3M solutions for compliance
Reduce coding and billing errors
As payers more closely monitor claims, HIM departments have to be more vigilant about coding compliance. Coding and billing errors can cause a payment delay, if not a complete denial. Unfortunately, rapidly evolving rules and regulations make it challenging to manage compliance.
Compliance raises a lot of questions: Does this documentation support medical necessity? What are the current Medicare exclusions for a diagnosis? Where is our coded data most vulnerable for noncompliance?
Fortunately, 3M has answers. We offer solutions and services to help HIM professionals detect and correct inaccurate codes, thereby producing more compliant coded data before it goes to billing. In the end, we can help you experience fewer payment delays and denials.
Compliant data, cleaner claims
The 3M Audit Expert System allows HIM professionals to identify compliance issues by reviewing 100 percent of coded inpatient records at the point of coding. 3M Audit Expert encompasses coding rules and guidelines from CMS, NCHS, American Hospital Association (AHA), American Health Information Management Association (AHIMA), and the American Medical Association (AMA). The RAC Management Tool within the 3M Audit Expert System also helps hospitals respond quickly to RAC requests and defend claims through the appeals process.
A component of the 3M™ Coding and Reimbursement System, the 3M™ APCfinder™ Software can be enhanced with an add-on option for medical necessity validation. This added functionality allows coders and documentation specialists to apply medical necessity at the point of coding.
3M ARMS provides a central repository for all three major data sources that impact outpatient revenue: HIM and chargemaster (CDM) coded data, UB-04 codes, and remittance advice (RA) codes. With 3M ARMS, you can also manage the medical necessity, OCE, and NCCI edits that support accurate outpatient reimbursement.