Charge ahead

Chargemaster Management Solutions
Improve revenue integrity, strengthen compliance and empower operational efficiency.

Book time with us—we will be at NAHRI!

Meet with our team at the NAHRI Revenue Integrity Symposium to explore how our chargemaster solution helps improve accuracy and compliance.

Turn chargemaster oversight into strategic advantage

A hospital's revenue cycle and financial success hinge on the accuracy and completeness of its charge description master (CDM). With rising denials, increasing regulatory scrutiny and stringent price transparency mandates, hospitals and health systems can no longer afford to manage their chargemaster reactively. Accurate CDM data is foundational to pricing integrity — empowering hospital leaders to make informed, strategic decisions that benefit their communities, improve patient outcomes and strengthen competitive positioning.

Optum Chargemaster Solutions equip your teams with automation, proprietary content and pricing intelligence, enabling proactive compliance, optimized reimbursement and operational efficiency. More importantly, Optum Chargemaster Solutions elevate chargemaster oversight from a maintenance task to a strategic level.

Benefits

How we elevate hospital chargemaster integrity

Automated CDM Analysis

Our autoanalysis functionality scans and flags potential coding and billing edits for services, pharmacy and supply charges. This feature streamlines approval and reporting processes to track change history. It also supports consistency across multihospital systems by comparing local or regional CDMs with corporate standards.

Proprietary content

Reduce compliance issues and streamline coding within the chargemaster with a comprehensive reference content library. This documentation addresses core hospital revenue cycle processes, including CPT®/HCPCS, revenue code crosswalks and Medicare coding and billing tips. It also provides access to proprietary guidance on DRG reimbursement, MS-DRG assignment and more. Dive deeper into regulatory compliance topics accessing Centers for Medicaid & Medicare Services (CMS) NCCI edits, MUEs, NCD and LCD policies, national drug codes and California Medicaid (Medi-Cal) edits.

Data-driven pricing insights

Make informed decisions with our comprehensive pricing analysis, featuring data from the Outpatient Standard Analytical File published by CMS with comparisons to Medicare, core-based statistical area (CBSA) and peer pricing. Improve revenue capture with competitive pricing validated against current ambulatory payment classification (APC) rates. Analyze DRG payment rates and separately monitor drug charges, costs and expected Medicare reimbursement with the DrugReimbursement.com add-on.

Optum Advisory Services offer additional guidance on CDM strategic pricing policies and price transparency ruling compliance.

Supply and pharmacy reviews

Support accuracy and compliance of pharmacy and supply items with our comprehensive supply and pharmacy modules, which enable a streamlined review of thousands of charge lines. We highlight whether items are separately reportable or routine per CMS guidance and list relevant HCPCS codes. We also flag incorrect codes, nonbillable supplies, missing billable charge lines, pharmaceutical bill units and appropriate national drug codes (NDCs).
CPT® is a registered trademark of the American Medical Association.

Video

Streamline your CDM maintenance workflow

Get a quick glimpse into the power of our solution, and discover how it can transform your CDM workflow.

By the numbers

2,000+
users rely on our content1
125,000+
log ins per year2
800,000+
supply and FDA-approved drug records3
1. Customer data as of July 2025.
2. Customer data as of July 2025.
3. Pharmacy Module content provided by Micromedex.

Let's elevate chargemaster integrity together.

My job would a lot more stressful than it is right
now without these tools.
Patient Financial Services Analyst and Chargemaster
Coordinator, Enterprise ChargemasterExpert.com client

Solutions that meet the needs of CDM management

Chargemaster maintenance
Improve efficiency and productivity by automating chargemaster reviews.
Coding and pharmacy content
Access a drug database and coding libraries for accurate coding and improved billing.
Supply and pharmacy modules
Identify whether a supply or pharmacy item is reportable according to CMS guidance.
Pricing analysis
Access data from CMS for pricing analysis and compare Medicare, CBSA and peer pricing.
CDM pricing strategies
Guidance for CDM strategic pricing policies and price transparency compliance.
Outpatient charge capture
Support compliant and consistent charging across outpatient operations.
Case Study
Read how Optum chargemaster solutions helped a community hospital center improve maintenance and reduce rejected claims.
White Paper
Our latest white paper details successful steps to chargemaster maintenance and offers a suggested action plan.
Webinar
Discover how Enterprise ChargemasterExpert.com enhances revenue cycle productivity by ensuring chargemaster accuracy and reducing claim denials.

Let's elevate chargemaster integrity together.