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3M extends Medical Necessity Dictionaries to reflect 2007 PQRI requirements

3M Health Information Systems : 26 June, 2007  (New Product)
3M Health Information Systems has extended its suite of 3M Medical Necessity Dictionaries to offer new regulatory content and enhanced reference tools that help hospitals and physician practices meet federal reporting requirements of the 2007 Physician Quality Reporting Initiative (PQRI).
The PQRI pay for performance initiative was launched by the Centers for Medicare and Medicaid Services (CMS) in April and goes into effect July 1, 2007.

The 3M Medical Necessity Dictionary for PQRI provides instant access to codes found in each individual PQRI quality measure, making it possible to easily retrieve the data needed to fulfill CMS reporting requirements. The new dictionary content also provides links to CMS PQRI worksheets for efficient documentation and reporting by physicians and coders.

The Physician Quality Reporting Initiative is a voluntary CMS program that rewards physicians for reporting their performance against 74 quality measures. Physicians may receive a bonus payment of 1.5 percent of their total allowed charges under Medicare for participating in the first six months of the PQRI programme from July 1 to December 31, 2007.

“As CMS and third-party payers integrate value-based purchasing with healthcare payment systems, providers are challenged to keep pace with ever-increasing administrative tracking and reporting requirements,” said Jerry Kolosky, vice president, Medical Necessity and Compliance Solutions, 3M Health Information Systems. “By expanding our medical necessity software content to include PQRI data, we can assist our customers in streamlining the measurement process and help promote accurate and timely reporting of data to CMS.”

3M Medical Necessity Dictionaries are available with 3M Medical Necessity Online, a web-based application used by hospitals and physician groups to validate Medicare coverage before rendering services.

More than 1,000 hospitals have also integrated 3M Medical Necessity Dictionaries into their existing hospital information systems through strategic agreements between 3M and the industry’s leading healthcare information technology vendors.

3M’s skilled team of subject matter experts produces one of the most comprehensive
and accurate medical necessity content sets available today, covering Medicare (for Part A and Part B), and select Medicaid and commercial payers.

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