In order for organizations to be truly confident in their revenue cycle processes, they must review their charge description master annually.
Jolene Howard, senior healthcare consultant at Craneware: Typically, providers wait three to five years before conducting a complete CDM review, which can lead to high denial rates and/or additional re-work in billing/follow-up.Due to the ever-changing coding/reimbursement rules and regulations, a proactive approach to CDM management is necessary for financial success. The review should be a collaborative approach between revenue cycle and clinical staff members, to thoroughly evaluate all data and analyze for any red flags. Top CDM compliance issues often involve supply chain management and pharmacy codes, stemming from the high volume of products associated with these departments. Get in front of any reimbursement challenges by conducting periodic reviews to ensure an accurate, current and compliant CDM.