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 e-care
e-care was started in the year 2000 and has now grown to 25 years old, 1500 people Medical Billing Company with vast knowledge into handling complete Revenue Cycle Management Outsourcing Services. With Quality Work and guaranteed benefits e-care now has over 120+ clients across US. To know more about e-care and our services call 1-813-666-0028 or log on to Medical Billing Charge Entry Services | e-care India (ecareindia.com)