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The charge description master (CDM) is the foundation of the revenue cycle. It must be constantly maintained to keep pace with changes to coding guidelines and payer policies, like ICD-10. Codebusters review services identify mapping errors that cause underbilling, overbilling, or compliance deficiencies. The purposes of the review are fewer denials and corrections which result in reimbursement at full contract value. Our CDM review services help ensure that all charges posted to the patient’s account were documented and entered at the time of order and that the services and supplies were actually supplied. EHR Integration The chargemaster is the way hospitals capture usage of supplies and routine services without requiring medical coders to interpret documentation. The level of automation varies among facilities, with many in a state of transition toward greater automation through integration with an EHR. The more transactions that the CDM records the more crucial it is to capture services and supplies and ensure they map to correct revenue codes, HCPCS codes, and payer charges. Maintenance Providers must constantly maintain charge masters to stay abreast of the numerous coding changes and payer requirements. A majority of a facility’s revenue is generated as a result of charges entered or triggered by department personnel. Given that the chargemaster is a largely automated process where correctness is not evaluated by HCPCS coding specialists at the point of entry, facilities can experience repeating errors that if not caught could result in massive underbilling or fines and penalties for overbilling. A significant benefit of an accurate CDM is that it can prevent RAC automated review findings, ensuring revenue collected will be kept.
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