This webinar explores PPC methodology, identify current industry practices, and provide an in-depth look at selected PPCs that have the most impact, including inclusion and exclusion criteria.

This webinar will walk you through the Total Performance Score calculation and how the Value Based Purchasing Program measures will impact payment.

Learn about what makes a quality data foundation and its current and future effects on your reimbursement.

This webinar explores how health plans can deliver care that is affordable, safe and accessible for special populations.

This webinar will help you sort through the alphabet soup of physician reimbursement and profiling models.

This webinar will help you learn industry best practices for how your teams can impact VBP performance.

Learn what our certified coding experts see across our client base.

Never underestimate the power of knowing exactly how sick your patients are.

Learn how several managed Medicaid organizations effectively approached health assessments, patient segmentation, physician engagement and incentives and more.

As volume shifts from inpatient to outpatient services at hospitals and clinics, attention to clinical documentation improvement (CDI) is more crucial than ever.

This webinar explores ways to manage accuracy and productivity, ongoing training, practical look-up tools, the role of outsourced services, and more.

This webinar will help you understand the full impact of PPRs and ACRs on your hospital’s reimbursement and explore strategies to take co-morbid conditions into account, capture an accurate view of your readmission rate and move forward with improvements.

This session explores how small hospitals are using record assessments, data reporting and CDI specialist training to make a significant impact on reimbursement.

Learn how natural language processing technology is helping strengthen E/M coding compliance and boost the auditing process. See how automated reviews can safeguard appropriate reimbursement, lessen your compliance risk and establish best practices. 

This webinar will outline exactly how and when to recognize, diagnose and code Sepsis, so that your organization can be prepared to meet the CMS Core Measure requirements.

In an exclusive webinar, 3M’s Cathy Machacyk will focus on the CJR bundled payment initiative, answering such questions as: What are bundled payments? What’s the difference between bundled payments and episodes? Is CJR really a bundled payment?

In this exclusive webinar, 3M subject matter experts Donna Smith and Jeremy Zasowski will provide an overview of the VBR models in the U.S. healthcare system and explore the role of hierarchical condition categories (HCCs) in these new VBR models.

Have you been leafing through all 2,000+ pages of the Final Rule? Scouring the internet to understand which changes will truly impact your bottom line? Nathan M. Bays, Esquire, general counsel and executive director of The Health Management Academy gives providers a solid understanding of MACRA’s complex payment adjustments and aggressive timeline. In this webinar, you will understand exactly how MACRA changes could impact your system or practice.

Like quality indicators for the adult population, pediatric indicators use administrative data to establish validity, detect bias and adjust for risk. But many quality indicators for chronic diseases in adults simply don't apply. The Pediatric Quality Indicators (PQIs) focus on indicators such as heart surgery mortality, respiratory failure and postoperative sepsis applied specifically to children.

In this webinar, subject matter experts Donna Smith and L. Gordon Moore will describe in detail 3M’s best practices for consistently capturing the most complete HCC and RAF scores for your patient population—an excellent way to start planning for success under value-based reimbursement (VBR).

In this webinar, Donna Smith of 3M Consulting Services will explore crucial oversight processes, audit techniques, escalation policies, and 2017 ICD-10-CM guidelines—all to provide practical steps you can take to achieve compliance.

In the second session of this webinar, Donna Smith of 3M Consulting Services will explore crucial oversight processes, audit techniques, escalation policies, and 2017 ICD-10-CM guidelines—all to provide practical steps you can take to achieve compliance.

In the shift from volume to value, risk management is crucial to quality outcomes. How can your teams mitigate risk from the minute the patient enters the hospital? How can coding, CDI and quality teams collaborate to focus on the right priorities while the patient is still in the hospital? In this webinar, we will step through specific high-impact quality scenarios, such as sepsis, to illustrate how effective prioritization can minimize risk.

More than ever, organizations must focus on the accurate clinical truth, instead of quality metrics and revenue performance alone, to create actionable records of patient encounters. Clinical validity as captured in documentation drives quality outcomes in ways you may not expect. In this recorded webinar, Cheryl Manchenton, senior inpatient consultant at 3M, explores specific cases of both positive and negative impact.

