3M Health Information Systems and TriZetto Corporation have signed a
strategic agreement to provide optional integration of 3M grouping,
edit, compliance and pay-for-outcomes logic into TriZetto’s industry
leading NetworX Pricer® and NetworX Modeler® solutions. When integrated,
3M software promotes timely compliance with federal and state government
payment regulations and enables TriZetto’s clients to implement programs
that identify avoidable cost and reward efficiency, quality, and care
coordination.
With this agreement, TriZetto customers will have the ability to perform
inpatient hospital editing and grouping through the 3M All Patient
Refined DRG (APR DRG) Classification System and Medicare Severity
Diagnosis Related Groups (MS-DRGs). The agreement also provides editing,
grouping and/or pricing for some outpatient hospital processes through
the 3M Enhanced Ambulatory Patient Grouping System (EAPGS). Under the
current agreement, NetworX clients have the option to work with TriZetto
in expanding the offerings available to include 3M EAPGS or 3M
Potentially Preventable Events, including Complications, Readmissions,
Ancillary Services, Emergency Room Visits, and Hospital Admissions.
“Rules governing healthcare payment can change quarterly, monthly, even
daily, so staying up-to-date can be crucial,” said Alan Stein, senior
vice president, Solutions Management for TriZetto. “It’s also important
for commercial payers to focus on improving healthcare quality and
efficiency using unique payment methodologies such as those created by
3M.”
3M’s industry-leading content is created and maintained by a team of
healthcare regulatory experts, including policy analysts, nosologists,
physicians, registered nurses, certified coders, and reimbursement
specialists. 3M proprietary methodologies are used to capture and
analyze national and regional rule changes, and then to adjust or
develop new edits and grouping technology.
Since 1983, 3M has focused on developing prospective payment systems
that have revolutionized health care. Today, 3M supports grouping,
editing and reimbursement configurations for over 50 federal, state, and
commercial payer and reporting organizations implemented for payment,
quality and public reporting.
Visit 3M Health Information Systems at www.3Mhis.com
for more information about 3M
payment methodologies.
About TriZetto Corporation
TriZetto Corporation provides
world-class information technology and service solutions that help
payers and providers work more efficiently and collaborate to deliver
better health. TriZetto solutions touch over half the U.S. insured
population and reach more than 230,000 care providers. TriZetto helps
healthcare organizations enhance administrative efficiency; improve the
cost, quality and delivery of care; address compliance; and compete to
win in an emerging retail market. Payer solutions include benefits
administration, care management, network management and portal
platforms, as well as consulting, application management and business
management services. Provider solutions include real-time eligibility
assurance, claims editing, revenue cycle management technology and
services that help providers get paid quickly and accurately. For more
information, visit www.trizetto.com.
About 3M Health Information Systems
Best known for its
market-leading coding system and ICD-10 expertise, 3M Health Information
Systems delivers innovative software and consulting services designed to
raise the bar for clinical documentation improvement, computer-assisted
coding, performance monitoring, and quality outcomes reporting. 3M’s
robust healthcare data dictionary and terminology services support data
interoperability and the expansion and accuracy of the electronic health
record. With nearly 30 years of healthcare industry experience and the
know-how of more than 100 credentialed 3M coding experts, 3M is the
go-to choice for more than 5,000 hospitals, as well as government and
commercial payers that want to improve quality and financial
performance. www.3Mhis.com.
NetworX Pricer® and NetworX Modeler® are registered trademarks of
TriZetto Corporation.
Copyright Business Wire 2014