Making Changes to Hospital Chargemaster


Plus, know if building the status indicator into the Chargemaster is a good idea

How to handle disputes on adding/removing CDM items? When people disagree on some part of the line item, how do you determine what to do? Go through the following medical billing training advice and know more.

Let's say the radiology manager went to a seminar. And he came back with first grade information and will make changes to their Hospital Chargemaster all very well. They want to do the right thing.

So they come back and they're submitting all these changes to the Chargemaster. Well, coordinator and the team’s response to that should be, “Okay, we need to research this and make sure these are the right things to do. And if they are the right changes to make, you might want to query and see why we didn’t do this before.”

But besides that, let's say that you disagree with some of the information and radiology manager is pushing, “We've got to do this. I was told, I'm sure this is the case.” You've got to get your official resources. You research about why you think it's not the right thing. You share official resources with them. Always go back to those official resources.

Now another medical billing element, you might remember when we're talking about you're going to have some of these conflicts. You need to fair it out and see is the conflict based on what we want to do or how we want to do it. If we agree that this is what we want to do, then the other part should be easy, how we do it.

Medical Billing Training Tip: Building the status indicator into the Hospital Chargemaster.

It's not a bad idea. Essentially what facilities are doing for every Chargemaster line item, they are indicating what status indicator within the APC system that would follow.

So that it's an additional level of information within the Chargemaster that they can then use to run reports to the individual departments when they get their section of the Chargemaster. They understand that piece of it. A legend is provided so the status indicator is clearly identified and defined.

The one issue we would guard against this, remember that's another element that has to be maintained. Just understand that that's a part of it too. If you're going to start, you have to maintain it. And the status indicators do change. So it's not as easy as it might sound.

And some of the items that might not be used on an outpatient, you know, they're all going to fall into certain indicators that might really not help you very much in the long run. So it's something you might want to think about.

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