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3M™ 360 Encompass™ Audit Expert System

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Medical coding errors can impact a health care organization’s ability to submit clean claims. Implementing a strong edit, review and audit process can help improve coding accuracy by identifying high risk coding issues before it becomes a problem for your bottom line. 3M™ 360 Encompass™ Audit Expert System provides a seamless solution that gives coders custom, actionable edits and second level reviews to improve coding accuracy at the point of coding, or as part of retrospective coding compliance audits. Both processes can help organizations identify and improve opportunities for coding accuracy.
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Product Details

3M 360 Encompass Audit Expert is a module within the 3M™ 360 Encompass™ System platform and includes two collaborative components:

3M™ 360 Encompass™ Audit Expert System — Inpatient Prebill Review

Gives coders the means to resolve potential issues early on, keeping small issues from becoming large ones. Actionable edits address coding pain points that align with an organization’s coding policies and procedures. These edits provide coders with guidance and education as they code, so they can correct issues before it becomes a problem.

3M™ 360 Encompass™ Audit Expert System — Code Audit

Brings critical audit information into the same system in which the coding and documentation originated, reducing time spent on managing spreadsheets and other manual processes.

Reduce A/R days

Reduce A/R days

Increase clean claims

Increase clean claims

Improve accuracy of revenue capture and quality reporting 

Improve accuracy of revenue capture and quality reporting 

Improve communication between coders, reviewers and auditors

Improve communication between coders, reviewers and auditors

Two-pronged review process

Comprehensive solution that offers both a prospective and retrospective review process to ensure continuous coding accuracy.

Point of coding edits

Customized, actionable edits at the point of coding based on audit findings and tailored for each organization’s coding risk areas and compliance challenges.

Second level reviews

Second level reviews provide additional focus on high risk DRGs, APCs, EAPGs, quality reviews or other coding initiatives important to an organization.

Analytics reports

Integrated reports and analytics that efficiently track and trend data from both prebill and retrospective audit processes.

360E Audit Expert

Videos

"Ultimately the additional review could eliminate rebills and enable coders and auditors to work together and provide quicker and more timely feedback.”

Nancy Blattberg-Smith, MPH, RHIA, CDIP, CCS
Manager of data integrity, University of Utah Health