Proven Charge Entry Specialist
< 30
Days in AR
10-15%
Revenue Increase
97%
First Pass Ratio
96%
Collection Ratios
98%
Clean Claims Rate
What is Charge Entry in Medical Billing?
Charge entry is one of the most essential processes in medical billing. It ensures accurate charges of billable services are captured and entered into the system for error-free claim submission and maximum revenue collection. The charge entry process requires attention to detail as, along with entering the values for each rendered service, the specialist must verify patient information and precisely record and update it in the patient account.
Medical charge entry is more than just data entry. It includes assigning appropriate codes to each diagnosis, treatment, medication, or consultation based on the standardized medical coding systems. Professional charge entry services ensure that accurate patient data, codes, and charges are entered into the billing system to create correct, complete, and compliant claims.
Medical Charge Entry Services We Offer
An efficient charge entry process can help the healthcare provider determine the reimbursement amount he will receive from the insurance payer. Our comprehensive charge entry services include several sub-processes, from charge capture to charge scrubbing, enhancing the accuracy and effectiveness of medical billing.
Charge Capture
Although charge capturing involves noting the services rendered to the patients in real-time and is the healthcare provider’s responsibility, we become a part of the process through our integrated system. It seamlessly syncs with electronic health records (EHRs) and electronic medical records (EMRs), capturing the charges of billable services.
New Account Creation
We create a new patient account if an account with the patient’s given name does not exist. It becomes the setting stone for our charge entry process. All the healthcare services rendered to the patient, their corresponding medical codes, and billable amount (or invoicing) will be recorded in this account, and final payments will be posted here.
Patient Verification
We access the cloud-based medical records, study clinical notes, and procure insurance data to verify a patient’s eligibility and benefits. It helps us confirm coverage of provided services and enter accurate patient demographics and insurance information into the computerized billing system. The information is later used to generate clean claims.
Medical Coding
Sometimes, charge entry specialists receive coded bills from the providers and straightaway enter this information into the billing system. Other times, they must review the providers’ notes and electronic medical records to comprehend the services provided to the patients and accurately code them using CPT, CDT, HCPCS, and ICD-10 coding systems.
Quality Checks
We regularly conduct reviews, quality checks, and audits of the entered information and charges to ensure the record is correct and complete. If necessary, we update the patient information, like demographics, insurance details, and additional services received, to maintain accurate patient accounts and submit precise charges to the billing team.
Charge Scrubbing
Before the charges are entered into the revenue cycle management (RCM) system, we utilize a charge scrubber to review the charges and detect errors, such as typos, incorrect codes, missing modifiers, etc. The charge entry team rectifies the flagged errors and, after a final review, forwards the charges to the RCM system for clean claim creation.
Our Charge Entry Process
The purpose of an efficient charge entry process is to determine the reimbursement amount for the rendered care services. By the end of the process, the total compensation that the healthcare provider seeks from the insurance payer is entered into the revenue cycle for claim creation and submission.
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1. Reviewing Medical Records Analysis
The process begins with a review of the provider’s medical records, such as EHR and EMR. From here, the specialist can identify the billable services offered to each patient and their details so that accurate medical codes and charges are assigned. Analyzing medical records also helps verify patients’ information.
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2. Entering Patient Information
The data entry expert precisely records each patient's complete information into the electronic billing system under their separate accounts. The information includes their demographics, insurance data, provider’s particulars, and the services received during the encounter. Outdated information is updated with each encounter and entry.
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3. Assigning Medical Codes
Next, the charge entry specialist refers to standardized medical coding systems like ICD-10, CPT, and HCPCS to assign appropriate codes to each diagnosis, procedure, or medication. Coding simplifies claim processing and makes it easier for insurance payers to offer exact compensation for the services.
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4. Computing Total Fees
Values or charges are entered or calculated against each service and its medical code. If the charges for each service are stated and maintained in the provider’s fee schedule, then the charge entry specialist will retrieve the information from here. Otherwise, the software will input the charges and calculate the total.
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5. Reviewing Entered Information
This stage is also known as charge scrubbing. The charge entry expert reviews all the information, codes, and fees entered into the system for errors and discrepancies. It can be done manually or via an automated charge scrubber. Errors are fixed before posting the charges in the revenue cycle.
