Charge Entry Services
Accuracy That Drives Reimbursement
At MedRev, we understand that charge entry is more than just data input—it’s the foundation of accurate medical billing and optimized revenue. This critical process involves assigning monetary values to services based on medical codes and fee schedules. Any errors at this stage can lead to claim denials, delayed reimbursements, or even lost revenue.
Our expert team is committed to minimizing those risks by carefully reviewing every charge, ensuring full compliance, and working seamlessly with coding teams to maximize billing accuracy.
What Is Charge Entry?
Charge entry involves posting detailed information about patient visits, procedures, and services rendered into the billing system. This includes demographic data, diagnosis and procedure codes (ICD/CPT), modifiers, units, and more—all tailored to payer-specific rules and provider specialties. Every entry must be accurate and timely to support full and prompt reimbursement.
Our Charge Entry Workflow
Here’s how we ensure precision at every step:
- Data Collection: We receive superbills, charge tickets, and clinical documentation via secure methods including FTP, EHR platforms, or document management systems.
- Patient Data Entry: We enter all key data: patient demographics, date of service, provider details, POS (Point of Service), ICD/CPT codes, modifiers, and units.
- Charge Validation: Imported charges are carefully reviewed for accuracy and compliance before submission.
- Workflow Automation: Our intelligent system automates report generation and deadline tracking, improving speed and accountability.
- Statistical Quality Control (SQC): We conduct random audits to ensure quality and maintain process excellence.
- Specialty-Specific Rules: Charges are validated against predefined rules based on each provider’s specialty.
- Daily Reconciliation: We work closely with clients to clear pending or delayed documents daily to prevent workflow bottlenecks.
- Charge Audits: Our specialists check for missed charges, duplicate or excessive entries, and coding errors to optimize revenue capture.
Our Charge Entry Process at a Glance
Receive Scanned Super Bills
Routing of superbills and related documents to charge entry specialists.
Post Charges & Codes
Enter ICD/CPT codes, units, modifiers, and corresponding charges with patient details.
Submit Claims
Once reviewed, completed claims are submitted via clearinghouse to the appropriate payer.
Quality Assurance
Every batch goes through our QA process to ensure accuracy and exceed SLA benchmarks.
Why MedRev?
Our charge entry services deliver:
- High Efficiency & Accuracy: Trained professionals with daily performance targets ensure faster, error-free charge posting.
- Cross-Functional Expertise: Our coders are also skilled charge entry specialists, enabling holistic oversight of billing.
- Specialty-Specific Knowledge: We support a wide range of medical specialties with customized charge validation rules.
- Scalable Global Delivery: MedRev’s international delivery model enables 24/7 operations and unmatched turnaround times.
- Denial Pattern Analysis: We proactively monitor and address denial trends and fee schedule compliance.
- Revenue Optimization: Our thorough audits uncover missed opportunities and boost your bottom line.