Chargemaster Management Made Simple
Chargemaster management should be clear, practical, and easy to maintain. Revenue Simplified helps rural and community hospitals keep pricing, coding, and reimbursement aligned without adding unnecessary complexity.
Specialized in rural & community hospitals since 2014
Is Your Chargemaster Keeping Up?
Medicare reimbursement, CPT and HCPCS codes, and hospital pricing benchmarks change continuously.
Without regular maintenence, hospitlas can unknowingly:
Price services below current Medicare reimbursement
Fall behind established pricing benchmarks
Retain deleted or outdated codes
Miss new reimbursable services
Maintain inconsistent pricing across departments
Spend valuable staff time reviewing low-impact items
How We Help
Chargemaster Review
A detailed analysis of your existing chargemaster compared with current Medicare reimbursement and hospital-selected pricing benchmarks.
Annual Maintenance
Ongoing CPT, HCPCS, Medicare reimbursement, pricing and coding updates.
Pricing & Revenue Analysis
Identify charges below Medicare, benchmark pricing, and inconsistent services.
Implementation Support
We organize recommended changes into manageable groups and help your team prioritize approved updates.
Price Transparency Support
Assistance preparing chargemaster information for hospital price-transparency systems and outside vendors.
Chargemaster Management for Rural and Community Hospitals
Effective chargemaster management is especially important for rural and community hospitals, where revenue cycle teams are often asked to do more with fewer resources.
- What needs immediate attention
- Which changes have the greatest financial impact
- Which items can wait
- How proposed pricing compares with Medicare reimbursement
- How to implement changes without overwhelming hospital staff
You don’t need another report sitting in a folder.
You need clear recommendations your hospital can actually use.
How It Works
Send Your Files
Provide your current chargemaster and approximately 12 months of usage information.
We Review Your CDM
We compare your charges, CPT and HCPCS codes, revenue codes, usage, and Medicare reimbursement information.
Review the Findings
Recommendations are separated into clear categories such as below Medicare, below benchmark, deleted codes, and zero-usage items.
Implement and Maintain
Your team approves the changes, and Revenue Simplified assists with implementation and future annual maintenance.
What We Find — and What Matters Most
Examples of pricing and coding issues identified during a chargemaster review.
Charge Below Medicare
CPT CODE: 73525
Contrast x-ray of hip
Medicare Allowable: $356.43
Current Hospital Charge: $320.00
3× Benchmark: $1,068
Recommended Action: Increase pricing above Medicare and review against the hospital’s established benchmark.
Charge Below Benchmark
CPT CODE: 99282
ER Level 2
Medicare Allowable: $156.87
Current Hospital Charge: $415
3× Benchmark: $460.71
Recommended Action:
Review and consider increasing pricing to meet the established benchmark.
Deleted Code
Deleted Code: CPT 75842
Bilateral adrenal venography
Deleted: 12/31/2025
Replacement: CPT 75840-50
Adrenal venography — bilateral
Recommended Action: Replace the deleted code with the current CPT and appropriate modifier.
Prioritize What Matters Most
Total findings: 1860
High-usage, high-impact items: 260
Focus on the 260 highest-impact items first, then address the remaining recommendations in manageable stages.
Why Chargemaster Management Matters
Medicare reimbursement, coding requirements, and payment methodologies change throughout the year. Without regular chargemaster maintenance, hospitals can gradually develop outdated codes, inconsistent pricing, missed reimbursement opportunities, and other issues that affect revenue integrity.
Ongoing chargemaster management helps keep pricing, coding, reimbursement information, and service descriptions aligned as requirements change.
A well-maintained chargemaster also supports more consistent decision-making across departments. When pricing, coding, and reimbursement information is current, hospital leadership and staff have a clearer foundation for reviewing new services, updating existing charges, and identifying areas that may need closer attention.
Built for Smaller Hospital Teams
Revenue Simplified works primarily with rural and community hospitals where staff often manage multiple responsibilities and may not have dedicated chargemaster resources.
Recommendations are organized to be practical and manageable, helping hospital leadership and staff understand what needs immediate attention, what may have the greatest financial impact, and what can be addressed over time.
For smaller hospitals, the goal is not to create additional administrative work. A practical chargemaster process should help staff focus on the issues that matter most while keeping recommendations understandable and realistic for the people responsible for implementing them.
Ongoing Support After the Initial Review
Chargemaster work should not end when the initial review is complete. Codes change, Medicare reimbursement is updated, new services are added, and pricing decisions need to be revisited.
Revenue Simplified provides ongoing guidance and annual maintenance so your team has someone familiar with your chargemaster to contact when questions arise throughout the year.
Annual updates are especially important because Medicare reimbursement, CPT and HCPCS codes, and other billing requirements continue to change. Regular maintenance can help prevent outdated information from accumulating and reduce the amount of cleanup needed during future reviews.
Practical Guidance You Can Use
A chargemaster review should provide more than a long list of findings. Recommendations should clearly explain what was identified, why it matters, and what action may be appropriate.
Findings can include coding recommendations, pricing and reimbursement opportunities, revenue-code issues, deleted or replacement codes, and implementation priorities—organized so your team can make informed decisions and put approved changes into practice.
Clear recommendations also make it easier for leadership, revenue cycle staff, department managers, and other team members to review proposed changes together. Instead of simply identifying a problem, each recommendation should give your hospital enough context to decide whether a change is appropriate and how it should be prioritized.
Find Out What May Be Hiding in Your Chargemaster
A complimentary sample review can identify potential pricing, reimbursement, and coding concerns without a long-term commitment.
Experience You Can Reach
Revenue Simplified works directly with hospital leadership, business office teams, department managers, and IT staff. You work with the person reviewing your chargemaster. Questions are answered by someone familiar with your hospital’s files, decisions, and previous reviews.
Trusted by hospitals across Texas, Arkansas, Oklahoma, Colorado, and beyond.