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Charge Capture & Entry

Charge Capture and Charge Entry Services

Even small documentation gaps can mean lost revenue, delayed payment or compliance risk. We review encounter documentation, capture each billable service, enter the charges and reconcile them against what was scheduled and documented, so missed, duplicate and late charges get caught before the claim goes out.

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  • HIPAA compliant
  • AAPC/CPC Certified Coders and Billers
  • Works inside your existing EHR/PM system
  • You keep ownership of your data
Structured Workflow

Our Charge Capture & Entry Process Includes

Here's how we capture and enter charges, step by step.

  1. 01

    Clinical Documentation Review

    We start by reviewing the clinical documentation for each encounter, procedure and service, and flag anything incomplete.

  2. 02

    Charge Capture Identification

    Once we verify documentation, we identify and extract all billable services, including procedures, treatments and ancillary services that are easy to miss.

  3. 03

    Charge Entry

    We enter each charge in your EHR/PM system the same way every time.

  4. 04

    Code Review and Validation

    Our AAPC/CPC Certified Coders and Billers check each charge's codes and modifiers against the documentation and payer rules.

  5. 05

    Charge Reconciliation

    Then we reconcile charges against the schedule and documentation. This step helps identify missing, duplicate, or inconsistent entries.

  6. 06

    Fee Schedule Alignment

    At this stage, we align charges with current payer contracts. We flag fee schedule entries that are out of date or don't match your contracts, for your approval before anything changes.

  7. 07

    Charge Posting

    Once the checks are done, we post the charges promptly, so claims aren't held up.

  8. 08

    Final Audit

    Before claims go out, we audit the documentation, codes and posted charges against current payer rules.

  9. 09

    Reporting and Performance Monitoring

    The final step involves detailed reporting and performance tracking. You get reports by payer, provider, location and CPT, so you can see where charge capture gaps keep showing up.

Charge Entry Done Inside Your System, by HIPAA-Trained Staff

Charges go straight into the EHR/PM system you already use, and the data stays yours.

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Where Charges Get Missed

Common Causes of Missed Charges

Charges usually go missing in the same places: services documented but never entered, ancillary services and supplies left off, late documentation, and charges entered after the claim already went out. We reconcile encounters against the charges entered, so these get caught. Late charges matter: Medicare generally won't pay a claim filed more than one calendar year after the date of service.

Source: 42 CFR 424.44 (Medicare time limits for filing claims).

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How We Improve Accuracy

How We Improve Charge Capture Accuracy

We use the same steps for every encounter, check documentation before entering charges, and check again before claims go out. Errors are easier and cheaper to fix early.

Related

Related Services

Medical Coding

Codes and modifiers by AAPC/CPC Certified Coders and Billers.

Specialties Where Charges Are Easy to Miss

Oncology Billing Pain Management Billing ENT Billing

We also bill for cardiology, orthopedics, OB/GYN, neurology and psychiatry. Don't see yours? Ask us.

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FAQs

Frequently Asked Questions

Common charge capture and charge entry questions we hear from healthcare providers.

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More questions? See our FAQ
What are charge capture services in medical billing?

Charge capture makes sure services provided to patients are recorded, coded and billed. It helps prevent lost revenue from services that were performed but never charged.

How does charge entry impact revenue?

Charges that are missing, wrong or late either aren't paid, are paid incorrectly or are paid later. Correct, prompt charge entry means fewer denials and fewer corrected claims.

What is charge reconciliation in medical billing?

Charge reconciliation in medical billing is the process of comparing recorded services with submitted claims to check that all charges are accounted for. It helps identify missing, duplicate, or incorrect entries, improving billing accuracy and compliance.

Why should providers outsource charge entry services?

It takes charge entry off your staff's desks. It also gives you AAPC/CPC Certified Coders and Billers without hiring.

How can charge capture accuracy be improved?

Reconcile charges against schedules and documentation, train staff on documentation, and review charges regularly. These steps help reduce errors and missed charges.

Privacy-Conscious Charge Entry

Find the Charges You're Missing

Book a free consultation and tell us where you think charges are slipping through.

Book a Free Consultation Call +1 (307) 443-4766

Email info@medixcode.com with your charge capture questions, or use our contact page.