Outpatient Chargemaster Review

 

 

 

 

Home

Healthcare Consulting Services, LLC (HCS), can review your chargemaster to ensure that the healthcare organization is accurately reporting outpatient services to Medicare. Our goal is to not only "review" the chargemaster, but to provide comprehensive education and training of Medicare coding regulations for ongoing chargemaster maintenance.

At HCS, we have found that many organizations are using an out-of-date chargemaster and are at risk for the following:

Filing False Claims

Using Inappropriate Codes (CPT-4, HCPCS & UB-92)

Fragmenting, Upcoding or Unbundling of Codes

Receiving Inappropriate Reimbursement

Our chargemaster consultants have clinical backgrounds and reimbursement experience. Therefore, when we perform a chargemaster review, the organization can be assured that we will provide a "bridge of communication" between the clinical and billing departments. Our professionals will examine every line-item on the healthcare organization’s chargemaster while providing extensive one-on-one training with key personnel discussing specific billing and coding issues. Once our report is compiled, a draft will be distributed to key department personnel for their review and consent prior to final processing.

Often a review of a chargemaster may impact some of the following:

Regulatory Compliance

Inpatient Coding

Ambulatory Surgery Coding (ASC)

DRG Assignment

Medicare and Medicaid Cost Report

Hospital Re-Engineering

If your organization needs assistance in any of these areas, HCS can help. We have a full range of services available to hospitals and other healthcare providers. If you are interested in scheduling an Outpatient Chargemaster Review or are interested in learning more about it, please call Jeff Neff at (317) 633-4708, Ext. 323 or e-mail at jneff@hcs-healthcare.com.

Home ]

     Healthcare Consulting Services, LLC  Copyright 2001