Coding and reimbursement
Reliable content for accurate results
Coding and reimbursement are dynamic processes. Complex payment systems and regulatory changes—including the ICD-10 transition, HIPAA, Medicare audits and state payment reform—have increased the need for coding accuracy and compliance. At the same time, disruptive technologies—such as natural language processing (NLP), speech recognition and optical character recognition (OCR)—are rapidly changing how coders and other medical records professionals do their work.
Built on 30 years of coding experience
3M combines a deep understanding of industry regulations with innovative technologies to help organizations streamline their coding and reimbursement processes. 3M solutions support defensible documentation and accurate coding to help providers bill for prompt payment.
Trust the ICD-10 leader
As you prepare for ICD-10 coding, you can leverage the know-how of more than 100 credentialed 3M coding experts, plus more than a decade of ICD-10 experience in five countries and with the Centers for Medicare and Medicaid Services (CMS). Who better to trust for your ICD-10 content?
Solutions for coding and reimbursement
The only end-to-end coding and documentation improvement system built on the 3M logic for grouping and reimbursement. The 3M 360 Encompass System takes your healthcare operation into an automated future that allows users to communicate with specificity and accuracy in a timely fashion.
Most hospitals in the U.S. depend on the reliability of 3M’s flagship product for accurate, complete and compliant coding. The modular system incorporates coding, grouping, reimbursement and analyzer capabilities.
This module of the 3M Coding and Reimbursement System and the 3M™ 360 Encompass™ System prompts coders and documentation specialists to review the medical record for specificity that might otherwise be missed, allowing them to assign the most precise and comprehensive diagnosis codes. The result is more accurate representations of services provided and hospital case mix index.
3M offers both inpatient and outpatient solutions to expedite the auto-coding process without compromising accuracy and compliance. As ICD-10 approaches, computer-assisted coding can help you offset the impact on productivity and minimize staffing costs.
Seamlessly integrated with the 3M Coding and Reimbursement System, these optional reference software packages provide electronic access to materials coders often consult during the coding process.
A fully outsourced service that offers clients a 48-hour turnaround time for coded outpatient records for pro fee and technical services. 3M’s team of certified coders provides medical and surgical coding for technical and professional services, delivering CPT® coding, ICDs, DRGs, APCs and associated modifiers, as well as PQRS codes and modifiers.
Millions of dollars are lost annually due to staffing shortages, coding backlogs, delays and inaccuracies. 3M offers SourceHOV LexiCode’s qualified, credentialed coding and CDI resources to help healthcare facilities maintain current CDI initiatives, coding workflow, reduce backlogs and keep your ICD-10 conversion on schedule.
The 3M Audit Expert System allows you to identify compliance issues by reviewing 100 percent of inpatient records at the point-of-coding for ICD-9 and ICD-10. It encompasses industry-standard coding rules and both 3M-proprietary and user-defined edits and creates a defensible audit trail.
Coders receive real-time, consistent feedback and education. Plus, 3M Audit Expert provides over 200+ standard reports including MEDPAR/PEPPER comparisons and is fully AHA RACTrac compatible.