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Healthcare reform is driving unprecedented changes in the management, funding and delivery of care as hospitals develop and implement strategies to achieve higher quality care at lower cost. The problem many hospitals face involves the gaps in data between costly supplies, and how they are managed in the item master and chargemaster. Having links and systems in place to audit and validate the item to charge accuracy is crucial. Without this foundation, providers lose the ability to trust their physician quality outcome assessments and episodic care analytics.