What is the chargemaster in hospital billing?

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Multiple Choice

What is the chargemaster in hospital billing?

The chargemaster is the hospital’s master price list that ties every billable service to a charge code and a price. It contains the pricing rules that determine how services are billed for different payers, including negotiated rates, allowances, discounts, patient cost-shares, and facility charges. When a procedure or service is performed, the billing system uses the chargemaster to translate that service into a charge on the claim, ensuring charges are consistent and standardized across patients and encounters. This backbone of the revenue cycle supports accurate claim generation and payer reconciliation. It’s not about patient demographics, satisfaction tracking, or scheduling—those functions live in other parts of the system. In EPIC Resolute billing, the chargemaster feeds the pricing engine to generate the correct charges that appear on claims and patient bills.

The chargemaster is the hospital’s master price list that ties every billable service to a charge code and a price. It contains the pricing rules that determine how services are billed for different payers, including negotiated rates, allowances, discounts, patient cost-shares, and facility charges. When a procedure or service is performed, the billing system uses the chargemaster to translate that service into a charge on the claim, ensuring charges are consistent and standardized across patients and encounters. This backbone of the revenue cycle supports accurate claim generation and payer reconciliation. It’s not about patient demographics, satisfaction tracking, or scheduling—those functions live in other parts of the system. In EPIC Resolute billing, the chargemaster feeds the pricing engine to generate the correct charges that appear on claims and patient bills.

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