January is already here and the changes for CPT and HCPCS codes were enormous this year! Has the CDM been updated with all of these changes?
Things to look for are new codes, deleted codes, and changes in the code descriptions. Since code descriptions can change the meaning of the code, it may be more efficient to add a new charge code that represents the changed language, than to edit the existing description. Since many procures were bundled into the parent code for 2014, this could prove to me challenging in creating a description everyone will understand within the department. Pay particular attention to the GI procedures if your facility is hard coding these services through the CDM. Clinical staff will need to be aware of all changes affecting their departments charge capture process.
It is never too late to test and retest these changes. One exercise that is helpful is to follow the charge from CDM, through the charge capture process, HIM and to the UB04 to ensure correct charging, coding and bill presentation. The end result should be a clean claim and correct, timely reimbursement.
This review period is also a great time to diagnose the health of the CDM. Are all descriptions consistent and meaningful to all parties using them? Are the prices consistent? Can you defend your pricing structure? Are all of the CPT and HCPCS that are hard coded accurate? Is the unit of charge reflected in the description consistent with the CPT/HCPCS units of measure?
The CDM is the master file for all charges related to a patient’s encounter. A healthy CDM functions smoothly and consistently.
Let us know if there is anything we at CentraMed can help with. Contact your direct representative or firstname.lastname@example.org for assistance.