Risk adjustment
Risk adjusting healthcare data into actionable knowledge.

Using patient classification methodologies for risk adjustment and quality measurement.

Transforming patient data into actionable knowledge. For more than 30 years.

3M has more than 30 years of experience developing classification, grouping and reimbursement calculation systems for inpatient, outpatient and professional settings.

Whether you or your clients want to process claims for hospital reimbursement and reporting, edit patient records in real time, or leverage patient data for improved risk stratification, 3M is the standard for innovative patient grouping and classification solutions.

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Risk adjustment initiatives nationwide

Major payers in more than 30 states use 3M patient classification methodologies to pay providers and measure healthcare quality. 3M offers grouping and pricing software that you can use to predict and verify payment, understand quality measurement algorithms, and analyze your own data to improve performance. Click on the map to find out what initiatives are impacting you.

  • To see the current initiatives affecting your organization, click your region.
West

Click here to learn more about initiatives in the West.

West

Click here to learn more about initiatives in the West.

Midwest

Click here to learn more about initiatives in the Midwest.

Midwest

Click here to learn more about initiatives in the Midwest.

Northeast

Click here to learn more about initiatives in the Northeast.

Northeast

Click here to learn more about initiatives in the Northeast.

South

Click here to learn more about initiatives in the South.

South

Click here to learn more about initiatives in the South.


Grouping and classification solutions

  • 3M APR DRG Software adjusts data for severity of illness and risk of mortality for any patient population in acute care settings.

    Dec 1, 1901
  • 3M CRG software uses diagnosis and procedure codes, pharmaceutical data and functional/mental health status to assign individuals to severity-adjusted homogeneous groups, helping you anticipate the amount and type of care they will use in the future.

    Dec 1, 1901
  • 3M EAPG System helps you develop an effective and comprehensive outpatient prospective payment system that includes hospitals, freestanding ambulatory surgery centers, renal dialysis centers and other diverse care settings.

    Dec 1, 1901
  • 3M Grouper Plus Content Services uses cloud technology to provide up-to-date, secure access to grouping content within other vendor workflow applications.

    Dec 1, 1901
  • 3M "preventables" software identifies avoidable and unnecessary care. The focus on potentially preventable events gives organizations actionable information to make improvements where they can have the greatest impact.

    Dec 1, 1901
  • 3M Core Grouping Software leverages 3M’s proven grouping, editing and reimbursement calculations to classify patients, evaluate the accuracy and completeness of clinical data, identify potential errors and calculate expected reimbursement.

    Dec 1, 1901
  • 3M Medical Necessity Software provides medical necessity functionality within the existing health information systems at the point of registration, order entry, billing and coding.

    Dec 1, 1901
  • In addition to the proprietary 3M™ APR DRG Classification System, 3M offers several other classification systems to code and group inpatient claims for Medicare MS-DRG, TRICARE IPP, inpatient psychiatric and long-term care.

    Dec 1, 1901
  • In addition to the proprietary 3M™ Enhanced APG System, 3M offers several other classification systems to code and group outpatient claims for Medicare APC, TRICARE OPP, ambulatory surgery centers and renal dialysis.

    Dec 1, 1901

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Grouping and classification resources

Learn more about the ins and outs of our grouping and classification methodologies and applications.


The science of 3M groupers. Applied to your revenue cycle and quality workflows.

  • Wouldn’t it be ideal if your coders and CDI specialists could derive a working DRG at the beginning of a patient visit? What if you could track preventable events alongside your other quality indicators? Imagine your hospital’s efficiency if it could easily measure in-state hospital competition, population health and provider performance.

     

    All of this is possible with the 3M™ 360 Encompass™ System platform. It’s a suite of applications that seamlessly integrates computer-assisted coding, clinical documentation improvement, quality metrics and analytics so you can capture, analyze and advance patient information across the continuum of care.

     

    See all that 3M 360 Encompass can do for your health system.


Want more information?

Click the link to get more information about how our grouping and classification solutions can help you.

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