Clinical and Economic Research

3M Health Information Systems

Topic

Patient Classification

eGuide

3M™ Enhanced Ambulatory Patient Grouping (EAPG) System

The 3M™ Enhanced Ambulatory Patient Grouping (EAPG) System is a comprehensive outpatient prospective payment system (OPPS) and methodology used to…

3M Commentary

Meaningful outcomes comparison requires risk adjustment, but the risk adjustment needs to achieve its purpose

By Richard Fuller, MS

Risk adjustment is a correction applied in hospital performance measurement to account for the contribution of population characteristics that are…

Journal Article

IR-DRGs and CDI in the UAE

Published in the Journal of AHIMA, April 2019,  by Wilbur Lo, MD, CDIP, CCA.  Clinical documentation improvement (CDI) holds…

3M Commentary

The Florida Medicaid approach to quality improvement in managed care

By Richard Fuller, MS

One of the fundamental objectives of Medicaid programs contracting out their sizeable budgets to managed care companies is to improve…

3M Commentary

Data can show us many things, not all of them real…

By Richard Fuller, MS

Modern Healthcare recently published another article questioning the utility of the CMS hospital readmission reduction program (HRRP). The article used…

3M Commentary

ICD-10-PCS stocktaking discussion at the September C&M meeting

By Rhonda Butler

Classification systems like ICD-10-CM and ICD-10-PCS are all about trade-offs—balancing the ongoing need for new levels of detail with the…

3M Commentary

Extra codes vs. creeping complexity in the ICD-10-PCS tables

By Rhonda Butler

Geek alert: If you are one of those people who don’t want to know how sausages and legislation are…

3M Commentary

An update on the Hospital Readmission Reduction program

By Richard Fuller, MS

At the end of September, CMS posted the latest round of data supporting the Hospital Readmission Reduction Program. This is…

3M Commentary

The need to validly compare nursing home quality across state lines

By Richard Fuller, MS

June and July saw a flurry developments highlighting the challenges with the five star nursing home compare ranking system. In…

3M Commentary

Risk-adjustment should be about cohorts not individuals

By Richard Fuller, MS

Viewing risk-adjustment as a process of balancing financial risk across defined patient cohorts, rather than the risk posed by an…

3M Commentary

Mortality measures: Back from the dead….

By Richard Fuller, MS

Within the CMS proposed rule for FY2019 published at the end of April, there is a proposal to consolidate and…

3M Commentary

Will hospital peer grouping by patient socioeconomic status fix the Medicare HRRP or create new problems?

By Richard Fuller, MS

In this blog, we return to how socioeconomic status is accounted for when measuring patient outcomes. We have actively participated…