Course Curriculum

The chargemaster is a linchpin within the overall revenue cycle; therefore, it is necessary to keep it up-to-date on reimbursement processes and proper compliance. The chargemaster is a direct and indirect target of compliance for both government programs and third-party payers.  

As you will learn during this session, chargemasters are complex and can be organized in different ways. Adding to this complexity is the continuing controversy over hospital pricing. A carefully crafted systematic process is necessary to audit a chargemaster to ensure various concerns are met. The chargemaster must also be organized in a way to help hospitals remain financially viable. 

Learning Objectives 

At the completion of this program, the participants will be able to: 
1. Discuss the chargemaster as a financial tool. 
2. Evaluate all revenue codes and CPT/HCPCS codes to ensure they are up-to-date and are being properly reported. 
3. Discuss the many compliance concerns surrounding the chargemaster, including staturory compliance development of pricing and charges. 
4. Identify the different requirements made by various third party payers for coding, billing and the chargemaster. 
5. Identify steps the chargemaster coordinator can take to improve the chargemaster. 

Target Audience

This session is recommended for health care compliance personnel, billing and claims personnel, patient financial management, cost and accounting personnel, cost report personnel, financial analysts and planners, managed care contract personnel, and hospital chargemaster coordinators. Other staff who may want to attend include CFOs, chief compliance officers and all others interested in pricing.