Today, many facility-based coders have already reviewed the same documentation that professional fee coders review for coding, but in a different system.
With first-of-its-kind technology, the 3M 360 Encompass Professional System boosts productivity and efficiency, empowering both professional and facility coders to:
The result is a complete, compliant and accurate claim submission process and a reduction in denial rates.
3M 360 Encompass Professional is the industry’s first encounter-based professional coding solution. Rooted in the 3M 360 Encompass System, this application was built on the knowledge and refinements of our computer-assisted coding base—the largest in health care.
3M 360 Encompass Professional channels the power of 3M’s proprietary natural language processing (NLP) platform to bring forward auto-suggested CPT® and ICD codes to the professional services coder workflow.
With sophisticated query capabilities, smart alerts, up-to-date clinical and regulatory edits, and expert process and advisory services, 3M 360 Encompass Professional delivers a powerful professional fee coding workflow.
With 3M 360 Encompass Professional, your coding teams have access to the right documentation at the right time with a sophisticated coding tool that addresses professional coding needs every step of the way.
Professional coders can work based on specialty, provider, facility or department. Current clinical and regulatory updates are at the coder’s fingertips, and a feature-rich set of coding alerts and functions help coders make correct coding and billing decisions.
3M understands there are many different EHRs on the market as well as diverse billing systems used in today’s hospitals. The 3M 360 Encompass Professional application receives professional coding data from the EHR system, assists with the professional coding work, and then sends the final codes back to the EHR or professional billing system in a synchronized manner. The EHR may then forward the data onto the billing system for final billing.
3M 360 Encompass Professional gathers relevant information from the entire patient encounter to drive clean, accurate and compliant ICD-10 and CPT® coding.
3M 360 Encompass Professional features alerts that help your team proactively address professional coding and billing rules. Built-in queries create open lines of communication between providers and coders. Evaluation and management (E/M) coding is appropriately tied to the documentation in a demonstrable way, meaning more consistent and accurate E/M level assignment.
For organizations where providers are doing most of the coding, 3M 360 Encompass Professional provides ProMonitor Direct-2-Bill functionality that allows for user-defined rules to automatically review and send claims directly to the billing system without additional provider or coder intervention. This feature means you have a clean, compliant bill that significantly lowers your risk for denials and re-work.
In organizations where coding groups are aligned and a single coder is coding the same record for both outpatient facility claims and professional service claims, single-path coding is the productivity improvement you’ve been waiting for.
Using outpatient single-path coding in 3M 360 Encompass Professional, qualified coders can add a code to outpatient facility, professional services, or both records with a single click. Outpatient facility and professional service edits and modifiers can also be handled automatically. Best of all, both your outpatient facility and professional coders—and bills—are aligned and consistent.
Realize these benefits from single-path coding:
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 this system look like?
In short, your teams, workflows and applications are all focused on improving patient care. The 3M™ 360 Encompass™ System platform can make this possible.
With 3M 360 Encompass Professional, coding teams have one application for facility and professional reports, including:
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