Question

Instructions: Chargemaster Management 4.17

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.

Examine the portion of a chargemaster illustrated below. Identify the missing elements that should be included for a complete chargemaster and explain their necessity.

What problems can you identify?

• Type the answers in a Microsoft Word document and submit in the dropbox for Case 4.17.
  • Put your name in the file name; example - SOsborne_Case4.17

Please contact me if you have questions. Susan

Table 4.15 Chargemaster Report to Audit

Chargemaster Report to Audit
CM Number	Description	CPT Code	Charge
0042364527	Chest x-ray, single view	71010	$   89.75
0042364528	Chest x-ray, two views	71020	$ 110.85
0049533561	CT scan, thorax w/o contrast	71250	$ 450.25
0049533562	CT scan, thorax w/ contrast	71260	$ 525.60
0049533563	CT scan, thorax w/o and w /contrast	71270	$ 611.20
059781213	MRI chest w/o contrast	71550	$ 985.00
059781214	MRI chest, w/ contrast	71551	$1,062.65
059781215	MRI chest w/o and w/contrast	71552	$1,145.70

AHIMAPress Case Studies in HIM 4.17

(AHIMA 2010; Malmgren and Solberg 2016, 251)

Answer 1

Table 4.15 Chargemaster Report to Audit

Chargemaster Report to Audit
CM Number	Description	CPT Code	Charge
0042364527	Chest x-ray, single view	71010	$   89.75
0042364528	Chest x-ray, two views	71020	$ 110.85
0049533561	CT scan, thorax w/o contrast	71250	$ 450.25
0049533562	CT scan, thorax w/ contrast	71260	$ 525.60
0049533563	CT scan, thorax w/o and w /contrast	71270	$ 611.20
059781213	MRI chest w/o contrast	71550	$ 985.00
059781214	MRI chest, w/ contrast	71551	$1,062.65
059781215	MRI chest w/o and w/contrast	71552	$1,145.70

The things which were found missing in the charge sheet is the with CM Number 0049533563 and CPT code 71270 it was given as CT scan thorax with out and with contrast and the amount given is $611.20, it has to be evaluated because with out contrast is $450.25 and with contrast is $525.60, and was not seems to be matching. Another thing is the same kind of problem with MRI chest with out and with contrast has given $1145.70 while the same in separately can cost around total of $2047.65.

This can also be seen in the case of chest x ray single view cost $89.75 and two view cost $110.85, it not coming the range of the both.