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Charge Mapping

Experience has shown that having a clean and accurate CDM does not always translate into the correct charges being generated 100% of the time. Charges are captured in a variety of different ways – through order entry, upon documentation, via charge tickets, etc. With so many moving pieces, coupled with frequent changes to information systems and processes, it is easy for errors to occur along the way.

Is every charge that is being generated at the point of charge entry appropriately mapped to the correct item in the CDM?

IRI consultants perform a charge mapping analysis by cross referencing all charges as they are represented at the point of charge capture (order entry dictionaries, documentation screens, charge tickets, etc.) to the actual CDM charge items which they are linked to. The purpose of this analysis is to validate that every charge being captured in clinical areas is appropriately represented by the correct charge item in the CDM.

A written report is presented which identifies the following:

Items which do not have an appropriate 1:1 match between various points of charge entry and the CDM. Example: Order entry item described as chest x-ray 4 views is mapped to charge in CDM for chest x-ray 2 views
Items which are present in the CDM but missing from point(s) of charge entry
Items which are present in charge entry, but missing from the CDM

Charge mapping may be provided as a stand-alone service, or as an added component of a Charge Master Review. Please contact us for more information.

TESTIMONIALS

“As a Critical Access Hospital undergoing conversion to Epic, we needed assistance in moving to the new platform. We engaged IRI for their Charge Master Services and were delighted with all aspects of their work. They are abundantly professional and quickly built confidence in their expertise with all of the teams involved in this project. The requests that we had of them ranged from Provider Based billing, to Operating room, to Pharmacy among others. We had a tight timeframe and they fit us in with supreme customer service and responsiveness. We will definitely use them again for future projects, as well as some ongoing services. So grateful to have found this wonderful group of Charge Master experts.”

"The Concord Hospital Revenue Integrity department engaged IRI to perform comprehensive CDM Reviews for all our facilities and service lines. We chose IRI, because unlike other firms, they commit to analyzing every single charge line. They delivered on that promise. The reports and files they returned were comprehensive, easy to understand, and thoroughly explained potential issues and opportunities. We also use the IRI Retainer Service to assist us in understanding complicated charging and billing rules as they come up. Jon and Julie are extremely knowledgeable and helpful. I highly recommend their services."

"We are incredibly satisfied with the exceptional Revenue Cycle services provided by Integrated Revenue Integrity (IRI). Julie Hall and her team demonstrated unmatched expertise, professionalism, and a commitment to exceeding our expectations. Their proactive approach, clear communication, and dedication to customer satisfaction made a significant positive impact on our project. IRI truly stands out in the industry, and we highly recommend them for top-notch service."

Integrated Revenue Integrity (IRI) provides an integrated suite of solutions to ensure that your facility is maximizing reimbursement in compliance with regulatory guidance.

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