Charge Entry and Charge Audit Services
Failure to adequately document care information can often lead to revenue leakage of millions of dollars of lost revenue. While deploying active charge capture, workflow solutions can help reduce instances of lost revenue. Also, effective collaboration between coding and charge entry teams leads to a sustainable improvement in the overall process.
With expertise in multiple specialties and Revenue Cycle Platforms, our charge entry experts process high volume of charge entry transactions with exceptional accuracy. Hybrid IMS client portal enables a smooth communication between our teams, for a smooth end-to-end process.
Charge Capture
Our charge entry transactions remain consistent throughout:
- Receive documents in the form of superbills, charge tickets, source document, etc. through FTP or document management system or client’s system.
- Capture the date of service, billing provider, referring provider, POS, admission date, CPT/procedure codes, ICD-10, number of units, and modifiers.
- Using our proprietary tool ARC.flow, provide real-time reporting to the customer by escalating pending issues for clarification, which results in faster turnaround time .
- Import charges directly from the EMR. These charges are reviewed for accuracy before being sent for billing.
Charges Audit
Benefits the Hybrid IMS Charges audit services to identify missing charges, any instances of over-billing, and coding errors that cause the revenue loss.
We take Special analytical approach to:
- Validate written orders for level of care, and all treatments rendered
- Necessary modifiers are appended, and exact number of units are billed
- Comparing charges by patient’s accounts
- Verifying charges against updated fee schedule
- Identifying undercharges, duplicate posting, and overcharges
- Verifying the charges with various department billers and coders
Charges Audits help to point out causes for variances, including problems with charges entry, provider absences, failure of providers to report timely charges, a change in coding pattern, services not billed for, and any other reasons for claim denials. Ideally, charges should be consistent from month-to-month.
Hybrid IMS Value Proposition for Charge Entry and Charge Audit services
- Improve productivity and accuracy
- Competency across specialties
- Timely filing of claims and benchmarking of fee schedules as well as denial patterns
- Review of charge entry processes to arrest revenue leakage
- Ensure appropriate reimbursement obtained
- Optimize revenue and identify missed revenue using Charge Audit
- Identify and fix compliance issues for charge overages
- Recover lost charges and avoid delay in processing AR
- Real-time collaboration and reporting through our client portals