Craneware's Chargemaster Toolkit identified a $3.6 million revenue opportunity from 55 radiology charges that were priced below the Medicare APC.
—University Health Care System, Augusta, Georgia
Anyone who has ever worked in a hospital's business office knows the more accurate your claims, the better your chances of receiving quick and full reimbursement. Making that happen isn’t simple, of course. But you know the operating principle: avoid problems upstream in the chargemaster before they become logjams downstream at claim level, forcing you to waste precious time and money clearing denied claims.
Hospitals today recognize the chargemaster (CDM) as a critical "upstream" factor that determines the accuracy of claims. Fix a problem once in the chargemaster before the problem is carried downstream to affect hundreds, maybe thousands of claims.
Craneware’s Chargemaster Toolkit® automates the CDM management process for over 1000 hospitals, and allows them to take control of chargemaster management, Medicare coding compliance and CDM auditing. Ranked No. 1 in the KLAS Revenue Management category and HFMA Peer Reviewed, Chargemaster Toolkit takes only seconds to perform a complete chargemaster audit which identifies problem line items and provides the user with data to fix them immediately. This will include coding mistakes and compliance issues. Additionally, inbuilt fee schedules and hospital comparative pricing modules highlight under-pricing or flawed price positioning. As one error is identified and corrected, the system instantly identifies any impact upon other areas. Workflow and Audit Trail systems ensure enterprise level team co-ordination and traceability.
Whenever you open Chargemaster Toolkit, you automatically receive any software or data updates via the internet (only our software and encrypted data updates are communicated over the internet; your hospital data stays safe, right where it belongs, in your hospital). Your system will always be current with regulatory changes to Medicare Outpatient billing to ensure you can generate compliant bills that will get paid promptly, and with current Fee Schedule and hospital comparative pricing information ensure you can set appropriate and defensible pricing positions.
To help you analyze changes in codes, Chargemaster Toolkit is packaged with a set of licenses to the Craneware Online Reference Toolkit®. It is a browser-based solution that provides easy access to all the specific source documents and information your staff needs for successful coding, medical necessity reference, reimbursement information, charge line-item creation, and general regulatory information.