405e Final Project 2
405e Final Project 2
405e Final Project 2
COMPARISON TABLE
Applications:
Computer-Assisted
Coding
3M
Optum
360 Encompass
System: An
automated coding
and documentation
improvement system
that uses natural
language processing
to review the
documentation and
identify key quality
metrics including
potentially
preventable
readmissions (PPRs)
and complications
(PPCs), as well as
patient safety
indicators (PSI),
concurrent to the
patients stay.
Optum Enterprise
Computer-Assisted
Coding (CAC) Platform:
This easy to use system
has been proven to
increase productivity of
inpatient cases by 20%
and outpatient cases by
100%. With its use, it
helps to improve
workflows, coding
accuracy, consistency, and
clinical documentation.
This integrated
system enhances
document
completeness and
improves workflow
as it brings the coder,
CDI specialist and
manager together,
thus boosting
productivity.
A key feature of this
automation is end-toend integration
which means having
automation solutions
fully integrated so
that coding can be
validated without
leaving the coding
CMS
workflowno starts,
stops or restarts
when the technology
cannot confidently
suggest a code.
Clinical
Documentation
Improvement
System
monitoring, with
physician-to-physician
support and reviews for
continuous improvement
and change management
support.
Optum 360 is part of the
CAC Platform.
Medicare Severity
Diagnosis Related
Groups (MSDRGs) Grouper is
a standalone product
that classifies
hospital case types
into groups
expected to have
similar hospital
resource use.
This programs
consists of tables
which contain
information for all
valid diagnoses,
procedures, and
DRGs
This softwares user
manual is a valuable
reference for both
product installation
and data entry.
Updates are
provided on an
annual basis.
compare grouping
and reimbursement.
Encoder
The 3M Integrated
Codebook is part of
the 3M Coding and
Reimbursement
System and can be
easily accessed by
using the Integrated
Codebook icon, the
Reference menu, and
the Options menu on
the applications
summary window.
The 3M Coding and
Reimbursement
System easily
integrates with the
360 Encompass
System.
This grouper
software is available
for $700.
Optum EncoderPro has
the ability to search across
ICD-9, CPT, and HCPCS
codes along with
Medicare guidelines. It
also includes audit and
report functionality.
It is an easy to use
encoder that includes a
user-friendly manual with
step by step guidance.
This standalone coding
application is not meant to
interface with other
software. Optum
EncoderPro is not
compatible with Apple
computers.
Available options include
online ($299.95),
professional online
(549.95), and expert
online (999.95).
The EncoderPro
automatically updates in
January, April, July, and
October. There is also a
Data Update enhancement
that updates when new
information is available
providing immediate
access to new data sets.
Coding Reference
Software
3M Coding
Reference Software
is designed to give
coders easy, online,
integrated access to
references such as
anatomy
plates coding
clinics a dictionary
and other useful
reference manuals to
determine the most
accurate complete a
nd compliant codes.
Includes the
American Hospital
Association (AHA)
Coding Clinic for
ICD-9-CM,
American Medical
Associations CPT
Assistant (published
quarterly), Clinical
Pharmacology drug
reference, Dorlands
Medical Dictionary
and Elseviers
Anatomy Plates.
The addition of 3M
Coding Reference
Plus Software gives
coders access to
additional references,
such as the ICD-10CM and ICD-10-PCS
Coding Handbook,
and The Merck
Manual.
3M Coding
Reference Software
is integrated with the
ICD-10-ready
3M Coding and
Optum
MedicalReferenceEngine
is an easy-to-use coding
reference software. The
information within this
software is consolidated
into a single tool. It is
proven to reduce research
time and increase
productivity. It is up to
date on all regulatory
changes.
This standalone software
integrates with
EncoderPro and
RevenueCycle Pro.
Product support is offered
via e-mail and phone
where customer service
issues and questions will
be promptly addressed.
Product demonstrations
are available as are
monthly webinars.
This product is available
for $899.95.
Reimbursement
System.
Compatibility
VersaSuite and 3M
have partnered and
seamlessly integrate
3M's voice dictation
and transcription.
Using the same
vendor for all
applications will
minimize the number
of interfaces required
which will result in
reduced installation
and maintenance
costs.
ICD-10 Readiness
3M ICD-10
Education Program:
Designed for
inpatient,
outpatient, and
professional
coders, CDI staff,
and physicians.
Allows for training as
per trainees
functional roles based
on specific needs.
3M also provides
ICD-10 transition
consulting services
and software.
Resources:
Optum Enterprise
Computer-Assisted
Coding (CAC) Platform
smoothly integrates with
encoder and abstraction
software from other
vendors.
Optum EncoderPro does
not interface with other
software and is not
compatible with Apple
computers.
Optum
MedicalReferenceEngine
is a standalone software
that integrates with
EncoderPro and
RevenueCycle Pro.
Optum Enterprise
Computer-Assisted
Coding (CAC) Platform:
The CAC program scales
easily to the increased
specificity of ICD-10 to
ease the transition.
Medicare Severity
Diagnosis Related
Groups (MSDRGs) Grouper is
a standalone
product.
http://www.ntis.gov/products/grouper.aspx
http://solutions.3m.com/wps/portal/3M/en_US/Health-InformationSystems/HIS/Products-and-Services/
http://www.optum.com/providers/revenue-cycle/hospital/coding-documentation.html