Charge Master Maintenance Audit Work Program (Healthcare)
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How Internal Audit Can Ensure Accurate and Consistent Hospital Charges
Our Charge Master Maintenance Audit Work Program document provides a high-level framework to evaluate the charge master maintenance process within healthcare organizations. This tool offers insights into the structured methodologies used for adding, changing or deleting charge codes, descriptions and pricing. The document outlines specific audit objectives, including assessing compliance with hospital policies, evaluating the adequacy of the charge master maintenance process, and identifying risks and control deficiencies.
It emphasizes the importance of timely and accurate charge development while detailing the steps for conducting the audit, such as reviewing departmental policies, interviewing key personnel, and analyzing the charge description master (CDM). Additionally, the program includes a systematic approach for assessing business rules affecting the charge master process and provides recommendations for improvements in standardization and control measures. Document your findings and ensure compliance with administrative and financial policies by following this work program.
The approach for this review will include:
- Reviewing the department’s policies and procedures related to the charge master maintenance process
- Reviewing the charge description master(s) (CDM) on a sample basis for timeliness of reviews, turnaround time of changes and cost comparisons
- Interviewing key departmental personnel responsible for specific charge master processes
- Interviewing the departments and personnel responsible for the technical aspects of the chargemaster process