Chelsea Pishnery, Corporate Outpatient Coding Manager at University Hospitals of Cleveland, Rebecca Caux, and Ed Lowry discuss the true value of in-house coding vs. outsourcing, with topics including: When is outsourcing coding right for your organization? Is computer-assisted coding right for your internal coders? How do backlogs and staffing shortages affect you? What difference does the quality of coding make? Which coding metrics should you use to measure performance?

In this webinar, sponsored by the Florida Association of Health Plans, 3M’s Erika Johnson, Carole Cusack and Gordon Moore discuss how to use risk adjustment to understand variation in health care, and how understanding variation can help you form strategies and tactics to improve health care value.

What are the clinical indicators of sepsis and how do you fight denials? This webinar will provide an overview of sepsis clinical criteria while identifying references to use to support sepsis documentation and coding. Donna Smith and Krysten Brooks will discuss the process for establishing the hospital definition of sepsis, escalation policy for cases not supported under the definition, and query opportunities to watch for. Denial management policies must be in place to aggressively fight denials that are well documented and the presenters will identify a program that will support the denials process.

CDI and coding teams are increasingly collaborating from the start on coding and queries—both concurrent and retrospective. With this is mind, 3M’s unique approach CDI prioritization worklists offers a transparent algorithm to identify top issues, rather than a AI black box approach that doesn’t specify why a case is high priority or what to look for. The 3M methodology offers fully customizable scoring by health system, facility, individual user and worklists. 3M expert Eric Sorenson discussed 3M’s strategic approach to CDI prioritization. This webinar will be crucial for both current and prospective users of the 3M™ 360 Encompass™ System.

Learn how automating documentation and coding can achieve the following benefits: reduce unnecessary work for clinicians, improve visibility into patient conditions treated in other care settings, accurately represent patient risk and population health, help ensure patients with chronic conditions receive timely, consistent care.

With ICD-10 in motion for two years now, the sharp focus on specificity is no less urgent. In this webinar, 3M’s Sue Belley, one of the industry’s leading experts on ICD-10, explores how specificity for diagnoses drives patient quality and safety initiatives. This webinar provides an interactive update on ICD-10 as it works today. The focus is to HIM/CDI/Quality teams identify the documentation precision required for complete, accurate coding and quality reporting.

Five to 10 percent of patients generate as much as 60 percent of avoidable medical expenses. How can you identify these patients to provide better care management? Learn how in part one of our webinar series. The capabilities of the 3M™ Performance Matrix Platform are also addressed.

3M expert Cheryll Rogers provides some straight talk about real cases and client results based on SOI and ROM measures. Do you know how sick your patients really are? Accurate capture of severity of illness (SOI) and risk of mortality (ROM) drives both quality outcomes and reimbursement. Coding and CDI professionals play a crucial role. Precise documentation and coding creates the true picture of your patient population that you need for value-based healthcare.

Accurate data and the right representation of patients are paramount for registry submission. Manually abstracting registries is time-consuming, costly and exhausting. Natural language processing technology represents the end to that struggle. Discover how applying NLP to registry abstraction benefits your organization. In this webinar, learn how automated clinical information extraction can ease your day-to-day workload.

With the move to value-based purchasing, providers’ quality profiles are as important as their organizations’. Yet many providers still resist open discussion of quality outcomes, particularly their own performance. Payment reform is changing the game. With the Merit-based Incentive Payment System (MIPS) and the Medicare Access and CHIP Reauthorization Act (MACRA), providers must focus on their quality scorecards. 3M experts Cheryl Manchenton and Phil Goyeau review the impact of MACRA/MIPS and explore practical insights to engage your providers. This webinar will help you use the specific data in providers’ profiles to inspire physicians to improve their individual impact on quality outcomes.

Learn how to help providers improve care by adopting a composite value measure to better understand, and prioritize, existing quality and total cost-of-care metrics. The capabilities of the 3M™ Performance Matrix Platform are also addressed.

Learn how to maintain an information-driven, value-based care strategy by adopting a data asset that provides ongoing visibility into organizational trends and performance. The capabilities of the 3M™ Performance Matrix Platform are also addressed.

A comprehensive claims data repository may not have enough information to form a complete picture of patient health or provider performance. Learn how to form a complete picture of patient health and provider performance by integrating clinical and claims data. The capabilities of the 3M™ Performance Matrix Platform are also addressed.

