Your chargemaster might just be the most valuable member of your reimbursement and compliance team.
Your chargemaster is more than a line-by-line list of procedures and supplies and the corresponding values that are dropped into patients' bills. It is a complex computer file programmed to capture charges, assign appropriate pricing, interface your coding and billing functions, ensure every bill meets every compliance standard, cull and separate cost data for reporting purposes—and do it all in an environment of consistently changing regulations, codes, and costs.
Chargemasters: Strategies to Ensure Accurate Reimbursement and Compliance, is a comprehensive guide to the appropriate use of this critical revenue tool. Author Duane Abbey brings his extensive expertise in healthcare coding and billing to this exciting project and shows readers how to develop
- processes to systematically review the chargemaster for reimbursement optimization
- policies and procedures that ensure proper coding, billing, and claims submission
- interfaces between appropriate departmental service lines to ensure appropriate charge capture for proper reimbursement
Dr. Abbey also provides hands-on advice to help readers understand the pricing process, cost accounting, Medicare's charging rule, any compliance issues, and the associated billing and claim processes.
Annual updates on CD-ROM
Your copy of Chargemasters comes with a CD-ROM loaded with support files and associated information to turn your chargemaster files into useful reporting and revenue enhancement tools. You'll get an updated CD-ROM annually, with emphasis on Medicare's payment systems and processes you need to follow for appropriate reimbursement.
Who should read Chargemasters?
Chargemaster coordinators and other personnel involved with developing and maintaining a hospital's or hospital system's chargemaster Chief financial officers, controllers, patient financial services, and business office staff HIM staff, including coders and billers Revenue enhancement and finance staff involved in cost accounting, charge capture, cost report preparation, strategic pricing, financial analysis, and assessment Compliance and internal auditing staff involved in the coding, billing, and reimbursement cycle Students of healthcare finance in the hospital arena Meet Duane C. Abbey, PhD, CFP
Duane Abbey is president of Abbey & Abbey Consultants, Inc., of Ames, IA. He provides specialized consultation for revenue enhancement; compliance reviews for physicians, clinics, hospitals, and hospital systems; and litigation support services to legal counsel for healthcare providers. He is the author of Emergency Department Coding and Billing: A Guide to Reimbursement and Compliance and Nonphysician Providers: Guide to Coding, Billing, and Reimbursement, both from HCPro, and a frequent audioconference speaker.
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