3M outpatient grouping software simplifies the analysis and reporting of ambulatory visits. It identifies key procedures and determines which items are covered within an outpatient prospective payment system (OPPS). 3M classification and grouping functionality is available as integrated components within other 3M products and as embedded solutions for business partners.
The Ambulatory Patient Group (APG) classification system is used as the basis for prospective payment by some state agencies and third-party payers for reimbursing hospitals for outpatient care. 3M’s proprietary software, 3M™ Enhanced APG (EAPG) Grouping Software incorporates significant changes to bring APGs current with clinical, coding and billing practices. It also describes a broader‚ non-Medicare population.
3M™ APC Grouper Plus Software handles the complex OPPS regulations by grouping diagnosis and procedure codes, applying prescribed edits, calculating reimbursement, and interfacing with in-house billing or other hospital information systems.
Features and benefits
3M software can take into consideration ancillary services, multiple visits and per diem payment to more accurately reflect services and predict reimbursement.
Regularly updated codes sets support the capability to precisely group visits into appropriate clinical categories, providing a reliable framework for analysis and reporting.