The 2006 Hospital Chargemaster Guide provides facilities with information to update and manage their chargemaster and to improve their Medicare reimbursement. This guide helps hospitals achieve these goals by providing detailed information related to CPT® and HCPCS Level II codes and descriptions, applicable revenue codes, Medicare compliance and fraud information, payment guidelines and claims submission procedures by clinical department for all chargemaster-driven, hospital-based procedures.

• NEW — Updated with 2006 CPT ® and HCPCS Level II codes that are chargemaster driven.
• CCI and OCE edits and fraud alerts. Reduces the potential for rejections. Identifies department-specific CCI edits, OCE edits and fraud alerts to help hospitals stay in compliance with Medicare guidelines and claims processing edits.
• Step-by-step process review guidelines. Improves accuracy and billing of chargemaster-related items and services. Helps establish a process for reviewing and maintaining the CDM on an ongoing basis.
• Relevant CPT ® code/HCPCS Level II code and revenue code crosswalks for each clinical department. Takes the guesswork out of assigning revenue codes to each line item on your chargemaster.
• Organized by ancillary service department. Helps you review the CDM for coding, billing, reimbursement and clinical accuracy. Also, it helps identify items and procedures that need to be added, deleted or revised on the CDM.
• APC payment status indicators. Helps you determine how each code will be reimbursed under APCs, fee schedule or other payment methodology.
• Available on CD. The complete book is also available on CD. This easy-to-use CD helps you save time by providing a template with recommendations on procedure codes and descriptions for radiology, laboratory and other clinical areas. It is a handy tool for mapping revenue codes and CPT ® codes/HCPCS Level II codes in radiology, laboratory and other ancillary service areas.