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Charge Capture and Billing

Hospitals face rejected claims, delayed reimbursement and lost revenue when they fail to keep their chargemaster current and accurate. Conversely, maintaining and updating the chargemaster can be an arduous, time-consuming task associated with high costs. To achieve appropriate payment in compliance with the laws and regulations of the Centers for Medicare and Medicaid Services (CMS), hospitals must code and charge the correct procedure(s), the full extent of the procedure(s), and all procedures performed. However, with constant changes to CPT® codes and continual amendments of government rules and regulations, chargemasters are often incomplete, inaccurate, and mismatched to revenue codes.

How 3M helps

  • 3M™ Consulting Services — 3M Consulting Services’ programs include independent comprehensive review services to identify areas of missed opportunities, coding and billing compliance, and operational best practices. As part of our review process, we also provide education and staff training through departmental interviews. 3M Consulting Services can also assist you with interim management or operational support to overcome staffing deficiencies or to escalate timeframes for process changes or completion of other special projects.
  • 3M™ Charging and Billing Process Review — 3M Consultants assess current charging and billing processes in outpatient service areas by conducting interviews and reviewing existing policies and procedures to identify process improvements.