The Charge Entry process is an essential part of Medical Billing. It determines the amount of reimbursement that the provider will receive from the insurance payer. It is critical that this process is executed by a trained, experienced individual, and the charges from the coded documents must be entered correctly. If the charges are not correct, or if any part of the document has errors, it’s likely that the entire process will have to start over.
And it’s an intricate process that requires a high degree of training and quite a bit of experience.
Charge Entry Process in Medical Billing is the first step in the Medical Billing process. It begins with filing claims for Charge Entry Services provided to patients and creating bills, it’s done electronically to shorten the revenue cycle.
Patient Demographics and Medical codes applied to charts are appropriately verified. In fact, every claim is verified to check: DOS, POS, Provider Info, Units, Modifiers, CPT code, Facility billed from, and Referring Doctor, in order to reduce the chance of claim rejection.
We also submit claims to clearing houses to make sure that complete accuracy is maintained. CMS 1500 forms are also generated for Government Healthcare providers.
The Medical Billing Charge Entry Process provided by Rely Services can help healthcare providers maintain an uninterrupted cash flow, avoid any delay in payments, minimize the instances of denied and rejected claims, and increase the amount of income recovered in the billing process.
Charge Entry in Medical Billing consists of Medical Data Entry:
- Creation of New Patient Account
- Demographic Detail Entry
- Collection of Received Superbills
- Medical Record Scanning
- Medical Coding
- Charge Entry From Coded Documents Into Existing Patient Account
- Creation of Insurance Medical Claim
- Audit and Quality Check
- Supervisor Revue
- Submission of Medical Claim to Insurance Payer
- Follow Up and Revision (if needed)
From the above list you can see that the process is long, complex, and requires training and experience to execute. Just one of the reasons that Outsourcing Medical Billing Charge Entry makes a lot of sense.
Medical Billing Charge Entry Services - One Size Does Not Fit All!
OK, you’re a small group of physicians with complimentary specialities. You’re just starting out, and you’ve recently invested heavily in your offices, business hardware and software, furniture, medical equipment, advertising, staff… sometimes the list seems endless. And you’re eager to start seeing more patients and building your practice.
But you’re noticing a income shortfall that keeps building.
Surprise! Some of your beloved patients are not paying their bills in a timely manner. And because of mistakes in coding or filling out forms, payments from Medicare, Medicaid and various Health Insurances are slow in coming.
This is really bad timing, since you’ve spent a lot of money thinking that your income will grow. On average, 70-80% of patients owe a minimum of $500 to their healthcare providers. More than 45% of patients owe $1000. If a bill is not eventually paid or settled, the expense of treatment will NEVER be recovered. While not supplanting patient care as the #1 priority, billing and payment is important and should be treated as such. So why do medical practices continue to lose money on the process? Somehow there has to be a way to eliminate this bottleneck so you get money quicker.
If you could hire a team of professionals with an outstanding track record in Charge Entry Services, and do this at a fraction of the cost as your in-house process, wouldn’t you?!?!
This is where Outsourcing comes in to save the day.
The world of Business Process Outsourcing has exploded over the last two decades. What was once just a call center to handle customer inquiries, or field orders, is now a sophisticated, comprehensive industry that offers an abundance of different services to almost all business sectors. Including healthcare.
Our training and experience matches and often exceeds that of our onshore counterparts. Our language proficiency is first rate, with many multi-lingual operatives. And in the field of Charge Entry Services, we routinely execute:
Using medical billing software, our trained team of professionals will carefully enter all the patient’s details.
Even before entering the data, our pros check for errors and missing information. We understand that mistakes in any of the process can start a whole chain of events that will delay payment or reimbursement.
All the important patient details must be correct or the claim will be rejected.
The whole process seems to be one challenge after another, and your team has to be proficient at each step.
Using the medical history, diagnosis, X-rays and other imaging, test results and chart information, we create a new patient account, then enter the details from the coded documents sent by the healthcare organization.
We are famous for providing error-free Medical Chagre Entry Services.
If you’ve done Charge Entry, or even watched someone else do it, you know that it’s complex, time consuming job. The various codes and modifiers seem to offer an infinite number of possibilities for error, and each keystroke is crucial.
To hire an experienced specialist for your office rarely makes sense, that’s why the offshore markets exist. Our Outsourcing solutions can save you 40% and more over an inhouse specialist. And we can scale our staff to suit your needs, so there’s even more economy to be had.
Why choose Rely Services? Because We’re the Best at What We Do!
For more than 20 year Rely Services has been a leader in Business Process Outsourcing. Our innovations have become industry standards. Our accuracy is the envy of our competitors. Our standards second to none.
- We are HIPPA Compliant and have been since Day One.
- Our Charge Entry Specialists complete a rigorous training course with periodic re-testing.
- Our Charge Entry error rate is less than 0.01%
- We use only the latest tech, including software and hardware with state of the art security procedures.
- Our worldwide services include quick turn around with 24/7 availability.
- Our cost effective methods routinely save our clients 40% or more over onshore services.
Rely Services can offer a complete, no commitment assessment of your current services absolutely free. Let us show you how Our Team can make your business run smoother and Increase Revenue.