Validating the necessity of medical procedures serves two purposes for a healthcare facility. First, it helps healthcare organizations stay compliant with stringent requirements, while upholding patient safety. Just as importantly, it helps facilities reduce denials and achieve appropriate reimbursement for services rendered.
How 3M helps
- 3M™ APCfinder™ Software with Medical Necessity Validation — Allows the coder and documentation specialist to apply medical necessity at the point of coding (module of the 3M™ Coding and Reimbursement System).
- 3M™ APC Editing and Compliance Software with 3M™ Medical Necessity Software — Allows HIM professionals to validate medical necessity at the point of coding within existing coding workflow, store medical necessity data, and generate reports (module of the 3M™ Ambulatory Revenue Management Software).
- 3M™ Medical Necessity Dictionaries (Medicare Part A and Part B and limited Medicaid and private payer) — Software that is embedded within existing hospital information systems (such as McKesson, Cerner, Meditech, Siemens, Epic, etc.) to provide automatic medical necessity validation during scheduling and registration, and help eliminate the costly, time-intensive monthly task of gathering LCD/NCD information and performing manual reviews.
- 3M™ Medical Necessity Online — Web-based solution for medical necessity validation designed to help healthcare organizations comply with CMS guidelines for validating Medicare coverage according to LCDs and NCDs before services are rendered.
- 3M™ Claim Scrubber — Available with the 3M Edit Engine, this secure, web-based or locally hosted claim validation application can analyze claims in either real-time or batch mode.
