Health Information Technologies & Processes

Transition from OPTUM to 3M

  • 1.  Transition from OPTUM to 3M

    Posted 10-19-2018 11:35
    My current facility has been using OPTUM for years as their encoder. Our coders are tasked with having to place NCCI edits which they do not currently see in OPTUM so are having to do this on the back end after a denial is received in the business office or when the claim goes through the scrubber and needs edits. Our coders do not have access to this scrubber so have to rely on manual input into a log from the business office to try to hunt down the NCCI edits being requested.

    I have used 3M  in the past at all the other facilities I have worked in and the applications we used had the NCCI edits built into the system so we are seriously thinking of switching from OPTUM to 3M . I have been tasked to research and try to locate other facilities that have associated clinics with their hospital that have either made this switch or are  on 3M to hear your experiences with the system. We are a CAH with 10 associated clinics and basically want to know the pros/cons you have found with either system.

    For those of you using OPTUM- do you have the NCCI edits functionality within your system ?

    If any of you would be willing to share your experiences that would be great !

    Thanks !

    Kathryn Severson
    Him Director
    Mason General Hospital

  • 2.  RE: Transition from OPTUM to 3M

    Posted 10-19-2018 11:40

    Are you using the encoder or CAC?


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  • 3.  RE: Transition from OPTUM to 3M

    Posted 10-19-2018 11:52

    I have worked with OS2 Healthcare Solutions and with Mercy Health Ministries. Both of these organizations use 3M. Both organizations have different systems and 3M has been addaptible for each one with consistent upgrades. I too like the way 3M uses edits to guide the coders towards correct coding.

    Good luck with your research and coming decisions.

    Sarah Spencer, RHIT