Hospital Chargemaster Guide

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ebook on CD-ROM
ISBN 1563376504
978-1563376504
Ingenix / Elsevier Health Sciences
Always Current
(click below for the best currently available price for this important resource)

The Hospital Chargemaster Guide provides facilities with information to update and manage their chargemaster and to improve their Medicare reimbursement.

This guide helps hospitals achieve these goals by providing detailed information related to CPT and HCPCS Level II codes and descriptions, applicable revenue codes, Medicare compliance and fraud information, payment guidelines and claims submission procedures by clinical department for all chargemaster-driven, hospital-based procedures. View sample pages.

Easy-to-load CD. Provides chargemaster-related information in a one-source document, described in layman’s terms.
Improve the chargemaster update, maintenance, and charge capture processes. All of your chargemaster-related information and guidance is consolidated into a one-source document, described in easy-to-understand terms.
Step-by-step process review guidelines. Improve accuracy and billing of chargemaster-related items and services and establish processes for reviewing and maintaining the CDM on an ongoing basis
Updated with current year CPT and HCPCS Level II codes that are chargemaster driven.
Improve accuracy and billing of chargemaster-related items and services. Step-by-step process review guidelines help establish a process for reviewing and maintaining the CDM on an ongoing basis.
Take the guesswork out of assigning revenue codes to each line item of your chargemaster. Relevant CPT code/HCPCS Level II code and revenue code crosswalks for each clinical department.
CCI and OCE edits and fraud alerts. Reduces the potential for rejections. Identifies department-specific CCI edits, OCE edits and fraud alerts to help hospitals stay in compliance with Medicare guidelines and claims processing edits.
Step-by-step process review guidelines. Improves accuracy and billing of chargemaster-related items and services. Helps establish a process for reviewing and maintaining the CDM on an ongoing basis.
Relevant CPT code/HCPCS Level II code and revenue code crosswalks for each clinical department. Takes the guesswork out of assigning revenue codes to each line item on your chargemaster.
Organized by ancillary service department. Helps you review the CDM for coding, billing, reimbursement and clinical accuracy. Also, it helps identify items and procedures that need to be added, deleted or revised on the CDM.
APC payment status indicators. Helps you determine how each code will be reimbursed under APCs, fee schedule or other payment methodology.
Web updates. Check our website to identify changes that need to be made to minimize rejections and improve reimbursement.
Complete book on CD. Helps you save time by providing a template with recommendations on procedure codes and descriptions for radiology, laboratory and other clinical areas. It is a handy tool for mapping revenue codes and CPT®/HCPCS Level II codes in radiology, laboratory and other ancillary service areas.

Optimize chargemaster revenue stream for your facility. This unique and comprehensive resource provides step-by-step guidance to help hospitals update and maintain an accurate hospital charge description master (CDM) from a coding, billing, and reimbursement perspective. It provides assistance with accurate billing and systems integration.

Organized by ancillary service department. Helps review the CDM for coding, billing, reimbursement and clinical accuracy. Also, it helps identify items and procedures that need to be added, deleted or revised on the CDM.

The Hospital Chargemaster Guide can help hospitals update and maintain an accurate charge description master (CDM). This guide is organized by ancillary service department and provides detailed guidelines for achieving optimal reimbursement and department-specific information for efficient auditing.

Ingenix offers practical results-oriented services for coding, physician documentation, billing compliance, reimbursement, training services for hospitals and physicians, and more. Learn from the experts who help write the books other consultants are using. Thousands of physicians and health care professionals rely on Ingenix for expert advice. Start benefiting from our 100+ years of combined experience and expertise.

Regina Magnani, RHIT, has 25 years of experience in the health care industry in both health information management and patient financial services. Her areas of expertise include patient financial services, CPT/HCPCS and ICD-9-CM coding, the outpatient prospective payment system (OPPS), and chargemaster development and maintenance. She is an active member of the Healthcare Financial Management Association (HFMA), the American Health Information Management Association (AHIMA), and the American Association of Health care Administrative Management (AAHAM).

Anita Hart, RHIA, CCS, CCS-P experience includes 15 years conducting and publishing research in clinical medicine and human genetics for Yale University, Massachusetts General Hospital, and Massachusetts Institute of Technology. Her research conclusions have been published in several peer-reviewed journals. In addition, Ms. Hart has supervised medical records management, health information management, coding and reimbursement, and workers' compensation issues as the office manager for a physical therapy rehabilitation clinic. Ms. Hart is an expert in physician and facility coding, reimbursement systems, and compliance issues. Ms. Hart is also the author of the Complete Coding Tutor, ICD-9-CM Changes: An Insider's View, and has served as technical consultant for numerous other publications for hospital and physician practices. Currently, Ms. Hart is the product manager and technical editor for the ICD-9-CM, DRG, and ICD-10 product lines.