The Chargemaster Essentials Toolkit

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The Chargemaster Essentials Toolkit

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The Chargemaster Essentials Toolkit

Valerie A. Rinkle, MPA

Chargemaster coordinators, analysts, and other revenue integrity professionals are responsible for a multitude of tasks related to chargemaster maintenance and strategies. From annual updates and monthly departmental reviews to ongoing compliance efforts, they must stay on top of billing and coding trends and changes, cost reporting, and charge capture, as well as edits, pricing, and revenue codes.

The Chargemaster Essentials Toolkit provides readers with the tools to optimize their chargemaster and use it as a powerful tool for ensuring accurate reimbursement and revenue integrity. Readers will also receive helpful downloadable tools such as a sample maintenance calendar, policies, and questionnaires for working with other departments.

This book will help readers:

  • Stay on top of ongoing chargemaster education and maintenance
  • Learn best practices, strategies, and principles for chargemaster management
  • Optimize the chargemaster for both Medicare and managed care contracts
  • Understand revenue cycle concepts and terminology crucial to effective chargemaster maintenance


About the Author:

Valerie A. Rinkle, MPA, is a lead regulatory specialist and an instructor for HCPro's Medicare Boot Camp®—Revenue Integrity and Chargemaster Version, Medicare Boot Camp®—Utilization Review Version, and Medicare Boot Camp®—Hospital Version. Rinkle is a former hospital revenue cycle director and has over 30 years in the healthcare industry, including over 12 years of consulting experience in which she has spoken and advised on effective operational solutions for compliance with Medicare coverage, payment, and coding regulations.

Published: December 2016

Page Count: 190
Dimensions: 8.5 X 11
ISBN: 
978-1-68308-086-2

Table of Contents

Introduction

Chapter 1: The Chargemaster Coordinator’s Role Within the Revenue Cycle

Chapter 2: Chargemaster Structure and Principles

Chapter 3: Chargemaster Management and Maintenance Strategies

Chapter 4: Claims and Claim Submission Fundamentals

Chapter 5: Chargemaster Considerations for Routine Services

Chapter 6: Ancillary Services, Part 1

Chapter 7: Ancillary Services, Part 2

Chapter 8: Coding and Claim Edits

Chapter 9: Managed Care Contracting Strategies and Price Transparency

Appendix A: Resources

Appendix B: Downloads