Our clinically-trained and tenured consultants will validate and update the Chargemaster (CDM) utilizing the most current Medicare or Medicaid guidelines. Interview meetings will be scheduled with managers of all revenue-producing departments, in a manner that allows for concurrent review of each area of the chargemaster (CDM) with the manager/users from common-interest areas. In this process, particular attention is devoted to utilization of diagnostic and rehabilitative service, such as laboratory, radiology, physical/occupational/speech therapy, interventional radiology and cardiac cath, etc.
Where applicable, application of appropriate CPT and HCPCS Level II coding will be verified according to actual services being provided, methodologies employed, and where such services are being outsourced, the appropriateness of detail information on vendor invoices.
During this process, the appropriateness of UB-92 revenue codes will be reviewed and verified for each related CDM line item. Where relevant CDM line items do not exist for services being provided, we will propose necessary additions, revisions and/or inactivations.