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Chargemaster Evaluation
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Jennifer Wilbur
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The purpose of a chargemaster evaluation is to ensure that the way you bill for services and supplies provided by the Hospital is compliant with Federal and State regulation.

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A chargemaster evaluation includes a review of your current department billing protocol compared to your department chargemaster; a review of the current revenue codes, CPT codes, and HCPCS codes assigned to specific charge codes on a line item basis; a review of the current pricing structure for procedures and supplies; development of department specific billing protocols and fee tickets to support the recommended changes. Training is then performed with your departments to educate staff on charge capture and the revised billing protocols.

Recommendations based upon the findings of the chargemaster review and chart audit will be reported to Administration. If requested, a sample chart audit will be performed to ensure there is adequate documentation to support the charges billed. Missed and/or incorrect charges will also be identified during the chart audit. We can also develop chargemaster training courses (see CBT - Computer Based Training).