Vanguard Health Systems' five Phoenix-area hospitals implemented 3M Ambulatory Revenue Management Software. Bill scrubber edits were reduced by 52 percent in the first three months and 40-60 percent of medical necessity edits are now resolved at the point of coding. Read more (pdf, 223 KB)	3M ARMS has achieved the Healthcare Financial Management Association's prestigious Peer Review designation
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By capturing the clinical and financial data to track and manage a patient’s health history, you can discover the details that quantify and qualify your ambulatory services. This revenue cycle management software helps you manage your financial performance and minimize the financial risk of providing ambulatory care. It can be used in a full range of ambulatory care settings, including same-day surgery units, hospital emergency rooms, and hospital-based outpatient clinics.

Coders can edit for medical necessity (LCDs/NCDs), NCCI, and APC/OCE edits at the time of coding because the 3M™ Ambulatory Revenue Management Software is integrated with 3M’s medical necessity content. Users can also analyze which CPT® codes from both the chargemaster and the HIM department fail medical necessity and OCE edit requirements. Since this check is done in the HIM department, where contacting physicians to clarify documentation is routine, efficiency and billing accuracy can be greatly improved.

• Have one database to store:
  • Soft coded” HIM CPT® codes
  • Hard coded” chargemaster codes
  • APC/OCE edits
  • Unresolved LCD edits
• Report on APC/OCE and LCD edits and the potential for expected payment that may be recovered if corrected
• Evaluate and report on outpatient service mix, so it’s easier to manage outpatient product lines
• Compare what was billed with your remittance advice for your organization’s Medicare outpatient services
• Predict your outpatient facility expenditures without compromising quality of care
• Analyze the reimbursement and utilization of your ambulatory populations
• Determine referral patterns to responsible departments for corrected data and determine where education may be needed
• Report multiple outpatient encounters
• Design a report to fit your needs and then customize the report on the fly to meet the reporting needs of others
• Export reports to other software programs, including spreadsheets, word processing applications, and graphics packages

ARMS Overview (PDF 727 KB)

Case Study: Mississippi Baptist Medical Systems (PDF 207 KB) reengineered its outpatient revenue cycle.

Case Study: Kettering Health Network (PDF 205 KB) reduced medical necessity write-offs from $80,000 per month to a monthly average of $10,000.

For more information, call 800.367.2447 or click here.