PRC’s Charge Master Review services focus on ACCURACY, COMPLIANCE, EDUCATION, and your receipt of OPTIMUM REIMBURSEMENT.
The project includes a preliminary off-site review with PRC's proprietary software, along with time on-site at your facility to further identify opportunities. While on-site, PRC will make recommendations for change and provide Education to departments regarding the Charge Master and charging methodologies and processes to ensure you are meeting and maintaining compliance. In addition to an accurate Charge Master database, PRC helps ensure that your staff understands the Charge Master, and practices appropriate utilization of line item charges.
In addition to the Charge Master database review items, we will review a sample of medical records, along with the associated UB-04s and Detail Bills, in order to verify that all charges are supported by the documentation and are appropriately mapping to the claim. Our comprehensive Charge Master Reviews also include OFF-SITE SUPPORT for assisting on ongoing Maintenance.