Charge Capture
What Is Charge Capture?
At its core, charge capture involves accurately documenting the services and care provided to each patient. This detailed charge data is coded and submitted to payers (such as insurance companies) for reimbursement. The charge capture process typically includes Recording Details, Documenting diagnoses, procedures, tests, treatments, and medical supplies used. Capturing essential information like date/time, provider, location, and modifiers.
Coding and Submission: Matching documented charges to payer-specific coding rules. Entering complaint charges into the billing system.
Review and Accuracy: Ensuring completeness and accuracy through charge review.
Why Is Charge Capture Critical?
Charge capture serves as the foundation for the entire revenue cycle. When charges are missed on the front end, healthcare providers face several challenges.
- Missed Revenue Opportunities: Inaccurate or incomplete charge capture leads to revenue leakage.
- Payment Delays and Denials: Timely submission is crucial for maximizing reimbursements.
- Administrative Costs: Reworking denials due to missed charges increases administrative overhead.
- Compliance Risks: Proper documentation is essential to avoid compliance issues.
Optimizing your charge capture process results in more compliant, accurate, and timely reimbursements. Conversely, poor charge capture can lead to significant revenue losses. Industry studies estimate that large hospitals miss out on 1% of their net patient revenue due to missed charges—equivalent to millions of dollars annually.
Common Challenges in Charge Capture
Complex Coding and Rules: Thousands of payer-specific billing codes and rules make it easy for details to slip through during documentation.
Labor Shortages: Ensuring accurate and timely charge capture requires effort, especially when facing workforce shortages.
Our Approach at Healthcare Protectors Thorough Documentation: Our experts meticulously record all relevant details during patient encounters. We capture every service provided, minimizing missed charges.
Coding Expertise: Our team stays updated on coding guidelines and payer-specific rules. Accurate coding ensures compliance and maximizes reimbursements.
Regular Audits: Our charge capture specialists proactively audit and monitor charge capture processes. Identifying issues early allows us to address them promptly. Choose Healthcare Protectors for streamlined aging reports management and efficient charge capture.
Meet Our Doctors
Devon Lane
Cody Fisher
Esther Howard
Jenny Wilson
