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3M™ APCfinder™ Software

Industry-leading OPPS software*

Outpatient services are a fast-growing revenue stream. With so many market and regulatory payment pressures, it is critical for healthcare providers to accurately code outpatient records and model reimbursement. And they prefer 3M over all other vendors to help them.*

3M APCfinder Software, a module of the 3M™ Coding and Reimbursement System (CRS), incorporates the most up-to-date outpatient prospective payment system (OPPS) regulations. It enables coders to code and group individual outpatient records and also provides estimated payment information for Ambulatory Payment Classifications (APCs), fee schedules, and beneficiary co-payments. 3M APCfinder Software provides APC data not just for Medicare patients, but for your entire outpatient population. The software gives you precise grouping capabilities that can help you track resource usage, refine financial models, and sharpen your competitive edge.

3M APCfinder Software can help:

  • Improve outpatient coding accuracy and completeness
  • Submit accurate claims
  • Resolve coding and claims issues that may impact claims processing by the fiscal intermediary (FI) or the Medicare administrative contractor (MAC), which can in turn affect cash flow and hospital revenues
  • Estimate reimbursement
  • Manage denials
  • Forecast revenue

As with all 3M coding and grouping applications, the 3M APCfinder Software is routinely updated to comply with changing regulatory standards.

Features and benefits

Provides medical necessity validation

With 3M™ APCfinder™ Software with Medical Necessity Validation, users can perform medical necessity validation during a coding session in the 3M CRS. The add-on option for medical necessity (MN) validation allows coders to invoke the appropriate MN and OCE edits as well as view applicable LCD and NCD policies.

3M APC solutions for TRICARE

3M offers APC software solutions consistent with TRICARE specifications and designed to help you verify coding completeness, submit accurate claims, verify correct payment, estimate profitability, and manage the services you deliver to TRICARE beneficiaries.

Library

* 3M APCfinder and 3M™ DRGfinder™ Software are ranked top software products for the KLAS market segment Medical Records Other (2011 Top 20 Best in KLAS Awards: Software & Professional Services). © 2011 KLAS Enterprises, LLC. All rights reserved. www.KLASresearch.com.

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