AHA Coding Clinic® for HCPCS - 2002 Issue 2
Updating your chargemaster: Part I
by Danelle Kelly, r.n., cpc, cpchDJ Kelly & Associates, Inc.Schaumburg, IL Chargemaster review, do it yourself or hire out. Which is better for your facility? The answer is probably both! Have a reputable company do a major chargemaster review one year and then internally do the next one or two yearly updates, followed again with an outside review. Just be sure that no matter who is doing the review, they know what to do. Don’t be swayed by big name companies or great prices by the little companies. The accuracy of your CPT & HCPCS coding...
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Article Overview
This piece explains how facilities can approach chargemaster review and updating for hospital outpatient billing. It focuses on the roles of internal staff and outside reviewers, the importance of accurate charge master maintenance, and the kinds of documentation and department-level participation involved in a review process. The article is relevant to hospital revenue cycle, coding, and billing teams that work with outpatient charges and related compliance considerations.
Why This Topic Matters
Chargemaster accuracy affects outpatient reimbursement, charge capture, and compliance. The article helps readers understand the general areas to evaluate when reviewing a hospital chargemaster and why documentation and cross-department coordination matter.
What You Will Learn
- How chargemaster review may be organized between internal and external reviewers
- Why outpatient charge accuracy matters for hospital reimbursement and compliance
- What types of department-level information are typically gathered during a review
- How documentation and reporting support a chargemaster update process
Who Should Read This
- Hospital chargemaster staff
- Revenue cycle professionals
- Outpatient coding teams
- Billing and reimbursement staff
- Compliance staff
- Department managers
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