Policy and procedure for updating charge master

Posted by / 25-Dec-2019 20:50

Policy and procedure for updating charge master

Ensure all outpatient services have a corresponding code and monitor for duplication of services. Allocate resources to the process.(done internal or external, # employees/ hours needed to complete review.

Review departmental charge tickets to ensure codes correlate to CDM. Establish the communication mechanism for the team. Conduct interviews and review line item, per department. Finalize changes to the CDM and report to the appropriate department.staff registers patient -getting demographics, insurance and creating account.services are documented by clinicians involved in patient care.

The Revenue Integrity Department, and the CDM coordinator, with the assistance of the clinical department manager, the patient financial services office(billing), and the HIM department.

These services are identified by the department performing the service. Charges are automatically posted on the UB-04 form through the billing system, without hospital coder involvement. the code is already built into the system not entered manually.

Codes entered in the system by the coder are said to be directly coded or soft coded.

The chargemaster is similar in concept to the manufacturer's suggested retail price (MSRP) on a vehicle.

It is the starting price of each service performed and goods consumed associated with the individual patient's treatment.

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Also maybe the information management service, the compliance department.