Mastering the Charge Master Validation Process

A charge master audit is a systematic review process conducted in healthcare organizations to ensure accurate billing and coding services provided to patients. It involves reviewing the medical record documentation, billing information, place of service codes, billing provider, etc. to verify that all services rendered are appropriately documented and billed for.  Healthcare billing is subject to numerous regulations and requirements, including those set forth by federal payers like Medicare and Medicaid. Charge capture audits help ensure compliance with these regulations, reducing the risk of legal and financial penalties associated with billing errors or fraudulent practices.  Charge master audits ensure financial integrity by billing correctly for the services provided.

By identifying missed charges or coding errors, charge capture audits help healthcare organizations optimize their revenue. Proper documentation and coding of services provided can maximize reimbursement from payers and improve the organization's financial performance.  It prevents underbilling, which can lead to revenue loss, and overbilling, which can result in compliance issues, fines, or reputational damage.  Charge capture audits are essential for maintaining the financial health, operational health, and compliance within healthcare organizations, making them an integral part of revenue cycle management and healthcare administration.

Webinar Objectives

Charge master audits play a critical role in a healthcare organization’s revenue cycle management by ascertaining the accuracy of billing processes, ensuring compliance with regulatory requirements, streamlining workflows, and optimizing reimbursement for healthcare services provided to patients.

Webinar Agenda

• Define the role of a charge master audit and why it is important
• Discuss how the charge master impacts the revenue cycle from an operational perspective
• Identify common errors related to the charge capture workflow
• Discuss various complicating factors to the charge capture workflow
• Describe ways that errors in the charge capture process impact the organizations
• Discuss who should be involved in establishing a charge audit process
• Identify expected outcomes from a charge capture audit
• Analyze charges to develop a pricing methodology and strategy for determining the reasonable value of services
• Discuss examples of next steps following a charge master audit

Webinar Highlights

• Understand the purpose of a charge master audit and its importance
• Recall common errors related to the charge capture workflow
• Recognize how errors negatively impact the organizations
• Understand who should be involved in all aspects of the charge capture process
• Identify various corrective action steps that can be taken in response to a charge master audit

Who Should Attend

• Medical Coding Specialists
• Medical Billing Specialists
• Medical Auditing Specialists
• Private Practice Physicians
• Managed Care Professionals
• Operations Leadership
• Practice Administrators
• Office Managers
• Compliance Officers/Committees  
• Chief Medical Officer