Charge Entry and Charge Audit

Charge Entry and Charge Audit

Failure to effectively document care information can lead to revenue leakage – amounting to millions of dollars of lost revenue. While deploying effective 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 a high volume of charge entry transactions with exceptional accuracy. Harrington Medical Billing Service client portal enables smooth communication between our teams, for a seamless end-to-end process.

CHARGE CAPTURE

Our charge entry transactions remain consistent throughout:

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  Receive documents in the form of superbills, charge tickets, source documents, etc. through FTP or document management system or client’s system.
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  Capture the date of service, billing provider, referring provider, POS, admission date, CPT/procedure codes, ICD-10, number of units and modifiers.
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  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.
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  Import charges directly from the EMR. These charges are reviewed for accuracy before being sent for billing.

CHARGE AUDIT

Leverage Harrington Medical Billing Service Charge Audit services to identify missed charges, instances of over-billing and coding errors that led to revenue loss.  

We take an analytical approach to: 

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  Validate written orders for the level of care and all treatments rendered
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  Necessary modifiers are appended and the exact number of units are billed
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  Comparing charges by patient’s accounts
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  Verifying charges against updated fee schedule
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  Identifying undercharges duplicate posting and overcharges
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  Verifying the charges with various department billers and coders

Charge Audits help reveal causes for variances including problems with charge entry, provider absences, failure of providers to report timely charges, a change in coding patterns, services not billed for and other reasons for claim denials. Ideally, charges should be consistent from month-to-month; barring changes in physician productivity due to unavailability.

Harrington Medical Billing Service Value Proposition for Charge Entry and Charge Audit services

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  Improve productivity and accuracy
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  Competency across multiple specialties
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  Timely filing of claims and benchmarking of fee schedules as well as denial patterns
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  Review of charge entry processes to mitigate revenue leakage by implementing Charge Audits
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  Ensure appropriate reimbursement collected
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  Identify and fix compliance issues for charge overages
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  Recover lost charges and avoid delay in processing AR
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  Real-time collaboration and reporting through our client portals