3M™ ICD-10 Financial Impact Tool
Revenue retention in the era of ICD-10
Major revenue fluctuations—resulting from shifts in DRG assignment—between service lines can have ramifications for your operations. In ICD-10, there are more than 1,600 of these avoidable shifts.
How do you know which DRGs will shift? More importantly, can you avoid them?
The 3M™ ICD-10 Financial Impact Tool (FIT) identifies the codes behind the shifts and suggests other codes that may be used to avoid them.
Why shift if you don’t have to?
With 3M FIT, organizations can:
- Identify overall organizational impact
- Determine risk by service line
- Highlight DRGs that change most commonly
- Identify the impact of each DRG shift
- Report results by physician, site or payer
We’ve done the research for you
3M reviewed more than 14 million claims coded in ICD-9 and translated them to ICD-10 to determine where DRG shifts might occur in ICD-10. 3M FIT takes a statistical approach, applying your ICD-9-based DRGs with your base rate and analyzing the data to determine the financial shift for each DRG.
Simple fact of life: Some DRG shifts will be absolutely unavoidable in ICD-10. But for each avoidable shift, 3M FIT describes why the shift occurred and offers alternative, more specific codes to use if the clinical documentation supports them.
And when more than one shift per DRG occurs, 3M FIT shows the percentage of time the shift occurs, the DRGs that will be shifted to along with their new weights and variances, and again provides both an explanation of why the shift occurred and the possible ICD-10 coding changes to consider.
3M has done the research, saving your organization copious time and resources.