3m core grouping software manual

Running on a microsoft windowsbased platform, the 3m core grouping software cgs processes inpatient and ambulatory claims according to a variety of. Aarp health insurance plans pdf download medicare replacement pdf download aarp medicarerx plans united healthcare pdf download medicare benefits pdf download. This very popular solution is used by providers, payers, fiscal intermediaries, and state and federal agencies. If you already license 3m apr drg software you can access the icd9 and icd10 definition manual for free on the 3m his support website. Business partner solutions 3m health information systems. Using csv files to import grouper settings dhcs ca. Develop test cases for the testing and validation of software updates of third party applications such as 3m core grouping software, optum claims editing software, and automate bpa 9. The 3m core grouping software provides accurate and efficient grouping, editing, and calculation of expected reimbursement for inpatient and outpatient claims, medicare and nonmedicare. Bret borden budget analyst defense acquisition support. Overview of apr drgs and potentially preventable readmissions. The output can then be uploaded directly through interfaces to your billing or claims processing systems or into a data warehouse.

Core grouping software cgs schedule setup module instead of manually entering them. Further use or disclosure requires prior approval from 3m. The 3m core grouping software supports a traditional batch processinput of a fixed length, delimited, or 837i file and output of a fixed length or delimited fileor an interactive interface mode. Running on a microsoft windowsbased platform, the 3m core grouping software cgs processes inpatient and ambulatory claims according to a variety of payment and classification methodologies as selected by the user.

The 3m core grouping software is written as a transaction processor, with no database storage or reporting facility. The 3m enhanced ambulatory patient grouping eapg system is a methodology that captures the current changes in clinical practice and resource use to provide a broader, more inclusive classification of outpatient care. The apr drg definitions manual contains proprietary information and is only available to licensed 3m apr drg customers. The 3m enhanced ambulatory patient grouping eapg system is a classification system developed specifically for use in todays complex ambulatory environment to develop an effective and comprehensive opps that includes hospitals, freestanding ambulatory surgery centers ascs, renal dialysis centers, and other diverse outpatient care settings. Join bonnie biafore for an indepth discussion in this video, grouping tasks and resources, part of microsoft project 2016 essential training. Definitions manuals 3m his support website health information. Grouping classification solutions 3m health information. Grouping tasks and resources linkedin learning, formerly. This allows them to calculate payment rates, adjust for health risk, apply cms edits, validate codes and support valuebased purchasing programs. The unit of analysis for the eapg is the visit multiple visits dates of service on one claim for.