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p.35

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

   Revenue Code?

 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

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