The Hospital Chargemaster Guide can help hospitals update and maintain an accurate charge description master (CDM). This guide is organized by ancillary service department and provides detailed guidelines for achieving optimal reimbursement and department-specific information for efficient auditing.
- Easy-to-load CD. Provideschargemaster-related information in a one-source document, described in layman’s terms.
- Step-by-step process review guidelines. Improves accuracy and billing of chargemaster-related items and services. Helps establish a process for reviewing and maintaining the CDM on an ongoing basis.
- Relevant CPT®/HCPCS Level II and revenue code crosswalks for each clinical department. Takes the guesswork out of assigning revenue codes to each line item on your chargemaster.
- Organized by ancillary service department. Helps review the CDM for coding, billing, reimbursement and clinical accuracy. Also, it helps identify items and procedures that need to be added, deleted or revised on the CDM.
- CCI and OCE edits and fraud alerts. Reduces the potential for rejections. Identifies department-specific CCI edits, OCE edits and fraud alerts to help hospitals stay in compliance with Medicare guidelines and claims processing edits.
- Complete book on CD. Helps you save time by providing a template with recommendations on procedure codes and descriptions for radiology, laboratory and other clinical areas. It is a handy tool for mapping revenue codes and CPT®/HCPCS Level II codes in radiology, laboratory and other ancillary service areas.
- APC payment status indicators. Determine how each code will be reimbursed under APCs, a fee schedule or other payment methodology.
- Web updates. Check our website to identify changes that need to be made to minimize rejections and improve reimbursement.
CPT is a registered trademark of the American Medical Association.
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