“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. 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. The agreement also provides editing, grouping and/or pricing for some outpatient hospital processes through the 3M Enhanced Ambulatory Patient Grouping System (EAPGS). 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). 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. 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.
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