Infographic: The Complexities and Costs of Medical Necessity
|Medical necessity checking is complex. And if done incorrectly, you can find costly denials in your claims. In fact, most hospitals say medical necessity denials are the most costly denial. Learn more about the complexities and costs of medical necessity in this infographic.
View the infographic here.
U.S. States: Quality and Cost Innovation
A number of U.S. states have launched healthcare quality initiatives that link patient outcomes to financial incentives. These states are using 3M risk adjustment tools to analyze outcomes and identify preventable readmissions, preventable complications and other types of avoidable care.
Government Health IT spoke with 3M HIS President JaeLynn Williams about states that are leading the way in quality and cost innovation.
3M testifies at congressional hearing on ICD-10
Richard Averill, MS, director of public policy for 3M Health Information Systems, testified before the House Energy & Commerce Committee in a Feb. 10 hearing about ICD-10 implementation readiness. "If we are to transition the health care system to one that focuses on value over volume, we need ICD-10. It is simply time to have our diagnosis and procedure coding system reflect modern medicine."
Read his full testimony here.
Read an event recap from the Journal of AHIMA here.
3M HIS is a member of the Coalition for ICD-10. Visit the Coalition's website to learn more about supporting the Oct. 1, 2015 ICD-10 compliance date.
Case study: Kettering Health Network
When Kettering Health Network set out to re-engineer its outpatient revenue cycle, the organization knew it had to address an increasing rate of denials and find a way to capture revenue tied up in bill holds or write-offs. In this case study, Debbie Shrubb, corporate HIM director, describes how process change and innovative 3M technology led to a clean claim rate of 96 percent (20 percent higher than the national average for a high-performing hospital).
Healthcare leaders talk candidly about achieving better population health
You’ve heard of population health, but what action is the industry taking to achieve better population health outcomes? At a 3M seminar, leaders from health plans, hospitals, government and non-profit organizations shared how they’re using patient-centered models of care, unique partnerships and the right metrics to impact population health outcomes.
Video: Physicians and CDI
Dr. Tom Kravis, MD, physician executive at 3M Health Information Systems, says: “As a physician, I know how busy a physician’s day can be. Between seeing my patients, hospital rounds, documenting each encounter, reading dozens of charts and test reports, team meetings, and unplanned emergencies, they must also respond ASAP to queries from CDI specialists asking for even more information about their patients.”