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™ Chargemaster Online — Web-based chargemaster (CDM) analysis and validation solution identifies incorrect, expired, or deleted CPT® codes, presents replacement codes, validates revenue and department codes, matches CPT® to revenue codes, checks appropriate modifier usage, audits charge description master information based on remittance and claim data analysis, and generates detailed reports by department to help maintain CDM accuracy.
- 3M™ Chargemaster Services — 3M Consulting Services program that provides a comprehensive solution for your chargemaster maintenance, accuracy, and compliance issues. Also includes valuable tools, helps improve process issues, provides for staff education and training.
- 3M™ Chargemaster Online Services — 3M Consulting Services program that provides one-on-one assistance in analyzing an organization’s chargemaster using 3M Chargemaster Online, as well as recommendations to accurately charge and bill for Medicare outpatient services.
- 3M™ Comprehensive Pricing Solution — 3M Consulting services program that helps organizations establish a competitive pricing position for meeting revenue projections or goals. We develop pricing recommendations for hospital services, supplies, and pharmacy items. Optionally, the service includes a competitive pricing analysis of peer hospitals.
- 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.