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3M enhances medical necessity and utilisation software to offer custom features

3M Health Information Systems : 10 September, 2007  (New Product)
3M Health Information Systems has enhanced its 3M Medical Necessity Online software with advanced customisation features to enable hospitals to access specific medical necessity and utilisation content for third-party payers.
By integrating custom payer rules for medical necessity coding and preauthorisation 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 customising 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 preauthorisation requirements, making it possible to obtain a compliant diagnosis from the physician, flag the case for preauthorisation 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 authorised users in physician offices, admitting, registration and clinical departments - anywhere access to payer utilisation 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.
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