Home of MedChex Chargemaster Software

Healthcare Concepts is a leader in CDM management solutions. We provide comprehensive services that allow hospital administrators and CEO's to realize the positive impact of a complete and compliant Charge Description Master. Browse through our services and find out how Healthcare Concepts, Inc. can help you today!!


Our Story...

Founded in 1992, Healthcare Concepts was established to provide specialized services to the healthcare industry. These services allow providers an effective way to maintain profitability, compliancy, and integrity through an appropriate and responsible approach to Charge Description Master (CDM) management and coding compliance...(more)


"Healthcare Concepts consulting services enabled hospital leadership and staff to quickly assess the condition of the hospital's CDM. Strengthened by our renewed confidence in the CDM and under the guidance of Healthcare Concepts we transistioned to a comprehensive review of our charging policies. The feed back from Healthcare Concepts' staff was instrumental in making this effort an informed, efficient and effective improvement of our CDM

-Al Diaz, Kern Medical Center


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Our Services


Description

A Comprehensive CDM review gives your organization a full understanding of the economic and regulatory issues that you face in maintaining or improving its financial impact on your organization. A comprehensive review of your CDM entails:

  1. Analysis of your current CDM
  2. Onsite interviews with hospital staff to determine procedures and protocols
  3. Identify inaccurate or ambiguous coding, descriptors and pricing
  4. Identify Medicare and Compliance issues
  5. Presentation to staff on findings by experienced CDM specialists
  6. Documentation supporting identified issues resident in the CDM

Utilizing MedChex CDM Management Software, our specialists will go through your CDM and evaluate each item for common compliance issues and then make a recommendation based on your protocols and procedures. You will be presented with our findings in person and through electronic reports which give you the opportunity to review changes before being implemented. Our seasoned professionals are up to date on current acceptable coding standards and procedures and will advise you according to our proven methodology.


Benefits
This review provides hospital staff with the necessary information to implement current coding standards into their organization without having to hire additional qualified staff. We specialize in CDM maintenance and will make available to you our wealth of experience so that you can make informed decisions about the management of your CDM. This review makes it possible for you to identify all of the compliance and economic issues facing your organization in a clear and concise reporting mechanism that makes it easy to understand and digest.


Deliverables
The following reports will be delivered as a result of our findings.

  • Electronic Review Summary
  • Standardization Report
  • Deleted Items Report
  • Missing CPT-4 Codes Report
  • General Revenue Codes
  • Missing APC Carve-Outs Report
  • APC Comparison Report
  • Invalid Codes Report
  • Zero Usage Report
  • S&I Missing Codes Report
  • APC Carve-Outs Report
  • Top Income Producers

Specialists from our office will travel to your location and interview staff to define a set of protocols and procedures that will help set the guidelines for recommended changes. We will then evaluate each item in your CDM and recommend changes to those items according to the standards you define. Once the review is complete we will provide you with a specialist to present our findings and deliver the reports generated from our analysis.

Resources
Your staff will be required to provide data in accordance with our easy to follow download requirements. Once we have received your data we will load it into MedChex CDM Management Software and run a set of diagnostic reports to identify potential issues in your CDM. At the conclusion of our assessment a specialist will contact you via phone to discuss the results of the Electronic Qualitative CDM Assessment and submit reports in electronic format.