Charge Entry Services
Charge entry is the process of assigning to the patient account an appropriate $ value as per the chosen medical codes and corresponding fee schedule. The reimbursements for the healthcare provider’s services are dependent on the charges entered for the medical services performed. Charge Entry must be completed without any errors, as it may increase claim denials. Reduce revenue leakage through an adequate review of medical services provided and save millions of lost revenue. We ensure effective collaboration between the coding and the charge entry teams to ensure that the charges captured are accurate, all procedures all billed for, and the codes ascribed are compliant.
Payers can understand the following information from the standardized codes:
- Patient diagnosis
- Medical necessity for treatments, services, or supplies the patient received
Our process involves the following steps.
- Receipt of documents – superbills, charge tickets, and associated clinical documentation via an FTP server, EHR, or document management system
- Recording the patient demographic information, date of service, billing provider, referring healthcare provider, Point of Service, data and time of admission, ICD/CPT codes, number of units, and modifiers.
- Workflow automation to provide daily reporting to the customers and facilitate collaboration to ensure compliance to timely filing norms
- Review of imported charges for accuracy before billing
- SQC (Statistical Quality Control) to review the quality of the process through a random audit
- Adherence to pre-defined provider-specific rules for different specialties and services rendered
- Review of any pending or held documents with the client daily to reduce any backlog
- We also perform charge audit services to identify any missed charges, instances of over-billing, and medical coding errors