Charge Description Master Standardization
In order to be paid correctly by Medicare and Medicaid Services
(CMS), hospitals must code and charge the correct procedure(s), the full
extent of the procedure(s), and all procedures performed. The challenge
is that there are constant changes to CPT® codes and government rules
and regulations regarding what is reimbursable. Moreover, hospital
pricing is being scrutinized by payers, employers, the government and
consumers.
Organizations can have charge description masters (CDMs)
which are incomplete, inaccurate, and mismatched to revenue codes. As a
result, they can experience a large number of claim rejections, payment
delays and and lost revenue. Maintenance of a CDM is time-consuming and
complex.
JCS professionals have worked to assist organizations to:
- Develop processes to improve oversight and management of their
CDMs
- Optimize reimbursement and collections
- Improve operational efficiency and support compliance
We have experience with leading CDM standardization products such as
Accuro and Craneware.
Click one of the links below for information about our expertise and methodologies in the
areas of
IT Strategic Planning, ARRA
HITECH, Business
Intelligence,
EHRs, Evidence
Based Medicine and Outcomes Management,
HIEs,
HIM,
Program and Project Management, and
Legal and Regulatory Compliance.