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