Compliant
- Checks all CPT and HCPCS codes
- Reviews all charge description codes
- Validates that CPT and HCPCS codes are Medicare-compliant
- Reviews all revenue codes
- Reviews all charge codes
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Our Process and Deliverables
We provide five different compliance components in a charge master Reconfiguration that are typically in a charge master Review. We start by using validation to identify duplicate records and then we check, review, and validate all diagnostic codes, including making the appropriate changes if we find an error.
- Review all CPT and HCPCS codes for accuracy, validity, and their relationship to charge description number
- Review all charge descriptions for accuracy and clinical appropriateness
- Verify that all CPT, HCPCS, and revenue codes are in compliance with current Medicare guidelines
- Review all revenue codes for accuracy and linkage to charge description numbers
- Review all charge codes for uniqueness and validity
Ongoing Compliance
We provide a charge master Reconfiguration as a one-time event or as a one year term Agreement that includes ongoing compliance and reporting of performance summaries each month. Health care has many changes in coding and new services that need to be coded appropriately. We check this routinely for all clients.
This also includes an option for enhanced reporting via daily summaries following an HL-7 interface with the hospital’s financial system.