3M™ Consulting Litigation and Compliance Support Services – are customized based on the needs of clients and/or counsel in carrying out reviews or investigations pertaining to coding‚ billing‚ reimbursement‚ or internal compliance monitoring. We also provide assistance in validating third-party findings and recoupment assessments‚ assistance with self disclosures‚ and education to correct internal deficiencies.

3M™ Audit Expert Report Card is a review of a facility’s historical data and a presentation of the findings. We examine real-life examples in a coaching session with your facility‚ identify compliance exposure‚ and recommend steps for improvement.

3M™ APC Oversight (Outpatient) assists your organization in grouping APCs‚ estimating costs and reimbursement‚ analyzing and reporting on outpatient claims data‚ and minimizing compliance risks. 3M consultants extract APC claims data from your billing system and assess critical areas in coding‚ charging‚ and billing that negatively impact reimbursement. 3M-defined reports graphically display areas for improving reimbursement‚ processes and compliance under the outpatient prospective payment system (OPPS).

The 3M APC Oversight Program is the optimal combination of information tools‚ training‚ and guidance to help organizations achieve appropriate OPPS reimbursement. This program is designed with daily‚ monthly‚ and quarterly reports and the support of teleconferences conducted regularly with an experienced consultant. Therefore‚ it does not require hospitals to have in-house OPPS experts‚ IT infrastructure‚ or sophisticated analyzing capabilities.

3M™ APC Oversight Trial (Outpatient) is an introductory package that allows hospitals to experience the full benefits of 3M APC Oversight during a 90-day trial period.

3M™ APC Support Services (Outpatient) support hospitals by providing access to 3M outpatient payment specialists via phone‚ fax‚ and email. Available on a yearly retainer basis‚ this service answers questions on hospital outpatient coding and billing issues.

3M™; Physician Services can help organizations receive accurate payment and assess documentation‚ coding‚ and billing practices for professional services. We provide education on payment rules‚ monitor performance‚ and measure improvement. We also offer customized training for physicians‚ administration‚ and coding and billing staff.

3M™ HIM Operational Review Services (Inpatient) involve 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.

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™ Consulting Services for Recovery Audit Contractors (RACs) – 3M is ready to assist providers who are facing RAC audits. We can help hospitals reduce the risk of RAC audits with coding‚ compliance and medical necessity through our consulting services. Compliance checks remain a focus for providers as they prepare for the RAC audits. Hospitals can best prepare for the RAC audits by taking a proactive approach and having a well-defined process for responding to record requests and appeals.

• DRG Validation Services for RAC (Inpatient)
• APC Assessment Services for RAC (Outpatient)
• Professional Billings Assessment Services for RAC (Outpatient)
• Appeal Services for RACs (Inpatient/Outpatient)

3M™ DRG/APC/Professional Services Compliance Audits – Conduct DRG/APC/Professional Service compliance reviews to include record review‚ calculating accuracy rates for compliance monitoring‚ report preparation and executive summation presentation.

For more information‚ call 800.367.2447 or click here.