CDM Services

Improve Margin with Strategic Pricing and Optimized CDM

Making sure your pricing is in line with industry standards and that you have a defensible chargemaster will better position your organization in the marketplace, improve your margin, and drive revenue. With our holistic CDM Services program, you’ll uncover the impact that pricing changes have on net revenue, discover new sources of revenue, create an updated and defensible charge description master (CDM) and maintain these improvements over time.

 

It starts with a Strategic Pricing Review, which includes a detailed analysis of market benchmark data, charge-based payer reimbursement, and strategic price modeling.  We evaluate your pricing strategy and recommend targeted price changes that will optimize reimbursement and align with local, state or regional market competitors.

 

Additionally, we evaluate your current CDM, highlight areas of opportunity and recommend updates based on these findings.  A best practice CDM requires time and resources that many providers simply do not have. Our seasoned revenue cycle experts can help you optimize and maintain your CDM to improve billing practices, mitigate compliance and regulatory risks and improve patient satisfaction.

 

Finally, with our expert CDM Advisor program, you’ll have access to experts for ongoing CDM maintenance and support. They will help you ensure daily, monthly and quarterly maintenance, including CMS Addendum B and Medicare Physician Fee Schedule updates, verification of day-to-day additions and changes to the CDM, and, if needed, directly modify your CDM.

 

Our CDM Services:

  • Analyze your current pricing and CDM.
  • Optimize your current operational processes, workflows and resources.
  • Benchmark pricing and reimbursement to geographic or peer hospital markets. 
  • Strategically price your services to protect market share and drive revenue.
  • Provide ongoing maintenance of your CDM through credentialed resources.
By the Numbers

Western US Critical Access Hospital

959

new revenue discoveries after CDM assessment

1,010

pharmacy positive price adjustments

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