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CDM Services
It sounds so simple: You provide a patient a supply item, you charge for it. You
perform a procedure on a patient, you charge for it. The patient is occupying a bed,
you charge for it. Every item has a revenue code. Procedures have CPT or HCPCS
codes. You accumulate the charges, format, and bill the payor and/or patient.
Then it starts getting complicated. A procedure can have multiple codes
depending on the situation. Payors now have multiple reimbursement schemes
based on sometimes bizarre combinations of codes and circumstances. The
government adds Case Mix Classification to make it interesting. Your Charge
Description Master (CDM) is growing geometrically with every new regulation or
payor contract. The CDM in a multi-facility organization multiplies the above
complications exponentially. Each facility has its own "special" needs and its own
staff to maintain the CDM.
Charge Description Master (CDM) Management is the High Pointe Consulting
methodology for a comprehensive Charge Description Master Consulting service
targeted toward maximizing the effectiveness of the CDM maintenance process.
perform a procedure on a patient, you charge for it. The patient is occupying a bed,
you charge for it. Every item has a revenue code. Procedures have CPT or HCPCS
codes. You accumulate the charges, format, and bill the payor and/or patient.
Then it starts getting complicated. A procedure can have multiple codes
depending on the situation. Payors now have multiple reimbursement schemes
based on sometimes bizarre combinations of codes and circumstances. The
government adds Case Mix Classification to make it interesting. Your Charge
Description Master (CDM) is growing geometrically with every new regulation or
payor contract. The CDM in a multi-facility organization multiplies the above
complications exponentially. Each facility has its own "special" needs and its own
staff to maintain the CDM.
Charge Description Master (CDM) Management is the High Pointe Consulting
methodology for a comprehensive Charge Description Master Consulting service
targeted toward maximizing the effectiveness of the CDM maintenance process.
Our Scope includes the entire CDM management operation including the following functions:
- CDM Coding Accuracy
- CDM Maintenance processes
- Charging processes utilizing the CDM
- CDM Standardization and Conversions
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Deliverables
Documentation of and end-user training on CDM Maintenance processes including regulatory and business requirements.
Documentation of revenue reporting process improvement action plans.
For CDM standardizations and conversions:
Documented changes to CDM, charge forms, billing, reimbursement, and ancillary systems.
Documented mapping of old CDM to standard.
Documented recommended "Revenue Neutral" pricing.