Revenue Improvement Services - Charge Capture and CDM Optimization
Jacobus provides deep expertise in all facets of the revenue cycle, including a complete packaged methodology and services. Leveraging our expertise and utilizing SWAT teams, we craft rapid benefit solutions into short-term projects focused on increasing revenue, avoiding lost charges and improving billing.
Charge Capture Optimization and CDM Cleanup projects involve:
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Chargemaster review for changed and deleted codes based on CMS and AMA updates, with suggested CDM changes.
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CDM clean up based on analysis of clinical and technical denials, as wellas compliance and risk reviews.
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Review of proper coding for dosages and methods of pharmaceutical administration for compliance and correct billing.
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Establishment of CDM change control policies and practices. Jacobus experts will educate and train on chargemaster best practices for clinical and financial personnel.
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Education of clinicians on chargeable versus non-chargeable issues, and improvement of charge tickets to coincide with changes to the chargemaster.
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Training on best practice for moving from manual to electronic charging in clinical documentation systems.
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Work with Finance on pricing and decisions to avoid under charging, model the impacts of pricing changes and compare against other facilities.
CDM clean up and charge capture optimization projects can often be the quckest path to significantly increasing revenues and typically provide a significant and almost immediate return on investment
The benefits of a Charge Capture Optimization and CDM Cleanup project include:
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Increased revenue through consistene charge capture, with reduced late charges and reduction of underpriced charges.
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Increased cash collections from denials advoidance and increased charge accuracy.
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Reduced compliance risk from coding errors.
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Improved staff effeciency through a reduction of costly rework.
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Improved customer satisfaction from "user-friendly" billing descriptions.
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Training and knowledge transfer to your CDM administrator, Billing Office and charging departments.