CBIZ will analyze a facility's CDM to determine its ability to accurately code, charge and bill according to the managed care contracts negotiated by the facility. CBIZ will review the contracts for specific provisions related to CPT and UB revenue code assignment and determine if the items on the CDM are set up in such a way as to reduce denials and ensure reimbursement from the managed care payers. In addition, CBIZ will review the contract service definitions to determine variances between contracts and ensure that the payers and the facility utilize common definitions.
If the facility has the capability, CBIZ will review the secondary coding set up in the information system to determine the appropriateness of these codes. If the facility has the secondary coding capacity but it is not in place or operational, CBIZ will work with the finance and information system departments to assist them in appropriately and effectively utilizing this function.