Mastering the Charge Master Validation Process

In healthcare organizations, the charge master (or chargemaster) audit is a critical process for ensuring accurate billing and coding of services provided to patients. This systematic review involves examining medical record documentation, billing information, place of service codes, and billing providers to verify that all services rendered are appropriately documented and billed. Healthcare billing must comply with numerous regulations and requirements, particularly those from federal payers like Medicare and Medicaid. Failure to accurately capture charges can lead to significant legal and financial risks, including penalties for billing errors or fraudulent practices.

Missed charges or coding errors can result in substantial revenue losses or compliance issues. Underbilling can lead to reduced revenue, while overbilling can result in fines and damage to the organization's reputation. Therefore, charge capture audits are essential for maintaining financial integrity, operational efficiency, and regulatory compliance in healthcare organizations.

This webinar by industry expert Toni Elhoms will offer a comprehensive overview of charge master audits, emphasizing their role in ensuring financial health, operational efficiency, and compliance within healthcare organizations. Attendees will gain insights into optimizing revenue through accurate charge capture and learn best practices for implementing effective charge master audits.

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