Revenue Simplified provides chargemaster services for rural and community hospitals, including detailed review, pricing analysis, coding and revenue-code support, Medicare updates, and ongoing CDM maintenance.
We review your chargemaster in detail to identify pricing, coding, reimbursement, revenue-code, and maintenance issues that may be affecting revenue or creating unnecessary complexity. The review is designed to give hospital leadership and revenue cycle staff clear, practical recommendations they can actually use.
We compare hospital charges to Medicare reimbursement and other relevant benchmarks to identify prices that may be unusually low, inconsistent, or worth reviewing. Recommendations are presented clearly so your team can understand the potential financial impact and make informed pricing decisions.
We review CPT and HCPCS coding, revenue-code mapping, deleted and replacement codes, duplicate items, missing information, and other CDM maintenance issues that can create confusion or affect reimbursement. The goal is to help keep the chargemaster accurate, current, and easier for your team to manage.
Chargemaster work should not stop after the initial review. Revenue Simplified provides ongoing maintenance and annual Medicare updates to help keep codes, reimbursement information, and pricing benchmarks current. Your team also has someone to contact when questions come up during the year.
Common findings include charges below Medicare reimbursement, pricing below established benchmarks, outdated or deleted CPT/HCPCS codes, incorrect revenue-code mappings, duplicate charges, clinic-versus-hospital pricing issues, and areas where CDM maintenance has fallen behind. Each recommendation is explained so your team can decide what changes make sense for your hospital.
The review process begins with your current chargemaster and supporting information so we can understand how charges are structured today. We analyze pricing, coding, revenue codes, reimbursement relationships, and maintenance issues, then organize the findings into practical recommendations. Rather than simply providing a large spreadsheet of changes, we explain which items deserve attention, why they matter, and where the greatest opportunities may exist.
Your team can then review the recommendations, ask questions, and decide which changes are appropriate for your hospital. The goal is to make the process manageable, understandable, and useful for the people responsible for maintaining the CDM. This approach also makes it easier for smaller hospital teams to prioritize changes and address the most important findings first.
Revenue Simplified works primarily with rural hospitals, community hospitals, critical access hospitals, and other smaller facilities that need practical chargemaster support without the complexity of a large consulting engagement. We work directly with hospital leadership, revenue cycle teams, business offices, department managers, coding staff, and other team members involved in maintaining the CDM.
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.