Looking for other nurses involved with the Chargemaster

  1. Good Afternoon Everyone,
    This is my first time on this site, and it looks pretty interesting. I am looking for other RNs who are involved in Chargemaster maintenence. I am having a difficult time finding sites or discussion groups for this job. If anyone has any knowledge of this, I would really appreciate them sharing this info.
    Thanks!
    Pam
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  2. 14 Comments

  3. by   veteranRN
    Pam, what department of the hospital do you work in that you handle the chargemaster? I work in compliance and we are in charge of the chargemaster although I have only limited involvement in it since I do the chart audits. Welcome aboard. :hatparty:
  4. by   Pam J
    My actual department is Patient Accounts. I coordinate the chargemaster for the entire hospital.I am also the Nurse Auditor.
  5. by   veteranRN
    Where in Michigan are you. I am from Grayling but now live in Indiana. I am also the nurse auditor for our hospital. I love it.
  6. by   Loving Life
    call me stupid, but what is chargemaster?
  7. by   Pam J
    Hi,
    A chargemaster is list of all of the charges that the hospital uses to charge with. Some of the charges, like x-rays or labs, have CPT codes attached to them. Others, like procedures do not have codes, and are coded by medical records. These codes change all the time. There are also "rules" (CCI edits) for Medicare and others, as to what codes you can use together. For example, if you charge for a certain test whose code describes all the parts of the test, you cannot then charge for each component separatly. It is an ever changing world, as CMS revises rules continuously. A good knowledge base in medicine helps a lot. I was an OR nurse for 12 years. This now is a fascinating and challanging job, and I really enjoy it.
    I live in mid-Michigan
  8. by   Loving Life
    Thanks for answering. What is your title? Do you need extra classes? I am looking for a career change. Is there a market out there? Are you hired by the hospital?
  9. by   chargemaster
    Quote from veteranRN
    Pam, what department of the hospital do you work in that you handle the chargemaster? I work in compliance and we are in charge of the chargemaster although I have only limited involvement in it since I do the chart audits. Welcome aboard. :hatparty:
    Hello,
    I am working on an internet chargemaster database and I am looking for resources to add for coding alerts, chargemaster items, compliance and reimbursement. Any ideas for a one stop shopping resource?
    Thanks for any input that you might have.
    Chargemaster
  10. by   Pam J
    Quote from shayne
    Thanks for answering. What is your title? Do you need extra classes? I am looking for a career change. Is there a market out there? Are you hired by the hospital?
    My title is Chargemaster Coordinator, Nurse Auditor. I did take a three week class last year put on by Chargemaster Institute in California. It was great, but I think it is only offered to hospitals and their employees, since they do a complete chargemaster review. Other than that, I did not take any special classes, just learned on the job, since one day I was just told I would be doing it from then on. You need to have knowledge of coding, how each department in your hospital charges, how billing flows in your hospital,knowledge of reimbursement and a good network of people to help you out. I am hired by the hospital, and most hospitals now do have people who work with the chargemaster full time
  11. by   Pam J
    Quote from chargemaster
    Hello,
    I am working on an internet chargemaster database and I am looking for resources to add for coding alerts, chargemaster items, compliance and reimbursement. Any ideas for a one stop shopping resource?
    Thanks for any input that you might have.
    Chargemaster
    Hi,
    I don't really have a one stop shop, there are quite a few internet sites I visit daily. Of course, CMS is my biggest, and their new site "Medlearn Matters" which explains all of the program changes in an easier format. These are where your coding alerts would come from. I use our Fiscal Intermediary sites daily, to see if any updates have been added to them. I use a site called Just Coding, which is for coding purposes, but when most of your codes are hardcoded in the chargemaster, this help at times to see what others are doing. I follow an Interventional Radiology site, along with an AMA site, a Nuclear med site, our Medicaid site, and a few other specialty sites to keep up with what is going on out in the world.
    What is your internet database for? For your hospital, or as a product to sell?
  12. by   ethelbsnrn
    How about the salary? Is it just your base salary? Of course, no nights, critical care and week-end differentials, I wonder?
  13. by   Pam J
    My salary is less than an RN working on the floor. But you are right, no weekends, holidays, but it can involve some odd hours and working overtime. (I am a salaried employee) Different hospitals have different people head up the chargemaster, some may be coders, some billing managers, and some reimbursement specialist. Not all are RN's.
  14. by   Hania
    Quote from chargemaster
    Hello,
    I am working on an internet chargemaster database and I am looking for resources to add for coding alerts, chargemaster items, compliance and reimbursement. Any ideas for a one stop shopping resource?
    Thanks for any input that you might have.
    Chargemaster
    Hi there. I deal with many issues of finance, coding, charging and documentation. I am actually going to be presenting a power point presentation about the chargemaster mainentance process (as opposed to the review process - that's a different thing). I deal with finance people all the time. There is no one-stop shopping resource as there are many helpful places. I am in the process of compiling an internet list, but here are some things that are important: CPT and HCPCS coding manuals, CCI edits (on the government web site), the gov't web site for both inpatient & outpt issues, UB-Editor for all your billing info, Hospital Chargemaster Guide by Ingenix, Transmittals and bulletins by Medicare, Medlearn Matters web site, fiscal intermediary web sites, google, Medicare manuals
    Lots and lots.
    I was director of Utilization Management and case management and worked closely with finance people and clinical people on charging issues, cost issues, etc.

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