Navigating Modern Chargemaster Challenges

Navigating Modern Chargemaster Challenges

Course Overview

An accurate and up-to-date chargemaster is critical for ensuring optimal reimbursement, avoiding denials and delays, and maintaining a healthy cash flow. HCPro's new boot camp, Navigating Modern Chargemaster Challenges, gives staff the comprehensive understanding of charging guidance and principles they need to manage the many moving parts and complexity of the chargemaster.

This course links the functions of the chargemaster to the broader revenue cycle, addressing key operational issues, including a revenue code by revenue code deep dive into problem areas. Participants will also explore how the chargemaster integrates with clinical and revenue cycle departments, including coding, finance, and billing. The course features case studies and working groups to allow students to apply what they’ve learned.

Key takeaways

• A greater understanding of the role of HIPAA transaction set requirements and implications of HIPAA code sets for key chargemaster fields, including accurate coding and compliant service descriptions
• An appreciation for how the chargemaster integrates with cost accounting systems, including correlations between pricing and actual cost and the effect of cost accounting and reporting
• Mastery of commonly used revenue codes, including definitions, application, and common issues encountered for each revenue code series.
• Practical knowledge for implementing compliant chargemaster policies to optimize chargemaster setup, maintenance, and charge capture.

Who should attend?

• Chargemaster staff
• Revenue integrity staff
• Compliance staff
• Patient Financial Services staff
• Finance staff

See the HCPro difference for yourself!

Focus on the actual rules: Learn how to find and apply CMS rules and guidelines to ensure hospital services furnished to patients are billed accurately and appropriately.

Tools and skills to navigate Medicare rules: Our instructors provide valuable tools and resources that will help you prioritize and research questions long after the Boot Camp ends.

Case studies: Case studies ensure attendees understand the concepts and know how to apply them to real-world situations.

Small class size: A low participant-to-teacher ratio is guaranteed.

Highly rated, well-established program: Participants consistently give the course an overall rating of 4.75 or higher (on a 5.0 scale).

For more detailed information about HCPro's Boot Camps, contact us at 800-650-6787 or email sales@hcpro.com.

Navigating Modern Chargemaster Challenges

Conference Day 1 — Tuesday, September 22, 2026

9:00 a.m. – 10:15 a.m.
Module 1: Foundational Chargemaster Concepts

• HIPAA Administrative Simplification and code sets applicable to the chargemaster
• Medicare charging guidance, including routine vs. ancillary service and supplies
• Relationship of Medicare charging guidance to HIPAA Code Sets

10:15 a.m. – 10:30 a.m.
Break

10:30 a.m. – 12:00 p.m.
Module 2: Chargemaster relationship to HIM Coding & Claims

• Applicable UB-04 fields and NUBC guidance
• HCPCS coding structure, NCCI Edits, and modifiers
• Difference between bundling and packaging for charge structure

12:00 p.m. – 1:00 p.m.
Lunch

1:00 p.m. – 2:30 p.m.
Module 3: Chargemaster Structure and Management

• Key fields of a chargemaster
• Collaborating with revenue departments
• Charging policies and documentation of charge structure
• Manual vs Automated Charge capture and charge reconciliation
• Chargemaster maintenance, including annual and pricing updates
• Pricing transparency and public reporting of charges

2:30 p.m. – 2:45 p.m.
Break

2:45 p.m. – 4:30 p.m.
Module 4: Charging Principles for Inpatient and Outpatient Room Services

• Room rates and policies and bedside procedures
• Inpatient accommodation revenue codes
• Methods to charge outpatients in beds, including observation

Conference Day 2 — Wednesday, September 23, 2026

9:00 a.m. – 10:15 a.m.
Module 5: Charging Principles for Surgical Services, Supplies and Implants

• Surgery and post-surgery revenue codes
• Surgical charging and coding issues
• Supplies and implantable devices
• Device charging and coding issues

10:15 a.m. – 10:30 a.m.
Break

10:30 a.m. – 12:00 p.m.
Module 6: Charging Principles for Visits and Related Services

• Emergency department charging policies
• Charging for clinic services, including location modifiers, preventative care and vaccines
• Coding and editing issues related to visit services

12:00 p.m. – 1:00 p.m.
Lunch

1:00 p.m. – 2:30 p.m.
Module 7: Charging Principles for Other Ancillary Services

• Physical therapy, occupational therapy, and speech language pathology
• Other major ancillary departments, including cardiology and respiratory
• Pharmacy, and infusions, including chemotherapy services
• Renal dialysis
• Coding and edit issues for revenue codes associated with ancillary services

2:30 p.m. – 2:45 p.m.
Break

2:45 p.m. – 4:00 p.m.
Module 8: Charging Principles for Diagnostic Services

• Diagnostic imaging, including nuclear medicine
• Laboratory services, including send out testing and point-of-care tests
• Coding and edit issues for revenue codes associated with diagnostic services

*Agenda subject to change

Navigating Modern Chargemaster Challenges

Location

Hyatt Regency Savannah
2 W Bay St
Savannah, GA 31401

Room rate: $239.00/night plus taxes and fees
Hotel cut-off date: Monday, August 31, 2026. Hotel rooms may sell out earlier than the cut-off date, so book early!
Reservations Phone: 800-233-1234 and mention either HCPro or the group code HCPO to book over the phone
Reservations URL: https://www.hyatt.com/events/en-US/group-booking/SAVRS/G-HCPO
Hotel website: https://www.hyatt.com/hyatt-regency/en-US/savrs-hyatt-regency-savannah

*HCPro/ACDIS has no affiliation with any third-party companies or travel assistance providers. Rooms should be booked directly with the event hotel using the official information provided on the website and in the brochure.

Navigating Modern Chargemaster Challenges

Continuing Education

AAPC
This program has the prior approval of AAPC for 12 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

ACDIS
This program has been approved for 12 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist certification, offered as a service of the Association of Clinical Documentation Integrity Specialists (ACDIS).

AHIMA
This program has been approved for 12 continuing education unit(s) (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).

CCB
The Compliance Certification Board (CCB) has approved this event for up to 14.4 CCB CEUs. Continuing Education Units are awarded based on individual attendance records. Granting of prior approval in no way constitutes endorsement by CCB of this program content or of the program sponsor.

NAHRI
This program has been approved for 12 continuing education units towards fulfilling the requirements of the Certification in Healthcare Revenue Integrity (CHRI), offered as a service of the National Association of Healthcare Revenue Integrity (NAHRI).

Disclosure Statement

Please note the planners, presenter(s), and contributors to this activity have disclosed no relevant financial relationships with any commercial companies pertaining to this activity.