Charge entry is a critical component of medical billing. It actually determines the amount of reimbursement a provider will receive from the insurance payer. It is important that this process is carried out by an experienced team of charge entry specialists who knows how to enter the correct charges from the coded documents accurately.
Charge Entry is the first step in the process of medical billing and a crucial component of Revenue Cycle Management. It starts with meticulously recording every service rendered to the patient, verifying it with the Fee Schedule, and finally forwarding all data for creating the final claim.
It is now done electronically for a shortened revenue cycle. The process also involves the application of patient demographics and medical codes to the chart appropriately. Details such as the DOS (Date of Service), POS (Place of Service), Provider Info, Units, Modifiers, CPT code, Facility billed from, and Referring Physician are checked to lower the chances of claims rejection. Further, it encompasses submission of the CMS 1500 form to the clearing house maintaining complete integrity with PHI.
The entire management of operations is done with quality experts and charge entry specialists who are well versed with the details of latest claims adjudication mandates and delivers the correct assistance. It saves you money and helps you realize the maximum reimbursement.
Worry Less with Sun Knowledge’s Charge Entry Services .
We are unique as our team understands your present day healthcare revenue cycle management demands like few others. Our team believes in maintaining superior standards of productivity, maintaining an excellent ecosystem that promises you an instant reduction of operational expenses by almost 80%.
Our communication standards are top class as we extend support as a dedicated extension of your existing operations. Our team will be extending a smooth transition approach that will help you know the points of contact for any communication and escalation.
Charge Entry: Complete Steps of Action
- Files receipt: EOB details are received from the client in a scanned format on our FTP portal
- File Allocation and Download: The medical billing team will download the files from the FTP site, review them, and allocate the processing work for payment posting
- Patient Demographic Entries: The posting team carries out a series of functions with demographic data such as patient account number, amount allowed, amount billed, amount adjusted and amount paid. Also the denial related details are entered in the billing system.
- EOB Follow up: In case of partial payments, necessary analysis and investigation is initiated and corrective steps are taken
- Denial Management: Analyzing the EOB claims and enabling the decision making for the recovery of the dues streamlined and effective
- Feedback of Clients: Client feedback on data quality, reporting and communication are evaluated and necessary actions are taken
Leverage the Sun Knowledge Advantage
Put an end to your reimbursement worries as we extend unparalleled support in charge entry services. At just $7 per hour, we can transform your revenue cycle management demands. Contact us today for a no-obligation discovery call.