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Charge Capture Strategies
Review of UB to determine if “coded” HCPCS are dropping
to the claim
Does a soft-coded HCPCS override a CDM HCPCS?
“Test” claims important for accurate and compliant billing
Is the HCPCS appearing under the correct
Who audits charge process to ensure all services provided
have been charged appropriately?
“Strength” in identification and correction of lost charges
Important for optimum payment but most important for compliant reimbursement and ability to retain $$ after RAC or Medicaid Integrity audits