Chargemaster Management

ClaimTrust’s CDM review is inclusive of all charges. We focus on the Pharmacy, Nuclear Medicine, Radiology, Operating Rooms, Nuclear Medicine, Cardiology Procedure Areas, as well as other clinical areas with a high level of billing complexity. Our CDM review does not cover the chargemaster alone but also includes a reconciliation against order entry and feeder system relationships. We incorporate a review of each major payor’s revenue code and CPT requirements to assure payer-specific accuracy. Our review of charging practices includes monitoring a charge to a claim to assure accuracy. Recommended changes will be implemented. Lost revenue will be recovered. Policies and procedures for on-going CDM maintenance will be provided, including CDM control and approval procedures.