Understanding Charge Capture is essential to accurate reimbursement.
We have found that although our clients may focus on the electronic systems that are in place to capture charges, there is an opportunity to improve the accuracy of reimbursement through improvements to the charge capture mechanisms that are utilized within the departments. MedCom will conduct an audit of the charge capture mechanisms to ensure that all services that are provided to the patients is accurately captured, in accordance with all regulatory and coding guidelines.
Charge Capture Audit Review Process
- Upload Chargemaster and Revenue and Usage data into our proprietary CDM Review Software to review volumes of correlating charges.
- Conduct on-site interviews with department staff to determine what services are performed, how departments are interpreting the line items, and how the charge capture process is conducted.
- Educate hospital staff to ensure that they are updated on regulatory changes, current on compliant charge capture processes, and knowledgeable about what is required to have a fully populated CDM.
- Review targeted UB-92 and detail bill information to identify and/or confirm charge capture processes.
- Provide specific recommendations to improve charge capture processes.
- Conduct a post-implementation audit to ensure that the changes have been integrated into the charge capture process.
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