Services We Offer
‘Charge process improvement’ means that we go beyond correcting defects and achieving compliance. At CPI Experts, no detail is overlooked in the smooth operation and maintenance of your revenue cycle. Whether your organization needs primary support for an aging charge master, assistance with compliance issues, expert assessment of your charge capture process or specialized skills to extend the effectiveness of your staff, CPI Experts has a solution scaled to your needs.
CPI Signature Services
When was the last time your hospital performed a thorough evaluation of the charge master for structure, codes, descriptions, and prices? If it’s been a year or two, there are likely CPT and HCPCS coding changes that haven’t been properly implemented. If it’s been three or more years you may have line items structured in ways that must now be bundled to comply with National Correct Coding Initiative (NCCI) edits. It’s possible that 50-60% of the charge items you maintain have zero volume.
After more than two generations of diminishing reimbursement schemes, many hospitals don’t know what more can be done to preserve or enhance net revenue. The fact is that most hospitals are sitting on a large percentage of legitimate revenue opportunity and don’t know it. These opportunities come from a closer understanding of medical necessity rules, better documentation, accurate system interfaces, and overlooked details of coding and compliance regulations.
The burdens of Medicare compliance have been anything BUT paperwork reduction. Indeed, the cost of compliance activities and re-engineering processes threatens the very viability of most hospitals. While Medicare may rightly flex its muscles as the nation’s largest healthcare insurer, there is a significant volume of hospital service that’s well beyond Medicare’s reach.