HEIT 1250 - Chapter 8

What makes the Chargemaster a vital component of the revenue cycle?

• It lists all items that can be charged to patients' accounts

• It eliminates the need for hardcoding

• It increases the use of charge-capture audits

• It simplifies the charge reconciliation process

Which of the following data elements is specific to the hospital or service provider and would not show up on the bill?

• charge codes

• revenue codes

• CPT or HCPCS codes

• CPOE codes

How are modifiers used when billable services are entered into the CDM?

• to provide further information about the CPT or HCPCS codes

• to provide a general identification of what a line-item charge represents

• to provide information on the department where the service or product was supplied

• to provide information on the charge established for a given line-item service

What advantage does regular maintenance of the CDM have for providers?

• it minimizes the risk of noncompliance

• charges are not posted until after service is provided

• documentation can be soft-coded instead of hard-coded

• it links services to the CPT or HCPCS code

Why should a Chargemaster Committee review all CPT, HCPCS and revenue codes?

• to make sure they comply with Medicare guidelines or other payer contracts

• to make sure there are no duplications of code assignments by coders

• to determine charge dollar amounts for appropriateness

• to determine that changes to the CDM result in the desired outcome