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Modular CDM Solution
(.pdf reader)
Modular
CDM Solution
March 2006:
Chargemaster
Suite introduces the first fully modular CDM
software tool. It provides hospitals and
consultants with a choice of features that are
important to them; thereby, significantly
reducing the cost of paying for features that
are not needed or used. It also provides a path
for growth as a user’s needs grow.
The module choices include the following. The
modules can be provided singularly or in any
combination.
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1. |
Basic
(single user) |
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2. |
Network
(unlimited users) |
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3. |
Departmental, cost center-specific access |
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4. |
Approval
Path™ work flow |
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5. |
Supplies |
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6. |
Payers |
Medicare OPPS coding updates are included with all
modules. Chargemaster Suite provides software
technical support, and can assist with importing
current CDM data and exporting CDM changes to
the billing system’s chargemaster. Regular,
on-line ‘User Group’ seminars are also provided.
An annual subscription fee provides the
software, various data update packages, and
on-line support and training seminars.
Additional on-line or on-site support and
training is available. The data update packages
include the following:
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The full
package includes monthly updates of CPT® / HCPCS codes, modifiers, Medicare
Transmittal Memorandums and their specific
CPT® / HCPCS code changes and history, Medicare
reimbursement rates and changes, revenue
codes, CCI edits, status indicators, RVUs
and conversion factor, etc. |
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The annual
package includes the CPT® / HCPCS codes,
modifiers, reimbursement rates, revenue
codes, CCI edits, status indictors, and
RVUs, but excludes Medicare Transmittals and
their CDM record-specific changes/history. |
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Individual
add-on data packages include NCD and LMRP. |
The following is a sample of some of the data,
reports, and functionality Chargemaster Suite
provides:
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1. |
New, changed
and deleted CPT® / HCPCS codes |
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2. |
Deleted code
replacement recommendations |
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3. |
Questionable
revenue code identification and reporting |
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4. |
Side-by-side
comparisons of charge descriptions with
CPT® / HCPCS and revenue code descriptions |
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5. |
APC,
modifiers, Status Indicators (SI), ICD-9,
NCD / LMRP, and drug units |
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6. |
Crosswalks
to RVU, revenue codes, CCI edits |
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7. |
Medicare
changes related directly to specific CDM
records |
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8. |
Direct,
single-click access to the actual Medicare
Transmittal memos |
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9. |
Historical
index of code referrals in Medicare
Transmittal memos |
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10. |
Global
exclusions of Transmittals that don’t impact
your facility or area |
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11. |
Medicare
reimbursement rates, changes, comparisons,
and co-payments |
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12. |
Integrated
payer (insurance) information & alternative
codes (alt. codes) |
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13. |
Code
browsing and research |
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14. |
Direct
access to supplies information |
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15. |
Approval
Path™ work flow with email notification and
management tools |
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16. |
Convenient
and complete user documentation and history |
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17. |
Automatic
cost-to-charge mark-up tables |
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18. |
Financial
and margin analysis including demand (usage)
volumes |
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19. |
Automatic
audit trails |
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20. |
Standard
tools and reports |
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21. |
Custom tools
and reports (create locally in minutes -
after built, they run like standard reports) |
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22. |
Easy
exporting and reporting to Access, Excel,
and paper |
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23. |
Secure,
exclusive access to entire CDM for the CDM
Coordinator |
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24. |
Secure,
collaborative, department-specific CDM
access |
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25. |
Complete
range of assignable read-write security for
various user types |
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26. |
Secure
finance area |
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27. |
Secure,
local administration |
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28. |
Simple and
local set-up, data importing, administration |
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