3M™ Clinical Claims Editor Software for z/OS™ Mainframes

Evaluate claims for coding errors

The 3M Clinical Claims Editor (3M CCE) is a computerized patient record processing system designed for payers or other users who want to process large volumes of claims. The functions of the 3M CCE are to:

Assign patient records to Medicare Severity Diagnosis Related Groups (MS-DRGs) and/or Diagnosis Related Groups (DRGs)
Evaluate the accuracy and completeness of clinical data
Identify potential coding errors
Verify provider claims for reimbursement

3M CCE is available in two versions for either interactive or batch processing using IBM® z/OS® mainframes. The interactive version of 3M CCE can be customized in several ways; for example, you can use a code mapping facility that allows ICD-9-CM codes from one year to be used with a grouper from another year. A large number of payment types are available in the software, representing not only mandated MS-DRG or DRG reimbursement methods and state initiatives, but also “generic” payment types that are not based on DRG assignment.