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Charge Description Basics
Mississippi Hospital Association
March 31, 2011
9 a.m.-4 p.m.
Event Description
This face to face, day-long course hosted by the Mississippi
Hospital Association was designed as an introduction (or refresher
course) on hospital charge capture and the tools needed to
effectively build and use a database that accurately reflects
the services, procedures, supplies, pharmaceuticals and visits
provided at your facility.
HORNE Health Care Manager Lori Baker reviewed each of the major elements of the CDM with case studies and hands-on modules, flow charts of best practices and examples of real life charge capture tools used to select the proper CPT code. Monitoring and CDM update strategies were presented in a checklist format to help even the busiest CDM Coordinator stay on track. This seminar provided advanced strategies for improving revenue with accurate and compliant mid revenue cycle processes, procedures and protocols.
Key Topics
- Review the CPT and HCPCS code set and the selection process
- Identify common CDM errors that can result in revenue loss:
- Vocabulary other than medical terminology (each, first, initial, subsequent)
- Revenue codes, CDM numbers (SIM/FIN codes), Department codes
- Bridging the gaps between order entry and billing
- Units of service (Medically Unlikely Edits, drugs)
- Mandated modifiers (therapy modifiers, anatomical modifiers, NCCI edits)
- Standardize the CDM with:
- Order Entry Charge Explosions
- Nomenclature throughout the facility
- Pricing across departments for same/similarly coded services
- Provide tips and tools for non-clinical CDM managers/coordinators, coders, billers and financialauditors
- Compare Medicare OPPS CDMs and CAH CDMs
- De-mystify modifiers and know when/how to hard code modifiers on the CDM
- Navigate helpful websites (cms.gov and others) with particular emphasis on charge capture guidelines
