Charge Capture Re-Imagined: The Largest Remaining Revenue Lift for Regional Acute Hospital

BACKGROUND

A Colorado regional health acute hospital partnered with Infinx to improve charge capture and reduce missed revenue opportunities.

The engagement delivered significant financial and operational results, uncovering an estimated 1.50%–2.25% revenue lift opportunity, equal to approximately $2.5M–$3.7M in annual net revenue improvement.

Through automated claim auditing, expert validation, and pre-bill workflow enhancements, we helped resolve 15–30 operational initiatives while operating under a fully contingent, no-risk model.

CHALLENGE

Revenue leakage from inefficient charge capture processes

The hospital faced ongoing revenue loss caused by incomplete charge capture and manual workflows that increased the likelihood of missed charges and reimbursement gaps. The organization needed a proactive solution that could identify inaccuracies and improve charge capture before claims were billed, rather than relying on retrospective corrections.

SOLUTION

Comprehensive claim audit & charge validation

We used our proprietary “ChargeView” platform to complete a 100% audit of the hospital’s prior 12 months of claims, identifying anomalies and missed charge opportunities at scale. Specialized charge auditors then validated flagged claims, combining advanced technology with expert review to improve revenue integrity outcomes.

Low-burden operational & workflow improvements

• No client IT support required
• No impact on RCM team bandwidth
• We owned implementation and analysis services
• Fully contingent engagement with no upfront financial risk

“The biggest concern in selecting a consult partner to provide needed help is trust. Infinx has proven to be a company of ethics who puts what is good for my organization first. They provide a level of performance transparency rarely seen, and simply stated, they have delivered on their promises.”
— Client CFO

RESULTS

The Financial Impact

The engagement delivered measurable financial impact by identifying missed revenue opportunities and improving charge capture accuracy across the organization.

Through technology-enabled claim auditing and workflow optimization, our client achieved an estimated 1.50%–2.25% revenue lift, translating to approximately $2.5M–$3.7M in projected annual net revenue improvement. These results reflect the financial value of strengthening revenue integrity processes and reducing missed charges before claims are billed.

Operational Improvements

• Improved charge capture accuracy
• Reduced missed revenue opportunities
• Implemented sustainable pre-bill revenue integrity improvements
• Increased visibility into charge capture & coding gaps
• Strengthened revenue integrity and operational efficiency

A Long-term Partnership for Revenue Cycle Excellence

By partnering with Infinx, the hospital was able to analyze claims data at scale and identify hidden revenue opportunities with greater accuracy and efficiency.

With automated claim analysis and expert auditor validation, the organization gained deeper visibility into charge capture performance, coding inconsistencies, and potential reimbursement gaps. These metrics highlight the effectiveness and reach of the engagement’s audit and validation process.

If you are looking to achieve similar results at your organization, contact us at www.infinx.com/request-a-consultation.