Real World Case
Reimbursement rules require that the chargemaster drive a facilitys charges. To receive the optimal reimbursement for services rendered, the chargemaster must be up-to-date and all-inclusive and must meet any payer rules and regulations.
The facility has decided to undergo a review of its chargemaster to ensure that it meets the above criteria. In addition to the comprehensive evaluation, one of the other objectives of the project will be to institute the procedures to ensure that all additions, revisions, and deletions meet the chargemaster standards.
Answer the following Questions
1.How could the facility measure the success of the chargemaster review project?
2.Which facility departments should be included on the project team? Describe the role and responsibilities of each team member.
3.Who would be the most appropriate project sponsor? Who are the project stakeholders?
4.Prepare a list of tasks that need to be performed.
5.What departmental policies and procedures will need to be updated?
6.Describe the training program that should be put in place to ensure ongoing chargemaster compliance.