QHR Chargemaster Review

Consulting Services | Revenue Cycle | QHR Chargemaster Review

Reimbursement is tight.

An up-to-date chargemaster can mean more money for your hospital. An out-of-date one can mean you’re leaving money on the table. If your hospital isn’t reaping the full benefits of a correct, current chargemaster…

Here’s how QHR can help.

Stay current. Get what you deserve.

Compliance and financial problems can result if your hospital’s charge description master (CDM)  is not periodically updated. QHR’s experts can help keep you current.

We begin with an extensive review of selected outpatient records, outpatient claim rejections and corresponding UB-04 claims. These documents present the total picture of an episode of care, beginning with the point of order and continuing through remittance advice payment.

Our specialists analyze your CDM line by line, identifying errors, adding missing codes and removing obsolete items. We not only update your CDM—we also train your team on coding, billing and relevant regulations, and prepare an action plan to help you identify and move to resolve ongoing issues.

See Detail

QHR’s CDM review:

  • Reviews the CDM line-by-line for CPT/HCPCS and revenue code accuracy
  • Compares charges to APC and fee schedule payment
  • Identifies erroneous or missing codes
  • Updates national level HCPCS coding
  • Deletes obsolete items and recommends alternate codes
  • Reviews hospital procedures for chargemaster maintenance
  • Creates a mechanism for maintaining an up-to-date chargemaster
  • Revises narratives to reflect actual services provided
  • Provides on-site training to ancillary department representatives on Medicare coding, billing, and reimbursement regulations
  • Provides coding education related to HIM CPT code issues identified in the record review
  • Offers a management action plan to document the resolution of identified issues

Charge right.

In today’s tough healthcare business environment, you can’t afford an out of date chargemaster. QHR’s specialists help you learn to charge appropriately, prevent compliance issues and educate your team.