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Inpatient Quality Improvement Services:
*3M™ Inpatient Coding Validation Services provide comprehensive coding reviews to determine what information can be legitimately coded and reported for CMS DRG reimbursement or 3M APR DRG assignment to reflect accurate severity-of-illness and risk-of-mortality outcomes. We highlight areas that can be reported with additional documentation and quantify the impact to CMS DRGs and to 3M APR DRG outcomes.
*3M™ DRG ASSURANCE™ Program supports an organization by improving documentation and coding to appropriately reflect patient acuity‚ resulting in accurate DRG assignment for CMS payment‚ accurate reflection of severity-of-illness and risk-of-mortality outcomes‚ and assistance in preparing for a severity-adjustment payment methodology.
3M™ HIM Operational Review Services involves a concentrated‚ high-level assessment of the HIM department or functional area workflow problems‚ staffing and performance improvement needs. The goal is to help the organization achieve optimal performance. We specifically target areas within the HIM department as well as those external to HIM that can affect the management and timely‚ accurate completion of health records for purposes of healthcare delivery‚ billing‚ revenue cycle management‚ outcomes reporting and release of health information to third parties.
APR Services
- *3M™ APR Bridge Program assists hospitals that have already implemented a concurrent documentation improvement program and need assistance implementing 3M APR DRGs into their concurrent process. 3M consultants apply deep APR DRG expertise to a facility’s specific challenges‚ delivering onsite analysis and education‚ record reviews‚ peer analysis‚ and quarterly monitoring. We include an executive exit conference with recommendations for continuing improvement. The 3M APR Bridge Service is now updated to include the Medicare-Severity DRGs (MS-DRGs).
- *3M™ Acceleration Services - A 3M APR-DRG Solution "jump start" an organization’s education program and assist appropriate personnel in understanding and implementing the 3M™ APR DRG Classification System. Service includes a chart review to assess the impact of accurate coding and documentation.
- *3M™ APR Ready Services can assist new or existing users of the 3M™ Benchmarking Software better understand the 3M APR DRG methodology and the impact of coding and documentation‚ as well as how quality of care impacts outcomes and how users can use data to facilitate organizational changes.
- *3M™ Educational Seminar - A 3M APR-DRG Solution is a one-day‚ on-site introduction to 3M™ APR DRGs. 3M experts provide education on 3M APR DRG methodology‚ data analysis‚ and clinical examples. We include a data comparison to peer facilities‚ an executive exit conference‚ and recommendations.
- *3M™ Data Conversion Services assists hospitals that need to map historical data to the current 3M APR DRG grouping methodology to provide comparable data.
Outpatient Quality Improvement Services:
3M™ APC ASSURANCE™ Program helps hospitals improve cash flow‚ prevent denials and delayed payments‚ and achieve accurate payment. We promote the accuracy and integrity of outpatient billing for compliance with CMS regulations.
3M™ Outpatient Coding Validation Services evaluates coding accuracy based on medical record documentation. This analysis identifies performance improvement opportunities by service line through application of current federal regulations and coding guidelines. We also deliver focused education on the issues identified during our review.
* asterisk indicates severity-adjusted programs
For more information‚ call 800.367.2447 or click here.