Charge Capture and Charge Master (CDM) Optimization
Revenue optimization through CDM clean-up and improved charging processes can be the quickest path to increased cash and typically produce an immediate ROI.
Jacobus provides deep expertise in all facets of revenue improvement. This includes Chargemaster (CDM) assessment and optimization, charging process and system optimization, and education and policy development. Our clinical experts can also design and build optimized “charge from clinical documentation” solutions that automate charge capture from clinical service delivery and ensure smooth flow to the billing system.
Jacobus charge capture and CDM cleanup services include:
- Chargemaster review for changed and deleted codes based on CMS and AMA updates
- CDM clean up based on analysis of clinical and technical denials, underpayments, and compliance and risk reviews
- Review of proper coding for dosages and methods of pharmaceutical administration for compliance and correct billing
- Establishment of CDM change control best practices
- Best practice for moving from manual to electronic charging in order entry and clinical documentation systems
- Education of clinicians on chargeable versus non-chargeable issues
- Identification of under-pricing instances and strategies to optimize pricing
Because the CDM and charging touches almost all hospital operations, the benefits are wide ranging, and include:
- Increased revenue through automation and consistent charge capture, with reduced late charges and reduction of underpriced charges
- Increased cash collections from denials and underpayment avoidance
- Reduced compliance risk from coding errors
- Improved staff efficiency through a reduction of costly rework
- Improved customer satisfaction from "user-friendly" billing descriptions
