3M™ 360 Encompass™ System for computer-assisted coding

Now more than ever, hospitals have to solve the healthcare coding and reimbursement puzzle. Among the challenging puzzle pieces? An industry paradigm shift to pay-for-outcome models. ICD-10’s volume of codes. The present and persistent shortage of qualified coders.

The first product of its kind, the 3M 360 Encompass System integrates computer-assisted coding (CAC), concurrent quality metrics and analytics into one application to capture, analyze and advance patient information across the care continuum.

Built on 3M’s logic for grouping and reimbursement, the 3M 360 Encompass System leverages NLP and our platform’s blend of statistics and rules to automate coding improvement. The system offers users multiple dashboards, workflows, numerous reporting capabilities and embedded quality indicators. As our network of users grows daily, 3M continues to raise the bar with improved functionality.

With the 3M™ Coding and Reimbursement System as its foundation, 3M 360 Encompass combines 3M’s computer-assisted coding and software tools with proprietary NLP capabilities. NLP transparency within the system allows coders to see the evidence associated with an NLP decision and make adjustments within the code path, if appropriate.

The system provides 3M expertise in the regulatory environment with powerful statistical methodologies to create a comprehensive NLP platform that uses both expert rules and statistics to deliver complete and accurate computer-assisted coding. The result? Improved reimbursement accuracy and reduced costs across your health system.

Our clients report boosts in coder productivity, coding accuracy and job satisfaction, alongside reductions in DNFBs and denials.

Concurrent with the patient’s stay, the 3M 360 Encompass System uses NLP to review documentation and identify such key quality metrics as potentially preventable readmissions (PPRs), potentially preventable complications (PPCs) and patient safety indicators (PSIs). This gives your quality team the opportunity before billing and discharge to identify any coding or documentation concerns, as well as drill into root-cause analysis on the spot.

As the industry fast-tracks to value-based reimbursement models, hospitals must find ways to capture HCCs. The 3M 360 Encompass System is uniquely positioned to answer this challenge. HCC flags within the system identify auto-suggested codes associated with an HCC, so coders can send HCC clarification queries to providers based on clinical indicators.

An integrated application can help you improve and streamline your coding workflows and build synergies by having all of your content in one place. The 3M 360 Encompass System for Computer-assisted Coding:
 

• Offers online references at your teams’ fingertips, including AHA Coding Clinic, ICD-10-PCS Desk Reference, AMA CPT® Assistant, Dorland’s Medical Dictionary, Elsevier’s Anatomy Plates and many more
• Lets the user derive multiple concurrent working DRGs at the beginning of a patient visit, and indicates if a code is an MCC or a CC
• Includes a growing list of role-specific, at-a-glance dashboards and reporting capabilities
• Enables effective and immediate communication between coders and quality teams

For hospitals to meet the rising demands of competition, compliance and patient care, they must have an efficient and accurate revenue cycle management system.

But what does that really look like?

It looks like coding and clinical documentation working from the same content, reducing duplication. It looks like facility and professional services coders using one application, putting an end to disjointed workflows and communication breakdowns. It’s timely, complete query responses from physicians and full confidence that HCCs are captured. It’s big-picture insights so hospitals can stay ahead of market changes.

It looks like your teams, workflows and applications are focused on improving patient care. The 3M™ 360 Encompass™ System platform can make this possible.