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6. Submitting Charges
The last stage of the charge entry process involves sending the record forward to the medical billing team for clean claim creation. Once the charges are submitted to the billing team and enter the revenue cycle, the provider can see the final reimbursement amount that he should expect from the payer
Why Outsource Charge Entry Services to MediBill MD
Charge entry can make or break the billing game. If done right, it can help the provider collect rightful reimbursements and increase the practice’s cash flow. However, if done inefficiently, it can lead to lower reimbursements, denied claims, and revenue loss.
Outsourcing charge entry services to professionals like MediBill MD ensures precision in every step of the process. From entering the correct patient information to reporting accurate medical codes and exact charge calculations to final reviews, we handle everything. So, partner with MediBill MD for charge entry expertise and unlock a range of benefits.
We handpick the best and the brightest for the job! Our charge entry team comprises top-tier specialists who are detail-oriented and meticulously get the job done. They verify, record, and calculate charges to the highest degree of accuracy, ensuring complete and correct data enters the system.
We offer exceptional value at the lowest market rates! Our charge entry services cost half of what our competitors charge. It helps us be the trailblazer and prove to the world that it is possible to promise quality at a fraction of the cost.
We streamline and secure what matters! Our centralized system is only accessible to authorized personnel and used for effective storage and management of billing data. We ensure 100% HIPAA compliance to safeguard the confidential information of our clients and their patients.
We code medical services to the highest level of specificity! Our charge entry team works alongside our AAPC-certified professional coders to ensure that every diagnosis, procedure, and even medical equipment is accurately coded using standardized coding systems like ICD-10, CPT, and HCPCS for efficient billing.
We offer the perfect balance of speed and efficiency! Our specialists work around the clock to capture, enter, and scrub charges to live up to the promise of our shortest turnaround time. We understand that the faster we work, the sooner you will get reimbursed.
We let technology and innovation drive our results! At MediBill MD, we use cutting-edge medical billing tools and software to automate the charge entry workflow, enhance precision, and catch discrepancies in real time. Our advanced technological capabilities help us stay ahead of the curve.
Delivering unmatched charge entry expertise nationwide! Our remote operability and virtual setup allow us to provide end-to-end charge entry services in every state and zip code. Our team’s deep understanding of local laws, regulations, and payer policies ensures compliance, preventing legal actions and contract terminations. So, if you need assistance recording accurate charges for the services rendered to your patients, contact us today. We are unrestricted by time and distance!
Don’t let medical billing issues faze you! Whether you are having problems finding the appropriate kidney transplant code or can’t determine the service fee for genetic testing, we are available round-the-clock to offer expert assistance across all medical specialties. You can reach our charge entry specialists over the phone, live chat, or email and instantly get the help you need.
Lowest Prices Guaranteed
Unlock unparalleled charge entry services at unbeatable prices! At MediBill MD, we are introducing an exclusive 1% flat rate on our full-stack medical billing services for the first month of service. Partner with us for exceptional savings!
Get In Touch with a
Charge
Entry Specialist
Has medical charge entry become a taxing process for you? Don’t worry. Our charge entry specialists can efficiently input medical codes and calculate appropriate values for your carefully rendered service to ensure quick and accurate reimbursements.
FAQs
Charge entry is a crucial step in medical billing. An example of charge entry would be when the specialist collects all the coded bills for the services rendered to a patient and enters the information in software to calculate the total reimbursement amount the provider expects from the insurance payer.
Charge entry and charge capture are closely related but different steps of a revenue cycle. While charge entry is action-based, charge capture is function-based. Charge capture involves identifying and recording all the billable services provided to a patient, for example, drug administration, diagnostic tests, intra and post-surgery care, etc. In contrast, charge entry occurs when the captured charges are entered into a computerized billing system in the form of medical codes like CPT, ICD-10, HCPCS, etc. for accurate claim submission.
Charge capture is the process of reviewing physicians' notes and electronic medical records to identify the services rendered to the patient and match them with the fee schedule. It is the first step of clean claim creation and reimbursement collection. Medical Coding, on the other hand, is the process of translating diagnoses, procedures, and services into standardized and widely recognized codes, such as CPT, CDT, HCPCS, and ICD-10 coding.
