Team One, Final Group Project

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

Coders are granted quick

and easy access to
integrated logic and bookbased coding tools, edits,
clinical references, and
reimbursement
information.
CAC technology helps to
assure the correct capture
of all diagnosis and
procedure codes. Charts
are automatically
reviewed for
inconsistencies and will
automatically route
queries to resolve any
issues.
Optum provides
demonstration upon
request for their CAC
software, as well as case
studies based on the
success of the product
with other facilities.

CMS

workflowno starts,
stops or restarts
when the technology
cannot confidently
suggest a code.

Clinical
Documentation
Improvement
System

This system is ICD10 ready providing

access to ICD-10
training manuals,
software and
integrated, online
coding handbooks.
Also included are
definitions manuals,
documentation alerts,
and comparison
reports to help make
the transition from
ICD-9 to ICD-10 as
smooth as possible.
360 Encompass
System provides
quarterly regulatory
updates.
3M also offers the
3M Clinical
Documentation
Improvement (CDI)
System which
integrates with the
3M DRG Assurance
Program to address
the gaps in
documentation
specificity needed for
ICD-10. 3M
consultants will work
with physicians and
staff reviewing charts
and examining
documentation,
coding and physician
review practices.

The Optum Enterprise

Computer-Assisted
Coding (CAC) Platform
includes Software as a
Service (SaaS) that has
update maintenance for IT
staff. SaaS is an efficient
delivery method for
product updates.
Optums CAC smoothly
integrates with encoder
and abstraction software
from other vendors.
Optum 360 is an easy
to use CDI system that
automatically indexes all
inpatient records to
identify and resolve
missing or inconsistent
clinical information before
discharge. It also
automatically routes
physician queries and
enables concurrent review.
This concurrent review
helps to achieve
completeness for more
accurate coding, better
compliance, and faster
reimbursement.
This software includes an
online module as well as
online training. Also
included are preimplementation analysis,
process and workflow
design, training, and
monitoring for continuous
improvement.
Optums CDI software
offers follow up

Physicians are trained

an in-serviced,
managers receive
CDI education, and,
once new practices
are in place, leave
behind software
automates the review
process. The 3M
CDI System helps
sustain and improve
the benefit over time
through their new
automated concurrent
review tool.
Grouper

The 3M Coding and

Reimbursement
System includes 3M
Codefinder Software,
3M DRGfinder
Software and 3M
HCPCS/CPTfinder
Software.
As the developer of
ICD-10-PCS and
General Equivalence
Maps (GEMS)
between ICD-9-CM
and ICD-10CM/ICD-10-PCS,
3M ensures this
system is ICD-10
ready.
Coders can prepare
for ICD-10 through
dual coding and
identifying specificity
gaps in the
documentation that
will be needed for
ICD-10, and running
ICD-9/ICD-10
analysis reports to

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