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Feeling Targeted by Audits?

Feeling Targeted by Audits? Here’s one that can actually help… Many CDM Teams are unaware of the scope and implications of CERT audits. Mary Madsen, Senior Manager of Holliday & Associates has summarized the background and potential impact of the CERT program for our customers within this blog post. Read on to learn how CERT […]

Annual CDM Update Mistakes You Can Avoid

Fear of Failing: Annual CDM Update Mistakes You Can Avoid She’d been on the job just two short weeks. Hired at the most prestigious health system in the region, and already on the brink of a major Revenue Cycle catastrophe. Claims were clearly going to error for every patient account that had charges needing January […]

10 Steps for Failsafe Charge Data Management

10 Steps for Failsafe Charge Data Management Busy Revenue Cycle Teams often overlook the basic steps of charge data management. This blog post includes ten proven steps that are pivotal to keeping charge data management a key operational priority. #1 Define Charge-Oriented Data Flow & Processes Charge data and Charge Master management processes are complex […]

Charge Management Assessment

Charge Management Assessment Periodic assessments help health systems evaluate their charge and CDM Management processes, and refine their organizations’ unique priorities. The assessment that follows can be performed prior to and periodically following process improvement work to quantify charge management success. Charge Management teams can apply common risk management concepts for assessing their organizational charge […]

Quantifying CDM Audit Results

Quantifying CDM Audit Results CFOs often ask their teams about return on investment projections before investing in new Charge Master software or projects. Similarly, compliance staff may worry about exposure when charge data errors have been uncovered. Beyond the operational efficiencies of Charge Master software and consulting, there are often measurable results that must be […]

Self-Administered Drugs: Charge Master Compliance Checklist

Self-Administered Drugs: Charge Master Compliance Checklist Does your hospital have adequate controls for addressing Medicare’s self-administered drug coverage restrictions? We have developed a Charge Management Compliance checklist to help our customers with this challenging area. When tackling Self-Administered drug billing compliance (also referred to as “self-administrable drugs” or “SADs”), many hospitals are amazed at the […]

HIS Implementation: Charge Data Mistakes & Safeguards

HIS Implementation: Charge Data Mistakes & Safeguards More and more hospitals are planning, in-process, or regrouping from Hospital Information System (HIS) conversions. Surprisingly, we are noting a growing trend of inaccurate Charge Master (CDM) data left in the wake. This article highlights frequently-encountered systems implementation mistakes that may be placing your charge data integrity at […]