Compliance and financial problems can result if your hospital Chargemaster is not periodically
maintained to examine the accuracy of outpatient coding and reimbursement. QHR's Chargemaster
Review includes an analysis of outpatient radiology, laboratory, and other diagnostic services for
accurate CPT-4/HCPCS code assignment.
QHR consultants begin the process with an extensive review of selected outpatient charts, outpatient
claim rejections and corresponding UB-92 forms. These documents present the total picture of an episode
of care, beginning from the point of order and continuing through billing and reimbursement.
This engagement:
■ Compares fiscal intermediary
fee schedules with the chargemaster
■ Identifies erroneous or missing codes
■ Updates national level HCPCS coding
■ Revises narratives to reflect actual
services provided
■ Compares charges to Medicare fee
schedule
■ Deletes obsolete items and recommends correct codes
■ Reviews present hospital procedures
for chargemaster maintenance
| ■ Creates a mechanism for maintaining
an up-to-date chargemaster
■ Provides on-site training to ancillary
department representatives on Medicare
coding, billing, and reimbursement regulations
■ Offers a road map for making
appropriate changes to the hospital chargemaster. |
For more information on QHR Health Information Management Services, contact:
Devika Kumar, Practice Leader, (800) 233-1470 ext. 4563.
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 | © 2008 QHR
105 Continental Place | Brentwood TN 37027 | 1-800-233-1470 | | | | |  |
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