The chargemaster is a linchpin within the overall revenue cycle; therefore, it is necessary to keep it up-to-date on reimbursement processes and proper compliance. The chargemaster is a direct and indirect target of compliance for both governmental programs and third-party payers.
As you will learn during this session, chargemasters are complex and can be organized in different ways. Adding to this complexity is the continuing controversy over hospital pricing. A carefully crafted systematic process is necessary to audit a chargemaster to ensure various concerns are met. The chargemaster must also be organized in a way to help hospitals remain financially viable.
At the completion of this program, participants will be able to:
1. Discuss the chargemaster as a financial tool.
2. Evaluate all revenue codes and CPT/HCPCS codes to ensure they are up-to-date and are beingproperly reported.
3. Discuss the many compliance concerns surrounding the chargemaster, including statutory
compliance development of pricing and charges.
4. Identify the different requirements made by various third party payers for coding, billing
and the chargemaster.
5. Identify steps the chargemaster coordinator can take to improve the chargemaster.
Duane Abbey, PhD, CFP
Abbey & Abbey Consultants
Management Consultant and President
Dr. Abbey has provided health care consulting services to hospitals, physicians, and medical clinics for more than two decades.
His focus is in the areas of compliance, payment and delivery systems. In addition to consulting, he is an invited presenter for hospital associations, medical societies and other professional groups. Dr. Abbey is an established health care author.
The speaker has no real or perceived conflicts of interest that relate to this presentation.