In the shift from volume to value, CDI teams will have more impact than ever on the success of their organizations. But current CDI resources can’t grow to new areas—such as quality CDI, all payers, outpatient CDI, clinical validation and denials management—without new automation technology. Kay Blue and Holley Pegram from Carolinas HealthCare System, and 3M expert Julie Salomon, explore best practices for strategic CDI prioritization.

The final rule for Fiscal Year 2018 Medicare Hospital Inpatient Prospective Payment System (IPPS) will drive the transparency, flexibility, and ongoing innovation of quality care. This webinar focuses on changes to the IPPS code set that affect quality outcomes, payment impact for excess readmissions, and various changes to Clinical Quality Measures (CQMs). 3M experts Cheryl Manchenton and Audrey Howard take a close look at the impact of this year’s IPPS updates.

The 2018 CPT® updates went into effect Jan. 1, as did the final rule for the 2018 Medicare Hospital Outpatient Prospective Payment System (OPPS). Do you know where to focus your efforts? More the 300 additions and revisions mean significant changes to cardiovascular and pathology codes, as well as 65 changes to Category III codes. For example, total knee arthroplasty is coming off the inpatient-only list. And there are crucial changes to the Hospital Outpatient Quality Reporting (OQR) Program. In this webinar 3M coding experts, Sue Belley and Julie Tyson, clarify updates with the most impact for 2018.

To accurately manage risk, you need to know how sick your patients really are. You need to see your patients’ clinical data in every care setting for the entire year. You need to account for every diagnoses and comorbidity. Hierarchical condition categories (HCCs) offer this complete view. If you have a firm grip on your HCC state, you can integrate them into current workflows and train your providers to identify patients with gaps in diagnoses and risk scores. You can code more precisely with complete data, and sustain improvements in both revenue and quality outcomes. In this webinar, 3M quality guru Cheryl Manchenton explores the power of HCCs from both inpatient and outpatient perspectives.

CMS is using a “recalibrated” PSI 90 (with ICD-9 data) in several 2018 payment adjustment programs. CMS cannot start using the ICD-10 version of PSI-90 until they gather more data. Some misinterpret this delay as a reason to reduce their focus on safety indicators in PSI-90 composite, including pressure ulcer rates, hip fracture rates, accidental punctures and lacerations, and post-operation sepsis (which will be even more heavily weighted in the next version of PSI 90). But remember, expected rates and weights will be based on the data you’re collecting now. It is more important than ever that your PSI metrics are complete and accurate. You can use software and other tools to accurately capture and flag PSIs during this period. In this webinar 3M quality experts Cheryl Manchenton and Margaret Schmidt provide an update on PSI 90. Hear more about why it is crucial now.

Payer denials hit the average hospital hard—with real impact from lost reimbursement, rework and productivity. In this webinar, 3M’s Phil Goyeau, an expert in healthcare quality and hospital operations, takes a close look at how to prevent denials across the revenue cycle, from registration to final billing. Drawing on extensive on-site experience with clients, he highlights best practices and common pitfalls, such as incomplete review processes that cause denials. This webinar provides insights on how teams can move from managing denials to preventing them.

Denial management policies can be a balancing act: They need to aggressively fight denials but at the same time capture the patient’s full story, including all relevant diagnoses. How “balanced” is your organization when it comes to managing denials—especially sepsis denials? In this webinar, 3M expert Krysten Brooks, RN, discussed the key clinical indicators of sepsis and how to best manage denials. She explored best practice for establishing a hospital-wide definition of sepsis, escalation policies, public reporting for overall hospital performance and query opportunities. Your organization’s physicians, CDI specialists, coding professionals and nurses all need to agree upon the clinical criteria to follow for sepsis in your institution.

Denial management policies can be a balancing act: They need to aggressively fight denials but at the same time capture the patient’s full story, including all relevant diagnoses. How “balanced” is your organization when it comes to managing denials—especially sepsis denials? In this webinar, 3M expert Krysten Brooks, RN, discussed the key clinical indicators of sepsis and how to best manage denials. She explored best practice for establishing a hospital-wide definition of sepsis, escalation policies, public reporting for overall hospital performance and query opportunities. Your organization’s physicians, CDI specialists, coding professionals and nurses all need to agree upon the clinical criteria to follow for sepsis in your institution.

