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©2018 INFOMEDIKA, Inc. Hato Rey Puerto Rico.  All Rights Reserved. All other trademarks and copyrights are the property of their respective holders.

No accurate medical necessity checking?

You could find your reimbursement entangled in claim denials and delay.

Coding &

Reimbursement

 

Click to view our Solutions

 

Evolution Infomedika
Evolution Infomedika
Evolution Infomedika
Electronic Medical Record
Electronic Medical Record
Electronic Medical Record

3M Coding & Reimbursement System

 

 

INFOMEDIKA is the exclusive distributor for the 3M Health Information System in Puerto Rico. 3M Health Information Systems combine the strengths of two leading developers of clinical information. Their merger includes a growing product line accounting for more than 3,200 installations in United States and abroad.

 

 

  • Developers of DRG patient classification scheme. Under contract with HCFA to develop and maintain the official DRG Grouper, and develop the Ambulatory Patient Groups (APGs).

  • Distributors of the official DRG grouping and Medicare Code Editor Software to MEDICARE fiscal intermediaries.

  • Under contract to National Association of Children's Hospitals and Related Institutions (NACHRI) to develop and maintain the Pediatric Modified DRGs.

 

 

3M™ Coding and Reimbursement System Plus
 

See the immediate reimbursement impact of your coding decisions

 

3M Coding and Reimbursement System Plus (CRS+), the next generation coding system from 3M, offers a dynamic user display with immediate access to DRG and reimbursement data, plus a 3M-hosted reporting tool.

 

An innovative, patent-pending coder workflow combines 3M’s exclusive logic-based coding paths with an enhanced ICD-10 table-driven design. This helps to simplify coding and improve productivity under ICD-10. 3M CRS+ increases the speed and accuracy of coding by displaying and refreshing multiple DRGs and reimbursement during the code selection process.

Medical Necessity

 

In a strategic partnership, Infomedika’s Evolution interfaces seamlessly with 3M Medical Necessity’s robust and comprehensive dictionaries which are being constantly updated with information containing thousands of CPT/HCPCS and ICD-9 (Debe ser ICD 10), diagnosis codes and additional data, avoiding costly claim denials and delays

Uncompensated medically unnecessary services total billions of dollars per year. Without accurate Medical Necessity checking, you could find your reimbursement entangled in claim denials and delays. Plus, accurate validation can help you determine when to issue an ABN form, letter of medical necessity or other noncoverage documentation appropriately so you can comply with Medical Necessity guidelines.

 

 

In a strategic partnership, Infomedika’s Evolution interfaces seamlessly with 3M Medical Necessity’s robust and comprehensive dictionaries which are being constantly updated with information containing thousands of CPT/HCPCS and ICD-9, diagnosis codes and additional data, avoiding costly claim denials and delays.  With Medical Necessity you will be able to enjoy the following benefits:

 

 

  • Dramatically reduce Medicare denial rates and speed up reimbursement.

  • Automatically generate ABN forms (Advanced Beneficiary Notice) and transfers responsibility for denied services to the patient.

  • Identify and correct problem areas within the network.

  • Improve healthcare compliance and reduce potential fraud and abuse.

  • Improve patient satisfaction by clarifying their rights and obligations.

 

We can help you avoid the risk of denials, rework and non-compliance. Our Medical Necessity content lets hospital staff validate claims at any point in the revenue cycle.

Coding for reimbursement and compliance

 

Need already-embedded ICD-10 functionality for training, translation, analysis, and native coding? You've got it in 3M Coding & Reimbursement System.