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Optimize your audit and compliance program

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Achieve compliance from the start
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Coding compliance and accuracy has never been more challenging. Or more important.

Coding quality has always been a critical objective of any coding team. The COVID-19 pandemic has made this effort more complex, and more important than ever before. New code sets and guidelines are under development to keep up with the diagnosis and treatment of the disease. Policies and regulations around virtual care have changed as the volume of telehealth visits has skyrocketed. For many, there is confusion and uncertainty on the appropriate coding of these records. Though challenging, getting the documentation and coding right is critical, and we can help.

What type of coding quality audits do we offer?

  • Professional coding
    3M can audit the accuracy and specificity of professional coding, including the documentation to support appropriate E/M leveling. This can be done using a random or targeted sample of cases, and prebill or retrospectively bill, depending on your needs.
  • Your coding quality program should include a mix consistent, retrospective audits, targeted ad hoc audits in response to problematic trends, and random audits to detect unforeseen coding issues. We can help with all of this.
  • As care in the outpatient setting rises, so will the stakes for coding completeness and accuracy. We can support audit and compliance efforts across all specialties or departments.
  • With changing regulations and reimbursement policies, it’s critical that your organization’s coding reflect the most up-to-date guidance. We can support your efforts with a combination of audits and education.
  • 3M can help ensure that your coding for COVID-19 diagnosis and treatment aligns with the most recent coding guidelines.
  • We can perform coding reviews for inpatient and outpatient facilities and physician practices in support of your acquisition due diligence.
  • Our 3M consultants understand HCCs inside and out. We can implement a program to assist your organization in reporting accurate diagnoses that reflect patient risk.

Resources for compliance and audit services

Want to know more? Check out what our clients and 3M experts have to say.

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Inside Angle

Blogs and podcasts at the intersection of data science and health care.

EXPLORE
  • A pencil on top of a piece of paper
    A smart mix of audit types to maintain coding quality
    3M's Kristine Daynes describes how a balanced mix of coding audit types can address both payer compliance and operational improvements that benefit efficiency and revenue.
  • A pencil on top of a piece of paper
    RAC compliance audits redux?
    Compliance activities took a bit of a “back seat” the last few years. But with the current administration’s expansion of subsidies under the Affordable Care Act, it is likely that greater government engagement in health care includes increased compliance audits to make certain everyone is playing fair.

Learn more about our other offerings.

Explore all of our solutions and services.

3M services and solutions can help organizations go beyond simplifying their workflows and improving coding accuracy.

  • 3M™ 360 Encompass™ System
    The 3M™ 360 Encompass™ System platform is a collection of applications that work together to help hospitals streamline processes, receive accurate reimbursement, promote compliance and make data-informed decisions.
  • Consulting services
    Want to get the most out of your technology investment? From the minute you invest in the 3M performance improvement solution, an experienced 3M team is assigned and dedicated to your success. Find out more.

Ready to take the next step?

Send us a message or speak to a 3M representative at 1-800-367-2447 (available weekdays 7 a.m. to 3 p.m. CT).

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