ChargeMaster
Services
The chargemaster is central to the hospital’s revenue cycle, directly impacting financial performance and regulatory compliance. With its expanding role in revenue generation, payer negotiations, and patient price estimation, maintaining an accurate and updated charge description master (CDM) is crucial.
Comprehensive Review
RIMResources’ Comprehensive Chargemaster Review offers an in-depth assessment of your chargemaster, including manager interviews, a detailed review of a year’s revenue data, and charge capture audits. With over 28 years of expertise, we help identify missed charges, coding errors, and revenue opportunities to boost accuracy, ensure compliance, and support financial growth.
The Benefits
Increase Revenue & Accuracy
Our consultants identify and recover missed billing opportunities while ensuring accurate charge capture.
Ensure Compliance
Our expert coders correct coding errors to align with Medicare and commercial payer regulations, preventing compliance issues.
Improve Processes
We help update your policies and procedures while educating staff to ensure sustained accuracy and financial health.
Maximize
Revenue
Maximize your revenue potential and ensure accuracy with our Chargemaster Comprehensive Review. Let us help you identify missed opportunities and improve your billing efficiency. Contact us today to schedule your review!
Ensure
accuracy
Desktop Review
RIMResources’ Desktop Chargemaster Review provides a comprehensive evaluation of your hospital’s chargemaster to ensure compliance with Medicare standards and accuracy in coding and pricing. Our service identifies discrepancies and ensures your chargemaster is up-to-date, maximizing compliance and financial performance.
The Benefits
Ensure Accuracy
Our team validates CPT/HCPCS codes, revenue codes, and modifiers to ensure compliance with current Medicare and coding standards.
Maximize Financial Performance
Consultants compare hospital pricing against Medicare APC and Commercial Payor Fee Schedules to identify and correct pricing discrepancies.
Ongoing Compliance Support
We offer findings review and one year of unlimited consultant support to help implement corrections and maintain compliance long-term. Contact us today to get started!
Ensure
compliance
Ensure compliance and uncover hidden revenue opportunities with our detailed Desktop Review Services. Our expert team will thoroughly audit your records for accuracy and optimization. Reach out now to get started!
uncover
Revenue
Frequently Asked Questions
What is a chargemaster (CDM) and why is it important?
A chargemaster, also known as a charge description master (CDM), is the centralized listing of all billable services, procedures, supplies, and ancillary items with their associated codes, modifiers, and prices.
It is crucial because it:
Drives hospital revenue by determining chargeable items
Ensures consistent pricing and billing
Helps maintain regulatory compliance (e.g. Medicare, commercial payers)
Enables price transparency for patients
How does RIM Resources perform a Comprehensive Chargemaster Review?
RIM’s Comprehensive Review includes:
Interviews with chargemaster and revenue staff
Analysis of one full year of revenue transactions
Audits of charge capture and coding
Identification of missed charges, coding errors, and pricing inconsistencies
This approach aims to maximize revenue opportunity, improve charge accuracy, and support long-term compliance.
What is a Desktop Chargemaster Review and when is it appropriate?
A Desktop Review is a remote evaluation of your chargemaster using submitted data and documentation. It focuses on:
Validating CPT/HCPCS codes, revenue codes, and modifiers
Comparing your pricing to Medicare APC and commercial payer fee schedules
Revealing discrepancies that could affect revenue or compliance
This option is suitable when an on-site assessment is not possible or as a lower-cost preliminary audit.
What are the key benefits of hiring RIM Resources for chargemaster optimization?
By working with RIM Resources, hospitals can expect:
Recovery of missed or under-billed charges
Improved accuracy of coding and pricing
Stronger compliance with Medicare and payer rules
Updated policies, procedures, and staff training
Ongoing consultant support to maintain gains over time
How often should a chargemaster be audited or updated?
Best practice is to review or audit the chargemaster at least annually, although more frequent reviews (e.g. quarterly) may be prudent if your organization undergoes operational changes, launches new services, or experiences payer contract revisions.
Can RIM Resources help maintain compliance with Medicare and commercial payers?
Yes. RIM’s experts validate and correct coding (CPT, HCPCS, modifiers) to align with Medicare requirements and commercial payer standards. Their services are aimed at reducing audit risk and enhancing reimbursement integrity.
What kinds of discrepancies are commonly found in chargemaster audits?
Typical issues uncovered include:
Missing or under-priced CPT/HCPCS codes
Incorrect modifiers or revenue codes
Inconsistent pricing compared to payer benchmarks
Charge capture gaps (unbilled services)
Noncompliant or outdated coding practices
How long does the audit and implementation process take?
The timeline depends on the size and complexity of your facility and data. A Desktop Review may take a few weeks, while a full Comprehensive Review and implementation of corrective actions might span several months. RIM Resources can provide a projected schedule after initial scoping.
What level of support does RIM provide after the review is complete?
RIM offers ongoing consultant support for a year (or more upon agreement), assisting with implementation of changes, staff education, and ensuring sustained compliance and revenue performance.
How do I get started with a Chargemaster review from RIM Resources?
You can begin by contacting RIM via their website’s contact form or by telephone. Provide preliminary data (e.g. your current CDM, transaction samples) to allow RIM to scope a proposal tailored to your facility’s needs.