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3M™ Enhanced Ambulatory Patient Groups (EAPGs)

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3M™ Enhanced Ambulatory Patient Groups (EAPGs) are specifically designed for today’s complex ambulatory environment.This methodology captures the current changes in clinical practice and resource use to provide a broader, more inclusive classification of outpatient care.

Using the 3M EAPG methodology, providers can more easily manage the complexity of outpatient claims, identify cost recovery opportunities, and improve both outpatient coding compliance and reimbursement.

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Appropriate for all patient populations

Appropriate for all patient populations

EAPGs are suitable for all patient populations treated in emergency departments, other hospital outpatient departments, ambulatory surgical centers (ASCs) and other diagnostic and treatment clinics. Medicare Ambulatory Payment Classifications (APCs), by contrast, are designed and implemented for the specific needs of the Medicare population.

Standardized, clinically meaningful information

Standardized, clinically meaningful information

3M EAPGs are designed to explain the amount and type of resources used in an ambulatory visit or define the product of ambulatory care. That creates a common language for clinicians and financial managers to understand utilization patterns and evaluate comparative efficiency. EAPGs are also used in measuring quality outcomes, such as potentially preventable ED visits.

Appropriate bundling

Appropriate bundling

The unit of analysis should be the visit, not individual services. EAPGs define the visit, including appropriate bundling policies such as packaging, consolidation and discounting, to reflect provider resources typically expended for ambulatory visits.

Flexible use cases

Flexible use cases

EAPGs offer multiple options to fit the analytical and policy needs of payers and providers. Examples include packaging ancillary services, discounting multiple procedures within the same visit, paying or not paying for multiple medical visits in the same day.

EAPGs

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