By customizing our medical necessity software to include requirements of specific payers, hospitals can further reduce payment rejections and denials, resolve payer compliance issues, and improve the bottom line.
Salt Lake City, UT (PRWEB) September 13, 2007
3M Health Information Systems, an industry-leading source of comprehensive, up-to-date medical necessity software content, has enhanced its 3M™ Medical Necessity Online software with advanced customization features that enable hospitals to access specific medical necessity and utilization content for third-party payers. By integrating custom payer rules for medical necessity coding and preauthorization compliance, 3M Medical Necessity Online helps maintain accurate and timely reimbursement from Medicare and commercial payers.
"Keeping pace with changing payer requirements can be a significant administrative and financial burden for hospitals--especially those that must also comply with federal medical necessity regulations," said Jerry Kolosky, vice president, Medical Necessity & Compliance Solutions, 3M Health Information Systems. "By customizing our medical necessity software to include requirements of specific payers, hospitals can further reduce payment rejections and denials, resolve payer compliance issues, and improve the bottom line."
3M Medical Necessity Online is a Web-based application used to validate Medicare, Medicaid, and commercial payer coverage rules by both physicians and hospitals. The software immediately alerts staff if proposed patient care does not meet medical necessity and preauthorization requirements, making it possible to obtain a compliant diagnosis from the physician, flag the case for preauthorization or, when necessary, immediately notify patients of their potential personal financial responsibilities. 3M Medical Necessity Online creates an Advanced Beneficiary Notice (ABN) for Medicare patients. The software provides secure, password-protected, enterprise-wide access via the Internet to authorized users in physician offices, admitting, registration and clinical departments--anywhere access to payer utilization data is required.
Using 3M Medical Necessity Online, hospitals can access one of the most comprehensive and accurate medical necessity content available today. Produced by 3M's skilled team of subject matter experts, the content covers Medicare (for Part A and Part B) select Medicaid and commercial payers. More than 1,400 hospitals have integrated 3M's medical necessity content into their existing hospital information systems through strategic agreements between 3M and the industry's leading healthcare information technology vendors.
More information about 3M Medical Necessity Online is available at http://www.3mhis.com or by calling 800-367-2447.
About 3M Health Information Systems
3M Health Information Systems, part of the 3M Health Care family, is a leading provider of advanced software tools and services that help healthcare organizations capture, classify, and manage accurate healthcare data. 3M Health Information Systems products help ensure the quality of data, which drives an organization's ability to manage revenue, comply with regulations, improve quality of patient care and manage resources effectively. 3M Health Care, one of 3M's six major business segments, provides world-class innovative products and services to help health care professionals improve the practice, delivery and outcome of patient care in medical, oral care, drug delivery and health information markets.
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