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Knowledge is the Most Powerful Tool!
There is much more to using or reviewing a chargemaster description master (CDM) than simply confirming the accuracy of the codes in place and that charges are above Medicare payment levels. Of course our review of CDM includes these two important aspects of a review. However, with access to CDM Tools, and online research we generally do not find that there are significant issues with coding. That is not to say that most CDM’s cannot use a coding tune-up, we have never reviewed a CDM where there were not coding recommendations. Instead, our experience is that the opportunities and risks to hospitals’ revenues are from missing charges, misuse of charges, and/or a lack of use of their charges. These issues are often a result of an incomplete understanding of every charge and/or CPT code available to a clinical area. ChargeMaster Institute ® will ensure that not only is your CDM accurate and complete, but that your clinical personnel completely understand their CDM and how to use it fully and compliantly.
Best Practices for 2024
“Best Practices for 2024 will be held Thursday and Friday, December 14-15, 2023 via GotoMeeting
As in years past, we will review all changes that affect your organizations’ revenues due to changes in CMS's OPPS Final Rule, a comprehensive look at all of the new, deleted and changed HCPCS and CPT codes that are generally found in hospital chargemasters, laboratory fee schedule/regulation changes, and any other changes that may have an impact on your chargemaster and/or hospital revenues.
Attendance at this program is provided at no cost to clients of ChargeMaster Institute. Persons that would like to attend that are not clients of ChargeMaster Institute are welcome. For more information or to register please email us at info@chargemasterinstitute.com or sales@chargemasterinstitute.com
Our People Make Us Who We Are!
There are many things to like about CMI, our expertise, the provision of supporting documentation, the webinars that are included in our support program, our annual 2-day program to review the OPPS regulation changes and coding changes. But one thing we hear over-and-over is how easy it is to work with CMI. Our clients tell us that our collegial approach invites client participation which enhances the entire CDM review and/or education process. We strive to work with you, not to become another layer of management in your organization.
Charging is Coding!
Coding is an extremely important element in your facility’s revenue cycle and compliance activities. We estimate that less than 10 percent of codes are assigned by trained coders and that more than 90 percent of coding is as a result of a department’s selection of a charge. Yet, most ancillary departments have no idea that they are coding HCPCS codes when selecting a charge! Our education program stresses the role and responsibilities of the department in this key revenue cycle activity and provides coding education specific to each service area. No auditor should be able to shoot holes in your charging practices; we’ll make sure you’re bullet proof!
Remote and Online Services
CMI can provide your organization with email support to assist you with your CDM management, billing, and compliance activities. We will ensure that your questions are fully answered and based upon recognized standards. Our ongoing support includes attendance to 4 - 6 online seminars a year. Seminar topics are related to current hot issues and specific client requests are always considered. Nonclients may attend our online sessions for a reasonable fee.
About Us
Our meetings are collegial, informative and geared towards building consensus on the correct way to use charges and bill services. Directors and managers that attend our on-site sessions speak positively about the experience. Often times, we find directors and managers that originally did not schedule with us during our onsite visit demand to be added to our onsite schedule after hearing their in-house peers talk about their encounter with our team.
CMI employees stay current on coding standards via ongoing review of the CMS website, subscriptions to various professional publications and constant research in support of our clients. CMI recommendations are based upon CMS regulations and coding standards as advocated by the Centers for Medicare and Medicaid Services (CMS), MAC Local Coverage Determinations, the American Medical Association (AMA), the American Hospital Association HCPCS Coding Clinic (AHA), the Society for Interventional Radiology, (SIR), the Society of Nuclear Medicine (SNM), the Heart Rhythm Society (HRS), the American Red Cross and other recognized professional organizations.
As far as we know, we are the only company that projects our review of the CDM during our department meetings so that the department directors and managers can actively participate in the review process. This ensures that you will have significant buy-in to our findings and recommendations during the implementation phase.
Education sessions provided during our on-site visit improve the organizational understanding of the chargemaster, the importance of accurate and full charging and the role of directors and managers in the process.
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