Coding Audit Process Improvement and Customization
As a valued member of your organization’s compliance team, the compliance auditors view process improvement as an integral part of developing an...
2 min read
Timothy Jodway, CPA, COC, Manager, Revenue Cycle : Sep 13, 2023 5:55:33 PM
Most hospital revenue cycle leaders know that chargemaster maintenance is an important part of keeping your hospital compliant and improving revenue cycle efficiency. However, there is one part of chargemaster (charge description master or CDM) that is often overlooked as part of the regular review - pharmacy drugs.
There are several reasons that the pharmacy CDM doesn’t receive the attention it deserves:
Despite these reasons, there are unique aspects that the CDM team should be familiar with regarding drug charges. If they aren’t, there may be hidden problems.
In summary, reviewing the pharmacy CDM takes a team effort between the pharmacy department and rest of the CDM team and a few additional steps beyond what is needed for most other departments. Those extra steps are important in keeping the hospitals CDM compliant and accurate.
As a valued member of your organization’s compliance team, the compliance auditors view process improvement as an integral part of developing an...
Introduction
The Volume Decrease Adjustment (VDA) is an important benefit to assist Medicare Dependent Hospitals (MDH) and Sole Community Hospitals (SCH) when...