Service List

With expertise in multiple specialties and Revenue Cycle Platforms, our charge entry experts process a high volume of charge entry transactions with exceptional accuracy. ZX Healthcare Solutions client portal enables smooth communication between our teams, for a seamless end-to-end process.

CHARGE CAPTURE

Our charge entry transactions remain consistent throughout:

• Receive documents in the form of superbills, charge tickets, source documents, etc. through FTP or document management system or client’s system.
• Capture the date of service, billing provider, referring provider, POS, admission date, CPT/procedure codes, ICD-10, number of units, and modifiers.
• Using our proprietary tool ARC.flow, provide real-time reporting to the customer by escalating pending issues for clarification which results in faster turnaround time.
• Import charges directly from the EMR. These charges are reviewed for accuracy before being sent for billing.

CHARGE AUDIT

Leverage ZX Healthcare Solutions Charge Audit services to identify missed charges, instances of over-billing, and coding errors that led to revenue loss.  

We take an analytical approach to:

• Validate written orders for the level of care, and all treatments rendered
• Necessary modifiers are appended, and the exact number of units is billed
• Comparing charges by patient’s accounts
• Verifying charges against updated fee schedule
• Identifying undercharges, duplicate posting, and overcharges
• Verifying the charges with various department billers and coders

Charge Audits help reveal causes for variances including problems with charge entry, provider absences, failure of providers to report timely charges, a change in coding patterns, services not billed for, and other reasons for claim denials. Ideally, charges should be consistent from month to month; barring changes in physician productivity due to unavailability.

ZX Healthcare Solutions Value Proposition for Charge Entry and Charge Audit Services

• Improve productivity and accuracy
• Competency across multiple specialties
• Timely filing of claims and benchmarking of fee schedules as well as denial patterns
• Review of charge entry processes to mitigate revenue leakage by implementing Charge Audits
• Ensure appropriate reimbursement collected
• Identify and fix compliance issues for charge overages
• Recover lost charges and avoid delay in processing AR
• Real-time collaboration and reporting through our client portals

Our team specializes in handling all aspects of charge entry, including capturing charges, verifying coding accuracy, and submitting charges for reimbursement. With our expertise, we ensure timely and accurate entry of charges, minimizing revenue leakage and maximizing reimbursements.

Additionally, our charge audit services help identify coding errors, billing discrepancies, and compliance issues. We conduct thorough audits to ensure billing accuracy and regulatory compliance, reducing the risk of audits and penalties.

By utilizing our services, healthcare system providers can improve revenue cycle efficiency, optimize reimbursements, and ensure compliance with billing regulations. Our solutions are customizable to meet the unique needs of your organization and comply with industry standards.

Experience the benefits of our charge entry and audit services today. Contact us to learn more about how we can optimize your healthcare system operations and improve financial performance.