Turnaround times were reduced and end users are happier. Effective charge description master (CDM) management goes far beyond setting up new charge codes correctly.

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Adding to the problem was a laborious and time-consuming manual workflow.

Our nurses were filling out pieces of paper and physically giving them to a coordinator, who then gave them to a courier who drove them to our business center five miles away, where we had a college kid keying in charges.

The critical first step I took was to establish a Revenue Integrity Department.

The new department had two interrelated, primary goals: increasing revenue and eliminating silos of activity that caused disconnects throughout the organization.

The chargemaster is a large master file combining all services provided by each hospital.

As patients receive services, that department enters the charges through this mechanism.

Government agencies (such as the former US Employment Standards Administration) enforce labour law (legislative, regulatory, or judicial).

Labour law arose in parallel with the Industrial Revolution as the relationship between worker and employer changed from small-scale production studios to large-scale factories.

Workers sought better conditions and the right to join (or avoid joining) a labour union, while employers sought a more predictable, flexible and less costly workforce.

The state of labour law at any one time is therefore both the product of, and a component of struggles between various social forces.

After making a comprehensive assessment of the CDM process, we were able to streamline the new charge request and input processes, thus decreasing turnaround times.