3M Ambulatory Revenue Management Software User Manual

3M Health Information Systems
3M™ Ambulatory Revenue Management Software
Discover hidden outpatient revenue by:
Improving throughput of accurate claims data
Decreasing back-end correction times, write-os, and A/R days
Integrating medical necessity into edits to improve outpatient revenue assurance
What you can’t see, can hurt you
Transform and improve your outpatient revenue cycle performance with the 3M Ambulatory Revenue Management Software (ARMS), a comprehensive solution that moves coding edits and charge detail from the back­end up to the point of coding.
3M ARMS can help you submit
accurate outpatient claims the rst
time and reduce payment denials, compliance risk and rework. The 3M software comes with tools to measure and analyze data accuracy, validate medical necessity claims, and audit for compliance purposes throughout your APC revenue cycle.
The challenge
Are you receiving accurate payment for your outpatient services? How many of your claims are being denied because of medical necessity or other reasons? Do you worry that your outpatient claims are not compliant?
Directing today’s outpatient revenue cycle is challenging because processing a claim involves coordinating people, processes, and systems across multiple ancillary departments, HIM, and billing services. The process also requires
that you manage dierent codes and coding processes in the HIM and billing departments. Too often the typical outpatient revenue cycle results in signicant
rework, lost revenue, and inaccurate billing.
The 3M solution
The 3M Ambulatory Revenue Management Software (ARMS), also referred to as ARMS Comprehensive is a single outpatient database that consolidates the information you need to manage and improve ambulatory reimbursement, performance, and compliance, as well as evaluate and continuously improve your organization’s revenue cycle process. When your organization selects 3M ARMS and all the software and services that comprise this solution, you are purchasing a comprehensive outpatient revenue cycle solution that combines workow mapping, robust software, and coder education.
Unlike many revenue cycle solutions, 3M ARMS provides a central repository for viewing the major data sources that impact outpatient revenue: HIM, chargemaster, and billing department for the billing codes. More importantly, 3M ARMS moves edits from the back-end of the revenue cycle
process to the point of coding, which helps you improve cash flow and
compliance while also reducing re-work and denials.
* HFMA sta and volunteers determined that this product has met specic criteria developed under
the HFMA Peer Review Process. HFMA does not endorse or guaranty the use of this product.
Coding Billing / PFS
Edit at the point of coding
Denials management
3M™ Ambulatory Revenue Management Software
3M ARMS helps you simplify the outpatient revenue cycle process by providing you with:
• The ability to manage medical necessity, OCE, and NCCI edits that support accurate reimbursement
Eective electronic communication with ancillary departments to help improve billing times
Workow engineering and edit education to help reduce rework
• Standard and custom reports that enable continuous improvement of your revenue cycle
Step 1: 3M™ Workow Engineering Program
To analyze and improve your current processes, 3M consultants conduct the
3M Workow Engineering (WFE) Program, a process analysis and improvement program that identies your redundant processes, data ow gaps, problem root
causes, and other issues.
This comprehensive program culminates in a “should” map of the ideal
ambulatory revenue management workow from registration to billing.
Step 2: Implementation and education
With key areas for improvement identied, 3M ARMS can be installed and
implemented. Your organization now receives focused training on using the software to meet the top priority objectives.
Experienced project managers and product and process experts, the 3M
implementation team works closely with you and your IT sta to help implement
3M ARMS smoothly and successfully into your facility.
Reporting
3M ARMS provides standard reports to help identify problem areas; monitor and trend edit corrections by responsible department; and, ultimately, help reduce claim denials. In addition, you can create custom reports that let you
pinpoint issues specic to your facility.
Call today
For more information on how 3M solutions can assist your organization, contact your 3M sales representative, call us toll-free at 800-367-2447,or visit us online at www.3m.com/his.
Add value
3M ARMS integrates with and enhances your existing systems:
360 Encompass™ System
• 3M combines computer-assisted coding, documentation improvement and quality metrics into a single application
• HIS vendors and EHR systems available in the market today that have a software interface license agreement with 3M
Standard reports include:
Prot/loss reports with charges
Physician proling reports
• Claims analysis
• Error or unpaid services report
• Type-of-visit summaries
Most and least protable APCs
Optional module
The Charge Update module allows HIM department coders to perform charge corrections in 3M ARMS, thus eliminating the need to send and wait for changes from ancillary departments. This module enables the coder to:
• Add charges
• Flag charges to be deleted
Add modiers and date-of-service corrections
• Keep a separate audit trail of the transactions
Health Information Systems
575 West Murray Boulevard Salt Lake City, UT 84123 U.S.A. 800 367 2447
www.3m.com/his
3M and 360 Encompass are trademarks of 3M Company.
Please recycle. Printed in U.S.A. © 3M 2021. All rights reserved. Published 03/21 70-2011-6540-7
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