4 CHARGEMASTER TIPS

Chargemaster review and maintenance avoids denials

Denial management requires a thorough chargemaster review to understand root causes of denials, followed by ongoing maintenance to avoid potential issues. Ensuring accurate CPT/HCPCS codes is the main concern in a chargemaster review. Checking for new, revised and deleted codes is critical to proper reimbursement. As an integral part of chargemaster review and maintenance, here are three strategies to help ensure chargemaster integrity.

Conduct onsite interviews with individuals from each department

Review processes, assess workflows, identify issues and explore solutions.

Create a charge capture reconciliation process

Using a report of all cases completed the previous day, assign someone in each department to review all charges.

Establish best practices to proactively identify issues

Maintain the chargemaster routinely, develop a reimbursement integrity program and appoint a chargemaster coordinator and team to oversee the maintenance process.

Chargemaster review and maintenance will help eliminate denials by ensuring all codes, supplies and revenue codes are up to date and accurate.

Rigorous oversight of chargemaster integrity promotes revenue integrity.

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