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Charge Description Master (CDM) Solutions

 

The CDM is the mechanism for charging services and assigning appropriate billing elements from the claim form. Facility and/or professional billing can be impacted by incorrect CDM information. The CDM is easy to fix, but can be time consuming, requiring rigorous attention to detail. CDM fixes typically fall below the radar as a priority for most providers. KHC has many options for putting the pieces together for your CDM in a timely and cost-effective manner.

 

Our CDM professionals can review the complete CDM for all Departments of the facility. A more focused CDM review may target specific clinical areas or specialties and can include a review of operational workflow as well as individual charges within the Departments. Our organization focuses on a customized approach to each client’s special needs. Your CDM is not a “one size fits all”, so the approach towards findings solutions should also be individualized. We offer:

  • Comprehensive CDM Review: This review includes all Departments of the Hospital or clinical areas of physician practices. The complete CDM is analyzed using current billing and coding data requirements. Department Managers are enlisted to review process flow and charge capture for each area. The review tempo is dictated by the client and is guided by a review work plan, established with the CDM review project manager from KHC.
  • Fast Track CDM Integrity: KHC performs all of the above tasks, but with a more aggressive schedule that completes the entire review on a fast track.
  • Annual CDM Update: This review focuses on CPT/HCPCS codes. It assesses current codes assigned in the system and provides recommendations for new, revised, or deleted codes. This is done once per year, typically at the calendar year end to prepare for January 1 coding changes.
  • Consolidation/Enterprise CDM: Many enterprise health systems or centralized billing office (CBO) set-ups are moving to one “master” CDM to facilitate maintenance and ensure consistency from provider to provider (regardless of their physical location). Our team verifies the “master” CDM and then validates the additional information for all other entities.
  • Help Desk/On Call Support: KHC offers an easy to use Help Desk to respond to questions arising throughout the year. For a retainer fee, your staff has access to the full continuum of CDM experts on the KHC staff. Questions are
    e-mailed to our team, communicated to the appropriate team member, and answered in two (2) business days or less (exceptions may occur and will be communicated on a case-by-case basis). Hours are deducted from the retainer balance. If the retainer fee is not used, it can be rolled to the next year.
 

KOHLER HealthCare Consulting, Inc. (KHC) has been a leader in improving the financial results of hospital departments and physician practices for over 30 years.

 

More than just performing Charge Description Master reviews, KHC uses a continuous process of evaluations, interaction, interviews, recommendations and education.

 

This holistic approach ensures that codes are properly selected and that the process and forms are useful for the clinical staff. Positive interaction is the key to success.

 

Our secret? There is no secret! Our team’s wide and diverse expertise provides the technical expertise as well as the “big picture” point of view. Our consultants are experts in nursing, finance and regulatory issues with hands-on experience and credentials. We find those who understand the conflicts existing within and between departments are uniquely qualified to provide the solutions and tools to remedy the situation, which has the downstream result of improving collections and regulatory compliance.

 

Goals May Include:

  • Improved revenue capture
  • Improved level of compliance
  • Reduced risk of denials
  • Minimized risk of increase in days of unbilled accounts receivable
  • Implementation of systematic CDM protocols
  • Identification of lost or missing charges
  • Assignment of all billable HCPCS and CPT Codes to drugs, supplies and services
  • Identification of non-billable chargemaster codes (e.g. routine supplies)
  • Analysis and verification of liked/exploded charges
  • Revenue code assigned verification and revision charge comparison to standard fee schedule payment plus your markup
  • Identification and removal of duplicate charges

 

Contact us to help
put the pieces together
KHC Offices (410) 461 – 5116

 

Collaboration + Knowledge = Sustainable Results

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