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Publisher: Optum360
Experts: Denise Smith
Sample Pages:  View PDF

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ChargemasterExpert.com is a robust, user-friendly online application that helps your hospital maintain a complete, up-to-date chargemaster for Medicare billing and compliance.
By combining a powerful set of easy-to-use tools to automate chargemaster code validation, data reviews, analysis, and updates, ChargemasterExpert.com improves efficiency and productivity while eliminating the costly issues that lead to billing rejections and denials.

Multi-hospital features enable hospital systems to standardize and manage multiple chargemasters from a single interface. ChargemasterExpert.com provides corporate management and supervision over multiple chargemasters from a single source for charging continuity, improved regulation compliance, improved communication, and reduced organizational workloads. 

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Features and benefits

 Chargemaster.com standard features include:

  • Optum360 Edge — Sophisticated analytics. Once your data is imported and mapped , the auto-analysis function thoroughly scans and identifies more than 12 CDM coding and billing compliance problems, and offers solutions on a line-by-line basis to increase accuracy.
  • Optum360 Edge  — Current code information. Updated monthly, this solution boosts data quality by ensuring access to the most current regulatory and coding changes that affect the CDM. In addition, ChargemasterExpert.com includes essential review areas and timesaving features that improve productivity and data quality.
  • Optum360 Edge  — Mapping and integration tool. Simplify the importing of CDM data.
  • Review the CDM automatically to flag potential coding and billing errors, lost revenue, and compliance problems.
  • Keep pace with complex regulatory and CPT®/HCPCS coding changes and edits that impact the chargemaster. Automatic data updates help maintain compliance with regulatory changes.
  • Implement code changes by the effective date to minimize denied claims.
  • Improve revenue capture by facilitating accurate and competitive pricing and identifying missing procedures and cross-coding opportunities.
  • Developed and maintained by coding experts and CDM consultants.
  • Simplifies code searches across CPT, HCPCS Level II, and revenue codes and integrates results.
  • Hosted solution easily integrates data and does not require an IT maintenance contract.
  • Includes benchmarking data to identify pricing vulnerabilities.
  • Easy-to-use, this tool requires minimal staff training and reduces time spent on CDM administrative tasks.

ChargemasterExpert.com multi-hospital features:

  • Access to more than one chargemaster. View and evaluate multiple chargemasters simultaneously.
  • Pinpoint, easily convert, and map line items that are not in compliance with the corporate standard.

The price of ChargemasterExpert.com does not include add-ons. Add-ons sold separately. 

Click here to view all the available add-on modules

  • AHA Coding Clinic® for HCPCS Add-on (Item WA03 & WA03C)
  • AHA Coding Clinic® for ICD Add-on (Item WA02 & WA02C)
  • AMA CPT® Assistant Add-on (Item WA01)
  • AMA CPT® Changes: An Insider's View Add-on (Item WA27)
  • The AMA CPT® Content Module Add-on (Item WA34)
  • Total CPT® Add-on (Item WA37)
  • Clinical Documentation Improvement Add-on (WA35)
  • Dr. Z’s Medical Coding Series: Interventional Radiology Add-on (Items WA30 & WA31)
  • DrugReimbursement.com Add-on (Item WA08)
  • Stedman's Medical Dictionary Add-on (Item WA04)

CPT® is a registered trademark of the American Medical Association.


Schedule A Demo > Click here

Content Experts

Denise  Smith - Denise is the product manager for eFacility Solutions and has been with Optum360 for 24 years. During that time, she spent 10 years working closely with the chargemaster consulting team, and, prior to accepting her most recent position, was training as a junior consultant. She earned a Bachelor of Science degree in nursing from the University of Utah and is a certified coding professional.

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