CDM Review & Implementation: We provide a comprehensive Charge Description Master (CDM) review that focuses on the accuracy of specific line items within your CDM in accordance with regulatory requirements, including appropriate UB-04 revenue coding, accurate and consistent descriptions, appropriate HCPCS/CPT-4 coding and accurate identification of services during the charge capture process.

Ambulatory Payment Classifications (APC) Audits:
Our APC Audits verify the accuracy and consistency of your hospital's coding, charging, billing and information systems practices specific to Medicare's Prospective Payment System guidelines.

Lost Charge Audits: The value of our Charge Capture Audits include:

• Utilizing only Licensed Registered Nurse Auditors
• Owning Proprietary, State-of-the-Art Charge Compliance Software (called C-3), which allows the Auditor to Work at a more Productive Pace
• Educating your Hospital Staff to Charge Properly Providing Detailed Reports focused on Problem Areas essential to a Continuous Quality Improvement (CQI) Program

Pyramid performs concurrent audits (correcting original itemized bills) and/or retrospective audits (correcting bills after the original bill has been submitted to the payor and paid). Our audit staff corrects undercharging errors and overcharging errors.

Back