| PPS knows that realizing the compliance and revenue
gains identified in a chargemaster review rests squarely on the implementation
of the recommendations. But implementation requires persistence and resources.
Department managers need to understand the changes, as does HIM and to varying
degrees others in the facility. Often, policy directives emanate from the chargemaster
review and need to be developed by clinical, business office and financial staff.
Managing this across multiple departments adds complexity and far too often unnecessary
delays.
PPS has completed more than 3,300 chargemaster reviews and has witnessed, and
helped develop, a cadre of best practices in chargemaster implementation. When
you choose to partner with PPS for your implementation, you can expect the process
to move faster and with more precision. You won’t be adding workload to
already overtaxed staff. Instead, PPS can minimize the impact that implementation
can have on your operations, and most importantly, start realizing the compliance
and revenue gains sooner.
We’ll work side-by-side with you and your staff and as new issues evolve
during the implementation process, we’ll be right there with the chargemaster
expertise to answer new concerns and questions and keep the entire process on
track and on time.
PPS will work with you and your team to create a streamlined path towards total
integration of your new chargemaster. While the actions and deliverables vary
based on facility/system-specific particular needs, below you will find the full
scope of our chargemaster implementation services.
- Guidance and/or management of the approval process
- Data Entry of approved recommendations into your system
- Dialoguing with your department managers to facilitate the approval process
of our recommendations
- Website access to the chargemaster with log and access monitoring.
- Development of policies and procedures for your CDM maintenance program
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- Definition of the role of the CDM committee and providing guidelines to
ensure that it operates effectively and efficiently
- Working with your CDM or compliance committee during the implementation
- Ensuring appropriate allocation and use of personnel and other available
resources
- Establishment of procedures for the addition and deletion of new service
items
- Establishment of procedures for department managers to submit CDM change
requests for new, deleted or revised procedures or services
- Ensuring there is no duplication of code assignments by coders and Charge
Description Master assigned codes
- Revision of charge tickets and order entry screens
- Ensuring compliance with Medicare bulletins, transmittals, manual updates,
official coding guidelines, LCDs, NCCI guidelines and other coding and bundling
edits
- Reacting to all remittance advice denials involving CPT/HCPCS coding or
CMS coding guidelines
PPS facilitates efficiency throughout the chargemaster implementation process
with departmental reports that identify line items requiring:
- Description change
- CPT/HCPCS Level II and III code change
- UB92 Revenue Code change
- Inactivation from the chargemaster
- Additions to the chargemaster
These departmental reports, which can be issued at any time, but typically
on a monthly or semi-monthly basis, allow departments to easily focus and prioritize
their efforts. PPS chargemaster specialists use these to set an initial timeline
for implementation, identifying the resources and workloads in advance of the
implementation.
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