Q&A: Structuring chargemaster maintenance

Q: How is chargemaster maintenance structured at your organization?

Kelli L. Howard, MS, CSPPM, senior manager of revenue integrity at Mayo Clinic in Phoenix, Arizona: While we do have a CDM hub team outside of the revenue cycle, the process is really that the revenue analysts know when a new service is coming online that would warrant a new code creation. We have an intake process where the revenue analyst fills out the information that’s associated with those services. It’s similar regarding the annual CPT load. We don’t just automatically load; we only fully build codes out when they are going to be utilized. Revenue integrity controls the aspects associated with the EAP builds, or procedure code builds, and then pushes it over to the CDM team to incorporate changes into the system.

Jaclyn Woolnough, director of revenue integrity at MetroHealth in Cleveland, Ohio: I only have a single individual who is doing all chargemaster maintenance. We have our revenue integrity team really doing that initial intake and getting the information needed for a new build, but as far as ongoing maintenance, that is a team of one right now.

Editor's note: Learn more about how revenue integrity programs are structuring chargemaster maintenance in NAHRI's 2026 State of the Revenue Integrity Industry Report.