Live Virtual Revenue Integrity and Chargemaster Boot Camp

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Live Virtual Revenue Integrity and Chargemaster Boot Camp

Product Code: CHBV

1st Attendee $1,099.00*
Additional Attendee(s)
Save $0.00$1,099.00 each

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* Next registration cut-off date: 8/7/2024

To register multiple attendees, please call our sales team at 800-650-6787 .

This live virtual Boot Camp is perfect for those looking to expand their Medicare knowledge with instructor-led education that can be accessed from the comfort of your own home. Classes are led by our expert instructors, typically take place over the course of a week or two, and allow instructor/student interaction and engagement.

Live Virtual Revenue Integrity and Chargemaster Boot Camp

Course Overview

Chargemaster and Revenue Integrity is critical for cash flow. Let our expert instructors help you understand what you need to know for chargemaster and revenue integrity performance. This Boot Camp provides formal, organized education and training for revenue integrity and chargemaster staff.

The Revenue Integrity and Chargemaster Boot Camp provides education on chargemaster and revenue integrity concepts with classroom discussions on best practice plans of action to navigate common issues. The Boot Camp relates the chargemaster function to revenue cycle and revenue integrity functions, including key operational issues, such as eligibility, coverage, documentation requirements, charge capture, and coding guidelines.

It also provides context for chargemaster set-up and maintenance following HIPAA transaction set requirements with an objective to help avoid pre- and post-billing edits and payer denials.

You will leave this program knowing how to:

  • Understand the intersection of the chargemaster with clinical/revenue departments, charge capture, coding, finance, and patient access and billing
  • Explain the legal authorities for HIPAA transaction sets that govern key fields in the chargemaster and revenue cycle functions
  • Breakdown CMS regulatory requirements for pricing and charging patients
  • Identify key relationships between the chargemaster and provider cost reporting
  • Describe detailed instructions for the majority of revenue codes for optimal chargemaster setup, maintenance, charge capture, and documentation issues
  • Review chargemaster issues for commercial/managed care versus CMS requirements

Whats new?

  • CMS introduced modifier -JZ when billing for drugs from single-dose containers with no discarded amounts and clarified requirements for reporting modifier -JW for drug wastage.
  • CMS updated hospital outpatient quality reporting measures for 2023, which providers must follow to receive the maximum possible reimbursement.
  • CMS is expanding coverage of dental services that it deems “medically necessary” to perform in conjunction with certain procedures, treatments, or services.
  • CMS updated its 2023 coverage and payment policies regarding remote mental health services when billed by outpatient hospitals.

Who should attend?

  • Finance directors
  • Reimbursement managers
  • Chargemaster coordinators
  • Patient financial services management and staff
  • Managed care contracting management and staff
  • Revenue integrity management and staff
  • Payer relations staff
  • HIM directors and managers
  • Coding directors and managers
  • Compliance officers, directors, and managers
  • Claims auditors

See the HCPro difference for yourself!

  • Focus on the actual rules: Learn how to find and apply CMS rules and guidelines to ensure hospital services furnished to patients are billed accurately and appropriately.
  • Tools and skills to navigate Medicare rules: Our instructors provide valuable tools and resources that will help you prioritize and research questions long after the Boot Camp ends.
  • Case studies: Case studies ensure attendees understand the concepts and know how to apply them to real-world situations.
  • Small class size: A low participant-to-teacher ratio is guaranteed.
  • Highly rated, well-established program: Participants consistently give the course an overall rating of 4.75 or higher (on a 5.0 scale).

How does the Live Virtual Revenue Integrity and Chargemaster Boot Camp work?

Class is held from 12:00 p.m. – 4:00 p.m. Eastern Time (8 classes).

Please Note: Four days before class starts, you will receive a welcome email that includes the dial-in information for the class.

Class is held Monday – Wednesday (Week 1) and Monday – Friday (Week 2) from August 14 – August 23.
Registration cut-off date: 8/7/2024

Class is held Monday – Friday (Week 1) and Monday – Wednesday (Week 2) from December 2 – December 11.
Registration cut-off date: 11/25/2024

Looking to train your whole team? Our experts can provide virtual training for your organization! Learn more here!

