1. Charge Master Description

2. Chargemaster Basics What is a Chargemaster (CDM)?  Menu of all services provided by the facility, usually listed by department Charge Description Master

3. Common information makes up the Chargemaster  Department#  Charge Code number (7 digits)  Description  Price  CPT/HCPCS Code  Revenue Code

4. CPT/HCPCS Level I - CPT Level II - HCPCS  C urrent  P rocedural  T erminology Example - “93005” EKG procedure  Describe physician procedures and certain hospital outpatient services.  H ealthcare  C ommon  P rocedure  C oding  S ystem Example “J0560” Benadryl  Supplement CPT codes

5. Why use CPT/HCPCS Codes?  Claims processing  Payment reimbursement  Regulatory requirements

6. Department Chargemaster Sample

7. UB 92  The UB92 is the bill that is sent to the third party payers.  The UB92 claim form contains 86 field locators.

8. Hospital Charge Addition Process Add new charge, change, inactivation Web site for adding charges Double click Transferred to hospital finance email address Charge calculated MCG Healthcare Policy Turn around time = 10 work days No back dating

9. When to Update the CDM  Annual coding changes (Oct. thru Dec.)  Changes in CMS reimbursement guidelines  Changes in technology  New department services  New product lines

10. Questions?