The revenue cycle looks different from the outpatient side. Take an emergency department (ED), for example. Charges come in from various ancillary departments. Radiology. Labs. Respiratory therapy. Cardiology. It’s a team effort, with quality, CDI and coding experts all wearing multiple hats. Everyone needs to know how the charges work, including drug administration code assignment and overall reimbursement policies for the ED. Bobbie Starkey, RHIT, CCS-P, takes a fresh look at the ED revenue cycle. She offers specific insights into common diagnosis and procedure errors and ways to drive accuracy and best practices in your ED.

Does your documentation and coding create a true picture of your patient populations and their mortality risks? In this webinar, 3M quality guru Cheryl Manchenton explains how accurately capturing severity of illness (SOI) and risk of mortality (ROM) can have profound effects on both quality outcomes and reimbursement. Drawing on diagnoses from actual cases, Cheryl shows how coding and CDI professionals play a crucial role in improving their organization’s “observed-to-expected” (O/E) mortality rate.

Practicing medicine is complicated. And proving medical necessity for inpatient treatment isn’t easy. Physicians must accurately capture diagnoses, clinical indicators and—for compliance and quality outcomes— clearly document patient encounters for clinical validity. In his webinar 3M senior consultants Dr. Beth Wolf and Cheryl Manchenton explore the challenges of documenting high-profile diagnoses, such as hyponatremia, acute tubular necrosis (ATN), encephalopathy and more.

The final rule for Fiscal Year 2019 Medicare Hospital Inpatient Prospective Payment System (IPPS) will drive changes to interoperability programs, reporting requirements for quality initiatives and surveillance of surgical site infections. In this webinar 3M experts Cheryl Manchenton and Audrey Howard explore key changes to Medicare payment policies but also provide a deeper dive on surgical site infections (SSIs), lacunar infarction classification, appendicitis coding changes, major complication and comorbidity (MCC) status for HIV, encephalopathy, acute respiratory distress syndrome (ARDS)—and more.

With everything on their plates, physicians often don’t pay attention to query response dashboards. However, what providers do care about—and pay attention to—are reports about quality, individual performance and patient outcomes. So, what’s the best way to engage with physicians when the topics are hospital-acquired infections, complications and other thorny quality issues? The answer is data. Real data that sheds light on individual physician performance. In this webinar, 3M senior consultants Dr. Beth Wolf and Cheryl Manchenton explore what matters most to physicians and how real data can change the conversation.

The Centers for Medicare & Medicaid Services estimates $1.9 billion in incentive payments will be paid out as part of the 2019 Hospital Value-based Purchasing (VBP) Program. Is your organization ready to earn these incentives? Organizations earn incentives based on patient health outcomes and not on the quantity of services delivered. Get the facts about what has changed in the October Final Rule: there are shifts in formulas and percentage ranking, penalties have moved up and down, and changes have been made to scoring—all of which may impact your organization. In this webinar, 3M quality experts Cheryl Manchenton and Eric Sorenson for a close look at the 2019 VBP program changes and the most crucial clinical implications you need to understand.

A large U.S. hospital in the lowest performing 25 percentile can face more than a million dollars in lost reimbursement annually from HAC penalties. What can you do to improve your HAC scores and cut those losses? Is the Medicare Hospital-acquired Condition (HAC) Reduction Program still hurting your quality scores and your bottom line? In this webinar, 3M quality expert Cheryl Manchenton explores the latest HAC regulatory updates and penalties and examines the clinical impact on hospitals and patients.

In 2018, an estimated 2,573 hospitals were penalized for preventable readmissions. In 2019, you can expect a similar impact. Rather than being blindsided by what appear to be unavoidable readmissions penalties, start seeing them as “payment adjustments” you can do something about—with accurate documentation up front and proactive discharge protocols on the back-end. In this webinar, 3M quality expert Cheryl Manchenton explores strategies for reducing your readmissions penalties.

How can you be certain that your codified data accurately reflects the physician’s documentation—especially when surgical complications are involved? Our presenters, 3M quality experts Dr. Beth Wolf and Audrey Howard, describe key perioperative events, how they are commonly documented by providers and the impact of that documentation on complication code assignment. They also review the complication coding guidelines and illustrate the consequences of complication code assignment.

In this webinar, participants will learn specific implementation tactics to capture HCC diagnoses in observation patients. As Baby Boomers age into the Medicare system, attention has shifted to effectively address the high incidence of chronic illnesses among Medicare beneficiaries. These chronic conditions are costing the nation’s healthcare system millions of dollars each year.