For more information about our Boot Camps, contact us at 800-650-6787 or email

Live Virtual Revenue Integrity and Chargemaster Boot Camp


Module 1:  Revenue Integrity Overview and Resources  

  • Revenue integrity functions and key principles, including how the chargemaster fits into revenue integrity functions  
  • Medicare and other revenue integrity and chargemaster resources  
  • Understanding authoritative sources such as statutes, regulations, manuals, transmittals, and other Medicare rules and guidelines  

Module 2:  Insurance Eligibility Principles

  • Review major payors and insurance types 
  • Principles of health insurance eligibility  
  • Coordination of Benefits & Subrogation  
  • Medicare Secondary Payer (MSP) concepts 

Module 3:  Benefits, Coverage, and Medical Necessity

  • Review how insurance benefits are structured for hospital and other services  
  • The importance of coverage, medical necessity, and both implied and statutorily excluded benefits
  • Pre-service coverage analysis and associated waiver/notice requirements  
  • Serious preventable events and relationship to risk management 
  • Investigational/experimental services and implications for coverage    

Module 4: Providers, Suppliers, and Enrollment 

  • Types of facilities, providers, physicians, practitioners, and suppliers  
  • Provider-based department requirements, including on and off-campus modifier requirements  
  • Licensure, the scope of practice, privileging, and relationship to coverage  
  • Conditions of participation, survey & certification, and accreditation  
  • Importance of medical staff bylaws & regulations and relationship to conditions of payment 

Module 5: Claims Submission Fundamentals

  • HIPAA transaction sets for claims 
  • Key UB-04 claim fields and special instructions 
  • Billing repetitive, recurring and non-repetitive services 
  • Billing for Readmissions 
  • Special rules for inpatient part B claims 
  • Medicare Claims Flow 

Module 6: Medicare Edit Systems 

  • Common Edit systems 
  • Medicare Code Editor (MCE) and Integrated Outpatient Code Editor (IOCE) 
  • National Correct Coding Initiative (NCCI) 
  • Procedure-to-procedure (PTP) edits and modifiers  
  • Medically Unlikely Edits (MUE) 
  • Add-on code edits (AOC) 

Module 7: Inpatient Payment Systems and Methodologies 

  • Inpatient payment methodologies 
  • Payment concepts, including stop loss, outlier, and carve-outs 
  • Inpatient Prospective Payment System (IPPS) and Medicare-Severity Diagnosis Related Groups (MS-DRGs) 
  • Three Day Pre-admission Payment Window 
  • Bundled and Episode of Care payments 
  • Value Based Purchasing 

Module 8: Outpatient Payment Systems and Methodologies 

  • Outpatient payment methodologies, including prospective vs. fee schedule payment, and bundled vs. packaged services 
  • Outpatient Prospective Payment System (OPPS) 
  • Medicare Physician Fee Schedule (MPFS) key concepts 
  • Ambulatory Surgery Center (ASC) payment system 
  • Clinical Laboratory Fee Schedule 

Module 9:  Audits, Appeals, and Denial Management 

  • Principles of denial management  
  • Types of auditors, audits, and audit contractors 
  • Adjustment claims and automated provider reopening  
  • Initial and revised determinations and appeal rights  
  • Levels of appeal and timelines for filing  

Module 10:  Payer Contracting Strategies 

  • Contracting strategies and organization priorities 
  • Payer Scorecards and Key Performance Indicators for payers 
  • Contract provisions for effective contracting 
  • Defined terms, negotiated remedies and pricing provisions 
  • Annual price increase limits/caps applicable to chargemaster 
  • Carve out provisions and stop-loss/outlier options 

Module 11: Charge Description Master Structure and Relationship to Cost Reporting 

  • Definition, purpose, and key fields of a chargemaster 
  • Concepts for code setup in CDMs and relationship to HIM coding 
  • Strategies to address payer differences in the chargemaster 
  • Relationship of the chargemaster to the overall accounts receivable system 
  • Concepts for pricing services  
  • Chargemaster, general ledger and relationship to cost reporting 

Module 12: Charge Capture Principles 

  • Requirements for charges 
  • Charges for routine and ancillary Services 
  • Concepts of bundling and packaging, and appropriate charging 
  • Principles of charge capture 

Module 13: Charge Description Master Management and Maintenance Strategies 

  • Issues for annual chargemaster updates, including pricing, HCPCS codes, and no volume items 
  • Strategies to work collaboratively with departments 
  • Importance of patient accounts and charge reconciliation 
  • Tracking CDM changes for compliance 
  • Charge integrity monitoring and reducing unexplained variation in claims 

Module 14: Strategies and Key Issues by Revenue Code: Routine Services and Observation 

  • Key concepts for accommodation codes and routine services, including outpatients in beds, specialty care units, and observation services  
  • Coding and edit issues for revenue codes associated with routine services and observation  
  • Major factors of coverage for these services
  • Applicable inpatient and outpatient payment concepts
  • General ledger and finance considerations, including pricing and charge capture

Module 15:  Strategies and Key Issues by Revenue Code: Ancillary Services 

  • Key concepts for major ancillary service departments, including peri-operative services, emergency, cardiology, diagnostic imaging, pharmacy, and supplies  
  • Coding and edit issues for revenue codes associated with ancillary services  
  • Major factors of coverage for these services  
  • Applicable inpatient and outpatient payment concepts  
  • General ledger and finance considerations, including pricing and charge capture 

Module 16:  Strategies and Key Issues by Revenue Code:  Other Departments 

  • Key concepts for other common ancillary service departments, including respiratory therapy, clinics, behavioral health, and preventive services  
  • Coding and edit issues for revenue codes associated with other departments  
  • Major factors of coverage for these services  
  • Applicable inpatient and outpatient payment concepts  
  • General ledger and finance considerations, including pricing and charge capture 

Course Outline/Agenda subject to change.

