CPT® Consumer-Friendly descriptions have been in existence for some time, but were never a reliable data element for wide-spread utilization in hospital charging master files.
hospital compliance auditing
This blog post includes common challenges as well as the best five 'Insider Tips’ for a more proactive approach when selecting a new CDM tool.
As of 1Q19, there are five V range Intraocular Lens codes as noted in the table below. Consider OPPS Status Indicators (or I/OCE edits if CAH payment methodology) to know which codes can be billed to Medicare.
Charge Master “Spring Cleaning” Tips Now that the 1st quarter of 2018 is behind us, it’s time to revisit your organization’s Charge Management priorities. Here are seven easy “Spring Cleaning” tips that result in dramatic, strategic improvements. I. Identify Charge Management Priority Issues All Charge Master Teams tell us they face a constant barrage […]
Charge Master Implant Issues: Revisiting Definitions In 2014 we summarized various definitions of implants and the challenges for data accuracy within the Charge Master file. As time has passed, we have found that this topic continues to be challenging for hospital Revenue Cycle and Charge Master Teams. This is an updated article from our July […]
Annual Update Processes: Build a Work Plan that Really Works This is another article in our Annual Update Process series, designed to help with your health system’s Charge Master and other masterfile update plans for year-end. Proactive teams have already begun 2018 update planning. They have used our earlier articles for tips on planning, staffing, […]
Annual Update Processes: The Charge Master and Beyond – First Steps (Part 1) It’s ‘that time of year’ – Time to review coding, payment system, and annual regulatory update rules that will be effective January 1, 2018. Here’s part 1 of a two-part excerpt from our 2018 CDM Update Educational Program to help with your […]
CDM Management Strategies: Improving Charge Descriptions Part 1 – Charge Description Risks, Influences, & Improvement Strategies Does your hospital have a clear and definitive policy for charge descriptions? Hospitals and health systems are often challenged by how they should address billing descriptions. Updates are often low priority despite their importance. Let’s talk about the challenges […]
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 […]
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 […]