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. Access Healthcare’s client portal enables smooth communication between our teams, for a seamless end-to-end process.
Charge Capture
Our charge entry transactions remain consistent throughout:
Receive documents in the form of superbills, charge tickets, source documents, 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.
Charge Audit
Leverage Access Healthcare’s 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:
Validate written orders for the level of care, and all treatments rendered
Necessary modifiers are appended, and the 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
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.
Access Healthcare’s Value Proposition for Charge Entry and Charge Audit services
Improve productivity and accuracy
Competency across multiple specialties
Timely filing of claims and benchmarking of fee schedules as well as denial patterns
Review of charge entry processes to mitigate revenue leakage by implementing Charge Audits
Ensure appropriate reimbursement collected
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
Contact us to learn how your organization can leverage Access Healthcare’s charge entry and audit services.
Have a huge backlog? We can help.
This client reduced their 65,000 charge backlog by 92% within 90 days by partnering with Access.
GLOBAL COLLABORATION IS KEY
In today’s competitive environment, your healthcare organization should be considering a global outsourcing strategy. However, it is critical to carefully evaluate various options to achieve optimal results for your company with the least risk.
You are encouraged to view our white paper: 9 things to look for in a Revenue Cycle Services Provider.