Live Virtual Revenue Integrity and Chargemaster Boot Camp


August — Class Schedule (Eastern time)

August 14 12:00 p.m. – 4:00 p.m.
August 15 12:00 p.m. – 4:00 p.m.
August 16 12:00 p.m. – 4:00 p.m.
August 19 12:00 p.m. – 4:00 p.m.
August 20 12:00 p.m. – 4:00 p.m.
August 21 12:00 p.m. – 4:00 p.m.
August 22 12:00 p.m. – 4:00 p.m.
August 23 12:00 p.m. – 4:00 p.m.

December — Class Schedule (Eastern time)

December 2 12:00 p.m. – 4:00 p.m.
December 3 12:00 p.m. – 4:00 p.m.
December 4 12:00 p.m. – 4:00 p.m.
December 5 12:00 p.m. – 4:00 p.m.
December 6 12:00 p.m. – 4:00 p.m.
December 9 12:00 p.m. – 4:00 p.m.
December 10 12:00 p.m. – 4:00 p.m.
December 11 12:00 p.m. – 4:00 p.m.

Live Virtual Revenue Integrity and Chargemaster Boot Camp

Learning Objectives

At the conclusion of this educational activity, participants will be able to: 

  • Formulate effective and efficient strategies to obtain and maintain overall revenue integrity for both governmental and non-governmental payers 
  • Analyze revenue integrity principles associated with eligibility, coverage, coding, billing, and payment using fee-for-service Medicare requirements as a framework 
  • Articulate the scope and importance of adhering to HIPAA transaction sets and the authorities for the transaction sets 
  • Identify standard charge description master (CDM) elements, design, and relationship to the general ledger and revenue cycle processes of coding and billing 
  • Comply with claim requirements, CDM set-up, and maintenance guidelines by revenue code  
  • Differentiate outpatient and inpatient hospital prospective payment systems reimbursement and rate-setting methodologies

Continuing Education

This program has the prior approval of AAPC for 30 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

This program has been approved for 30 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification, offered as a service of the Association of Clinical Documentation Integrity Specialists (ACDIS).

This program has been approved for 30 continuing education unit(s) (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting of Approved CEUs from AHIMA does not constitute endorsement of the program content or its program provider.

The Compliance Certification Board (CCB) has approved this event for up to 36 CCB CEUs. Continuing Education Units are awarded based on individual attendance records. Granting of prior approval in no way constitutes endorsement by CCB of this program content or of the program sponsor.

This program has been approved for 30 continuing education units towards fulfilling the requirements of the Certification in Healthcare Revenue Integrity (CHRI), offered as a service of the National Association of Healthcare Revenue Integrity (NAHRI).

Disclosure Statement:
HCPro has confirmed that none of the faculty/presenters, planners, or contributors have any relevant financial relationships to disclose related to the content of this educational activity.

Live Virtual Revenue Integrity and Chargemaster Boot Camp


What is the focus of the Live Virtual Revenue Integrity and Chargemaster Boot Camp?
The Boot Camp focuses on finding and applying the HIPAA Transaction Sets rules and guidelines that apply to chargemaster and revenue integrity professionals to help ensure accurate and appropriate billing.

What computer set-up do I need to attend this class?
This will be hosted on the GoToMeeting platform. Attendees should have access to a computer that has a microphone and speakers to participate. There is also an option to dial-in over a phone line if you need to connect on your phone. You can read the full system requirements for GoToMeeting by visiting You can also test your system by visiting

Does HCPro offer an "on-site" version of this Boot Camp?
In addition to our open registration courses, we also offer this Boot Camp as an on-site program (with a substantial discount) for organizations that have a number of employees who need training. For more information on hosting an on-site Boot Camp, click on Host an On-Site Course

What if I need to cancel or transfer my registration?
To view our cancellation policy, please click here

Who typically attends the Live Virtual Revenue Integrity and Chargemaster Boot Camp?

