Medical Billing involves a cycle of services called scopes right from Patient registration and enrollment for physician’s appointments until getting the final payment from the payer, which indeed is called the Revenue Cycle Management Services (RCM). Every scope of services has its own importance and adds definite and monetary value to the final benefits from Insurance to the provider. Nevertheless, Charge Entry is one such process that involves the handling of crucial data and is directly associated with the financial aspect of medical billing services. Let us learn more about the Charge Entry Process in Medical Billing
Charge Entry in Medical Billing
Medical Billing starts with Patient Demographic Entry followed by Medical Coding and Charge Entry. Evidently as the name suggests “Charge Entry” is the process of entering the fee value for the medical services, treatment rendered by the physician to the patient. It is quintessential to handle this process with utmost care and complete knowledge on the fee schedule guidelines from CMS and adhering to the insurance coverage policy.
Steps in Charge Entry Process
- Capture of Patient and Insurance information in detail
- Capture Billing information like Provider details, patient admission and coding related details.
- Review of clinical documents from Electronic Health Records (EHR), Electronic Medical Records (EMR) or Document Management System (DMS)
- Review of Charge related updates from CMS and Insurance Carriers to append the same to the claims to be processed
- Charges entered into the Practice Managements system following client specifications and rules.
- Getting Clarification from Client about pending or held claims and processing them promptly.
- Claim audit prior to claim submission for accuracy and completeness.
Significance of Charge Entry in Medical Billing
Charge Entry plays a major role in getting the claims fully paid on time. Charges entered will determine the reimbursement for the service rendered by the physician, therefore it is vital this process is handled accurately and precisely. Efficient and quality Charge entry process results in
- Enhanced productivity and accuracy in payment collections
- Helps enhance timely filing of claims
- Reduce claim denials and low payments
- Guaranteed improvement in reimbursement and collections
Charge Entry Optimization for Process Efficiency
- Keep a track on the charge lag time to ensure they are completely under control and every claims are processed same day or within 24 hours from the date of service.
- Run a report with patient appointments and associates procedures with the number of claims processed for Charge Entry to avoid missing charges
- Set up process to closely monitor key performance indicators in Charge Entry Process to ensure the process quality, bench mark and fee schedule etc.
- Coding Accuracy is key to ensure the charge entry process quality, devise an audit process to fix errors in coding
- Experienced team with complete knowledge on Charge Entry process and nuances for efficiency.
Outsourcing Charge Entry Process can result in complete solution in terms of quality, productivity and collections. Having the best outsourcing partner can bring great difference to the process and financial progress.
About Ecare
Ecare was started in the year 2000 and has now grown to 23 years old, 1500 people Medical Billing Company with vast knowledge into handling complete Revenue Cycle Management Outsourcing Services. With Quality Work and guaranteed benefits Ecare now has over 120+ clients across US. To know more about Ecare and our services call 1-813-666-0028 or log on to Medical Billing Charge Entry Services | e-care India (ecareindia.com)