CPI Experts

The bottom line in charge process improvement

(866) 683-4683

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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.

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Charge Master Review

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.

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Charge Capture Audit

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.

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Strategic Pricing Review

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.

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We at CPI Experts are readily available to assist you with your charge process improvement needs.

Whether you require an assessment of your needs, internal education, or an outsourcing partner for your charge master management, CPI Experts can scale its solutions and expertise to fit your organization.

How can we help?

CPI Experts

102 Tolomato Trace,
Saint Simons Island,
GA 31522

Contact

(866) 683-4683    Phone
(770) 683-1927    Fax

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