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Independent Healthcare Consultants, LLP

Chargemaster Review

 

This is a traditional onsite chargemaster and billing compliance review with a heavy emphasis on staff education. The review focuses on the Medicare program but takes into account all of the hospital’s major payers.

Pre-Onsite Review
Prior to the onsite, the chargemaster is reviewed for valid CPT/HCPCS codes, appropriate CPT/HCPCS code and revenue code combinations, and for charges for non-billable equipment, supplies and services. Additionally, for PPS hospitals, a sample of outpatient claims is reviewed for appropriate documentation, charges, billings and payments.

 

Onsite Visit
The onsite portion of the engagement incorporates a general overview of the various payment mechanisms for the hospital. Areas and issues identified during the review performed prior to the onsite are addressed and much of the time is spent on staff education.

 

While onsite we meet with each of your departments to review areas including:   

  • Chargemaster Coding
  • Pricing Methodologies
  • Compliance with Operational Regulations
  • Charge Capture Processes
  • Staff Questions  

 

Written Report
At the end of the engagement the hospital is provided with a detailed written report of findings and recommendations. This is a detailed report with recommendations for each department. It includes an updated copy of the chargemaster with recommended changes. In addition, related regulations supporting the recommendations are provided.

 

Additional Oversight
At the end of the engagement the hospital is provided with a detailed written report of findings and recommendations. This is a detailed report with recommendations for each department. It includes an updated copy of the chargemaster with recommended changes. In addition, related regulations supporting the recommendations are provided.

 

Fee Structure
A chargemaster project fee structure varies based on the size and complexity of your organization. Please call or email us for a Chargemaster and Billing Compliance proposal.

 

Independent  Healthcare  Consultants  LLP

PO. Box    7417

Bismarck,.ND. 58507-7417

Phone & Fax: (701) 223-8473