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PPS has provided over 3,300 chargemaster reviews over the last 16 years to
more than 1,600 hospitals across the country. It is one of our primary services,
and we have a dedicated team of chargemaster experts who work exclusively on chargemasters
with years of CDM experience. Our recommendations are consistent with the latest
Medicare and Medicaid guidelines as well as local payor policies.
Our services combine CCH’s ChargemasterPro software for automated methods
of organizing the chargemaster for review, so that our consultants can manually
review every line item. This is an important and valuable aspect of our CDM offering.
It provides you with the security you need to know that your CDM is both compliant
and optimized for your operations. Your hospital will receive continuous service
from consultants who develop an on-going relationship with your department managers
and financial staff during the project and after the report is delivered at no
additional cost. This is because we understand that implementation is critical
to CDM success.
PPS chargemaster experts have a unique combination of medical/technical backgrounds
and coding expertise. Our staff is comprised of MT’s, RT’s, and RN’s
who are also Certified Procedural Coders.
Benefits of Chargemaster Services
- Speed and Accuracy - Establish a current and accurate chargemaster within
six weeks of the date of our receipt of the chargemaster.
- A line item-by-line item compliance oriented approach.
- Comprehensive or single department reviews.
- Education. While providing a comprehensive review we can provide tailored
on-site education to your chargemaster personnel and ancillary department managers
that will provide the hospital with an internal process for reviewing and maintaining
its chargemaster. This portion of our program will ensure that the chargemaster
is always kept up to date internally and will reduce or eliminate the need for
external chargemaster assistance.
- Policy Directives. PPS works with your leadership team to ensure that
all aspects of your policies are reflected in the chargemaster. We also make this
part of our education to your staff, so that the link between policy, services
provided and your CDM are in perfect alignment.
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- Maintenance
- We have been providing turnkey chargemaster maintenance services for over 10
years. These range from weekly to quarterly updating with unlimited communication
by phone, email or fax. This personalized service is designed to help your staff
keep your chargemaster accurate on an ongoing basis.
Our services cover all aspects
of the chargemaster, including:
- Examination of outpatient cases and their corresponding billing to discover
opportunities peripheral to the chargemaster.
- Interviews with department managers
- Inputting the approved new chargemaster into your system.
- Full scale implementation support to ensure that the recommendations are implemented
in a timely way.
- Establishment of new line items and charges.
- Creation of charge tickets and encounter forms.
- Chargemaster Standardization
Projects
- Charge and volume comparison with up to 15 hospitals of your choice.
- Alternatives to across-the-board price increases.
- Coding an E/M visit with surgical procedures
- Extensive data base of historical medical billing codes, bundling, etc.
- CPT codes specific to the operating room
- Specialized chargemasters for critical access hospitals
- What gets hard coded and what is coded by HIM
- Proactive Approaches to RAC Audits
- Addressing decreases in bundling, such as in CMS’s change to the OPPS
for 2008
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