- Benefits verification & prior Authorization
- Eligibility and Benefits Verification
- Patient Demographics Entry
- Charge Entry
- Medical Coding Services
- Claims Submission Work Edits and Rejection
- Payment Posting Services
- Accounts Receivable Management
- Denial Management Services
- Coding Denial Management
- Credit Balance Services
- Patient Statement Services
Optimizing Charge Entry Services
Charge entry, a crucial component in the revenue cycle, involves assigning appropriate monetary values to patient accounts based on selected medical codes and corresponding fee schedules. Reimbursements for healthcare services hinge upon accurately entered charges. Error-free charge entry is paramount to mitigate claim denials and prevent revenue leakage, safeguarding millions in potential lost revenue. We foster seamless collaboration between coding and charge entry teams to ensure precise capture of charges, comprehensive billing for all procedures, and compliance with coding standards.
Steps in the Charge Entry Process
Our meticulous process encompasses the following steps:
– Receipt of Documents: Receipt of superbills, charge tickets, and relevant clinical documentation via FTP server, EHR, or document management system.
– Recording Essential Information: Capture of patient demographic details, date of service, billing provider, referring healthcare provider, point of service, admission date and time, ICD/CPT codes, units, and modifiers.
– Workflow Automation: Implementation of workflow automation to deliver daily reports, facilitating customer collaboration and ensuring adherence to timely filing norms.
– Charge Accuracy Review: Thorough review of imported charges to guarantee accuracy prior to billing.
– Statistical Quality Control (SQC): Conducting SQC audits to assess process quality through random sampling.
– Adherence to Provider-Specific Rules: Compliance with pre-defined provider-specific rules for various specialties and services rendered.
– Daily Review of Pending Documents: Daily review of pending or held documents with the client to minimize backlog.
– Charge Audit Services: Provision of charge audit services to identify missed charges, instances of over-billing, and medical coding errors.
Benefits Offered by Our Charge Entry Team
Our value proposition includes:
– Enhanced Productivity and Accuracy: Achievement of defined targets for agents to enhance the productivity and accuracy of the entry process.
– Comprehensive Competency Across Specialties: Utilization of coding teams for charge entry, where feasible, leveraging their proficiency across medical specialties.
– Timely Claims Filing: Improved turnaround time facilitated by our deep global delivery model ensures timely filing of claims.
– Denial Trend Tracking: Ongoing tracking of denial trends and benchmarking of fee schedules to minimize claim denials.
– Revenue Optimization: Identification of missed income opportunities through comprehensive charge audits, optimizing revenue streams.