Question

Hello- I would like some assistance with this case study from the book "Case Studies in Health Information Management"

Case Study 4-17

Chargemaster Audit

You are part of the chargemaster maintenance team, but the day-to day operations tend to fall to you in your role as chargemaster coordinator. You spend a lot of your time each day auditing the chargemaster. You have printed out a portion of the chargemaster to review. These entries from the Chargemaster Report to Audit shown in Table 4-15 are to be audited; the audit will look for comprehensiveness of information and data quality.

What problems can you identify?

Table 4-15 Chargemaster Report to Audit

Chargemaster Report to Audit
CM Number	Description	CPT Code	Charge
12355	EKG -12lead-routine	93000	$125.00
12356	Transthoracic echocardiography for congenital cardiac anomalies; complete	93303
12357	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation after first trimester, transabdominal approach; single or first gestation	933333	$1.50
12358	Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions		$100.49
	Destruction, premalignant lesions; first lesion		$76.00

Answer 1

Answer :

In Table 4-15 Chargemaster Report, following are observed during the audit :

1. CM Number is missing in row 5

2. CPT Code is of 6 digit instead of 5 digit in row no 3. Row Number 4 & 5 CPT code are missing.

3. Charge amount is missing for CPT code 12356