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Enterprise ChargemasterExpert.com

Enterprise ChargemasterExpert.com
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Publisher: Optum360
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July 2018 CALL


Enterprise 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, Enterprise ChargemasterExpert.com improves efficiency and productivity while eliminating the costly issues that lead to billing rejections and denials.

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Features and benefits

  • Optum360 EdgeSophisticated analytics boost accuracy. The auto-analysis function thoroughly scans and identifies more than 12 charge description master (CDM) coding and billing compliance problems, and offers solutions on a line-by-line basis.
  • Optum360 EdgeCurrent code information boosts data quality. Because these complex regulatory CPT®/HCPCS coding changes and edit updates are delivered to the application monthly, you always have access to the latest coding information. This allows you to refresh your CDM with new codes in seconds. In addition, Enterprise ChargemasterExpert.com includes essential review areas and time saving features that improve productivity and data quality.
  • Easy-to-use. This tool requires minimal staff training and reduces time spent on CDM administrative tasks.
  • Hosted web-based solution. Easily integrates data and does not require IT support/maintenance.  You control the import and analysis of the CDM on your schedule and needs.
  • Reviews the CDM automatically. Efficiently flags potential coding and billing errors, lost revenue, and compliance problems.
  • Up to date code information. Provide current/future code information allowing code changes to be implemented by the effective date to minimize compliance risk, claims edits and denied claims.
  • Improve revenue capture by facilitating accurate and competitive pricing, as well as ensuring prices are above the current APC rates
  • Developed and maintained by coding experts and CDM consultants.
  • Simplifies code searches. Search across CPT®, HCPCS Level II, ICD-10-CM/PCS and view results in a comprehensive, single page view.
  • Robust, customizable workflow feature. Allows for approval/denial of changes made in the CDM and report capability for auditing purposes.
  • Maintains overrides of edits. Allows for focus on relevant issues.
  • Demonstrates discrepancies between incoming host files and the CDM in the system (maintenance conflicts) for review and alignment.
  • Enterprise ChargemasterExpert.com multi-hospital features:
    • Easily convert and map charge lines/line items that are not in compliance with the Corporate Standard 
    • Allows comparing of local and/or regional CDM’s to the Corporate Standard, ensuring alignment.

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

The price of Enterprise ChargemasterExpert.com  does not include add-ons. Add-ons sold separately. Call for Pricing.

  • Medicaid Edits for California Add-on (Item WA41 for hospitals, Item WA41C for consultants)
  • Outpatient Margin Report 8 + 1 Peers Add-on (Item WA13)


To watch the Enterprise ChargemasterExpert.com product video, Click here.

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