Consultant: ChargeMaster gaps and preventable denials are driving avoidable costs — pilot proposals offered
Ready Health presenters told the task force that incomplete ChargeMaster entries, coding issues and preventable claim denials create significant administrative costs for rural hospitals — including an example of roughly $746,000 in preventable denials in a two‑year period — and proposed training, data integration and small pilots to fix revenue‑cycle problems.
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Representatives from Ready Health — Jeff Grandia and John Wadsworth — told the task force that understanding the hospital ChargeMaster and the entire revenue‑cycle chain is essential to reducing avoidable costs that feed into premiums. They emphasized that listed charges are not the hospitals’ true costs and that misalignment between documentation, coding and billing creates denials, delays and administrative overhead.
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