  • Finance directors 
  • Reimbursement managers 
  • Chargemaster coordinators 
  • Patient financial services management and staff 
  • Managed care contracting management and staff 
  • Revenue integrity management and staff 
  • Payer relations staff 
  • HIM directors and managers 
  • Coding directors and managers 
  • Compliance officers, directors, and managers 
  • Claims auditors 

What material does the course cover?
To view the course outline, click on "Course Outline" above. 

Does the course require any previous experience or training?
No. The course starts with Medicare fundamentals and does not assume that participants have any particular background or experience. However, because of the fast-paced nature of the course, it is recommended (but not required) that participants have at least one year of experience working in a hospital.  

How is the course taught?
The course is taught using a combination of lecture, class discussion, and case studies.

What should I have available for each session?
For each class, participants should have their packet of materials and may wish to also have available a highlighter, notebook for taking notes, and sticky notes/flags.

What if I have a question that didn’t get addressed in class?
The course offers open office hours each week to address topics related to the course materials and class discussion. Questions should be related to the course and topics discussed throughout the course. Instructors are not able to address questions outside the scope of the course.

Does HCPro ever share contact information (e.g., name, address, phone number, email address, etc.) with other companies?
Historically, we have not shared contact information with anyone outside of our company. However, it is possible that at some point we might share contact information with other companies that offer products and services that we think would be of interest to our customers. If you would like us to keep your contact information confidential, please let us know so that we can flag your information in our customer database as "Do Not Share."

How do I get more information?
Contact our sales team at 800-650-6787 or email

Live Virtual Revenue Integrity and Chargemaster Boot Camp for Critical Access Hospitals

Things to Know Before Attending Class

What is Included with Your Purchase

When you purchase a seat for our live virtual boot camps you get online access for one participant to the live sessions, a hard copy of our printed workbook materials, and access to the recordings of the sessions. HCPro reserves the right to revoke your access if we find that you are sharing your login or any of the class information.

Course Materials

You will receive a hard copy of the class materials. These will be shipped to you via UPS. If ordering on our website, please be sure to enter the physical address of where these materials should be shipped to. If you order over the phone or if you are unsure of what address we have on file, please ask the person you are speaking with to verify your address information and update accordingly or call our customer service department. Materials should arrive approximately two business days prior to the start of class.

Virtual Boot Camp Platform

We use GoToMeeting to present our virtual boot camps. To ensure your system supports GoToMeeting, use this link We will send out access information for the class 4 business days prior to the class start and again 1 business day prior.

Session Recordings

You will have access to the recordings of each class session via a password protected page on our website. You will be given the page location two business days following the first session. Recordings will be added to the page within one business day following the live session. You will have access to this page for 60 days after the final live session. 

Continuing Education Credits

To receive continuing education credits, you will be required to successfully complete a 40-question quiz that is based off of the content covered throughout the course. Successful completion is achieved by getting at least 80% of the multiple-choice questions correct.

What to Bring to Class

We suggest that you have the following available during the class:

  • Highlighter
  • Notepaper
  • Sticky Notes/flags
  • Pen/Pencil

Contact Information

If you have any question about the virtual boot camp program, please contact Customer Service at (800) 650-6787 or email

We Look Forward to Having You In Class!

The National Association of Healthcare Revenue Integrity (NAHRI)

Join Today!

NAHRI’s mission is to enhance the revenue integrity profession through standards, advocacy, networking, and the promotion of shared knowledge and resources. This mission statement was developed by our NAHRI Advisory Board, an amazing group of revenue integrity professionals who bring a wide range of expertise and experience to this organization’s leadership.


As a NAHRI member, you’ll get unlimited access to our vast members-only resources, tools, and content such as white papers, best practices, and research reports written by the most respected names in the industry.

Resources include:

  • Member-Only Content, explore the hundreds of the latest articles and research by topic, including white papers and best practices, plus an extensive archive on the NAHRI website
  • A library of sample webinars and other content on the latest revenue cycle topics
  • NAHRI quarterly journal, featuring in-depth, members-only content on the latest developments in revenue cycle


Be on the ground floor in establishing your local chapter! It’s a great way to: 

  • Quickly integrate and network with other revenue cycle professionals 
  • Expand your management, leadership, and public speaking skills by volunteering for the chapter executive board


Members receive significant discounts on all national and local NAHRI events. Learn from the best and brightest, interact and network with industry leaders, or roll your sleeves up and participate in an intensive, in-person, training events.


NAHRI members receive $150 off the Live In-Person and Live Virtual Revenue Integrity and Chargemaster Boot Camp credential program. To receive your special discount rate or sign up to become a NAHRI member today please call 800-650-6787.

NAHRI members receive $100 off the Certification in Healthcare Revenue Integrity (CHRI) credential program. This program will provide professionals like you a tangible way to enhance and promote your revenue cycle skills.