- Facilities
- Acute Care
- Inpatient/Outpatient Revenue Cycle Maintenance Program
- Outpatient (OPPS) Revenue Cycle Maintenance Program
- Emergency Department (ED) Program
- Comprehensive Chargemaster Update
- Chargemaster Update - Desk Review
- Pass-through Code Identification Review
- Chargemaster Update - Single Department or New Service
- Chargemaster Follow-Up Review
- Chargemaster Training Program
- Acquisition Feasibility Study
- Compliance Program Development and Audit Services
- Independent Review Organization
- RAC Pre-Audit & Appeals Services
- Teaching Facilities
- Inpatient/Outpatient (IPPS/OPPS) Full Service Program
- Outpatient (OPPS) Full Service Program
- Emergency Department (ED) Program
- Comprehensive Chargemaster Update
- Chargemaster Update – Desk Review
- Pass-through Code Identification Review
- Chargemaster Update – Single Department or New Service
- Chargemaster Follow-Up Review
- Chargemaster Training Program
- Acquisition Feasibility Study – Chargemaster
- Compliance Program Development and Audit Services
- Independent Review Organization
- RAC Pre-Audit & Appeals Services
- Critical Access Hospitals
- Inpatient/Outpatient (IPPS/OPPS) Full Service Program
- Outpatient (OPPS) Full Service Program
- Emergency Department (ED) Program
- Comprehensive Chargemaster Update
- Chargemaster Update – Desk Review
- Pass-through Code Identification Review
- Chargemaster Update – Single Department or New Service
- Chargemaster Follow-Up Review
- Chargemaster Training Program
- Acquisition Feasibility Study – Chargemaster
- Compliance Program Development and Audit Services
- Independent Review Organization
- RAC Pre-Audit & Appeals Services
- Long Term Acute Care Facilities
- Inpatient Full Service Program
- Comprehensive Chargemaster Update
- Chargemaster Update – Desk Review
- Pass-through Code Identification Review
- Chargemaster Update – Single Department or New Service
- Chargemaster Follow-Up Review
- Chargemaster Training Program
- Acquisition Feasibility Study – Chargemaster
- Compliance Program Development and Audit Services
- Independent Review Organization
- RAC Pre-Audit & Appeals Services
- Inpatient Rehabilitation Facilities (IRF)
- Inpatient Rehabilitation (IRF) Full Service Program
- Comprehensive Chargemaster Update
- Chargemaster Update – Desk Review
- Pass-through Code Identification Review
- Chargemaster Update – Single Department or New Service
- Chargemaster Follow-Up Review
- Chargemaster Training Program
- Acquisition Feasibility Study – Chargemaster
- Compliance Program Development and Audit Services
- Independent Review Organization
- RAC Pre-Audit & Appeals Services
- Skilled Nursing Facilities
- Acute Care
- ASC
- EMS
- Physicians
- Home Health
- Hospice
- Coding
Chargemaster Update - Desk Review
Developed to help improve billing accuracy, strengthen regulatory compliance, and reduce payment denials for the Client by ensuring that services provided are accurately reflected in the CDM, reimbursement is optimal, and financial information is readily and accurately trackable.
The scope of the engagement includes a combination of an off-site review and on-site review with technical assistance. Our consultant specialist reviews the CDM using automated tools and technical expertise to:
- Verify accuracy of coding assignment (CPT/HCPCS/Modifier/UB)
- Update invalid/deleted codes
- Review descriptions to ensure services are accurately reflected and meet Client’s internal standards
- Identify charges missing from the CDM
- Perform price comparison vs. allowable reimbursement levels
- Identify compliance issues relating to the CDM
- Formulate queries for on-site visit
We work directly with department staff to define within the CDM the extent of services performed in their areas, review with them any compliance issues that may be evident, and identify for them the changes needed in their current coding and billing practices. We provide education for staff regarding coding, compliance, and charging methodologies relating to their specific areas.
The final product includes on-site presentation of the hard copy chargemaster with all recommendations identified and a detailed written report with documentation sources for determining our recommendations. Electronic copy of the chargemaster data in Excel format is provided.
Value Added Benefits for this Service:
- Comprehensive CDM Update
- More knowledgeable staff
- Quantifiable Results
Added Feature:
- Coding and Billing Helpline provided at no additional cost during the term of the contract. Client's staff may take advantage of this helpful service to answer questions arising from implementation of chargemaster recommendations.
