Charge Entry and Charge Audit

Lack of effective documentation of care information can result in millions of dollars in revenue leakage. Workflow solutions can aid in reducing instances of lost revenue while implementing effective charge capture. Additionally, efficient teamwork between the charge entry and coding teams results in a long-lasting improvement in the overall procedure.

Our charge entry specialists process a large volume of charge entry transactions with exceptional accuracy thanks to their proficiency in a wide range of fields and Revenue Cycle Platforms. A seamless end-to-end process is made possible by Revelationcare’s client portal, which allows for easy communication between our teams.

Charge Capture

Throughout, our charge entry transactions are consistent.

  • A document management system, a client's system, or FTP can be used to receive superbills, charge tickets, source documents, and other documents.
  • Record the service date, the billing and referring providers, the POS, the admission date, the CPT and procedure codes, the ICD-10, the number of units, and the modifiers.
  • Charges can be imported directly from the EMR. Before sending these charges for billing, they are checked for accuracy.

Charge Audit

Utilize Revelationcare’s Charge Audit services to find instances of overbilling, missed charges, and coding mistakes that resulted in lost revenue.

We approach things analytically when we:

  • Validate all treatments provided and the level of care specified in written orders.
  • Modifiers that are required are added, and the precise number of units is billed.
  • Comparing costs according to patient accounts
  • Checking charges against the most recent fee schedule
  • Detecting duplicate postings, undercharges, and overcharges
  • Checking the charges with different department coders and billers

Charge audits can help uncover reasons for claim denials, such as issues with charge entry, provider absences, late charge reporting by providers, a change in coding patterns, and other causes for variances. Charges should ideally remain constant from month to month, barring changes in physician productivity caused by absence.

Why clients prefer Revelationcare for Charge Entry and Charge Audit services?

  • Proficiency in a variety of specialties
  • Timely submission of claims, comparison of fee schedules, and analysis of denial trends
  • Reviewing charge entry procedures to implement Charge Audits to reduce revenue leakage
  • Make sure the right compensation is received.
  • Recognize and address charge overage compliance problems.
  • Recover lost funds and prevent AR processing delays

Contact us to learn how your organization can leverage Revelationcare’s charge entry and audit services.