Health Information Management

Tip: Prepare your charge description master for 2015

APCs Insider, December 12, 2014

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This year brings some new challenges that you have to be aware of when updating your charge description master, especially relating to packaged services.
The new comprehensive APCs (C-APCs) operate more like DRGs on the inpatient side. This means that you can't simply look at each individual service and set the charge. You have to make sure that you evaluate all the costs going into each procedure to ensure that rates are set appropriately. Since the C-APCs are such a radical change, and many of them are for complex or costly procedures, you'll want to make sure your CFO is involved when determining how you set charges for these services.
It's also important to make sure that the members of the charge master committee educate their staffs on the latest rules regarding packaging and still continue to report all items and services, since CMS bases its rates on what hospitals report.
This tip is adapted from “An up-to-date charge description master requires a team effort” in the December issue of Briefings on APCs.

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