POWERED BY AI
Reduce Charge Capture Leakage & Capture 100% Billable Events
Accurately record and bill for all services provided to a patient to ensure accurate compensation for care provided.
AI flags bills with missing charges & charge errors
We leverage our our charge capture technology, ChargeView, powered by 1.5+ million algorithms, to identify all possible bills where a billable service was not captured on the bill, or captured incorrectly in a bill, before the claim goes out the door.
Our expert charge auditors identify services that can be added to the bill
Our expert charge auditors thoroughly review patient encounter records supporting the flagged bill to capture every single service that the provider is permitted to bill based on their payer contracts, while ensuring billing compliance with the charge description master (CDM).
Missing services are rebilled
Our team will validate all missed charges and can either provide an electronic handoff to your staff team to rebill or our team can update claims directly in your EHR.
Benefit from revenue lift from newly billed charges
Our charge capture optimization solution has been a key driver of our delivered revenue lift. We have been able to deliver operating margin improvement for clients, exceeding 2% lift over baseline revenue with smaller hospitals and outpatient providers seeing over 5% revenue lift.
FIND THE MONEY
Discover More Billing Opportunities
Our initial assessment identifies charge capture improvement opportunities and provides a detailed roadmap for implementation with prioritization of initiatives for maximum optimization in the shortest amount of time. During this audit, we typically discover 12% - 16% of hospital outpatient bills are missing billable services.
Complete charge capture coverage leveraging technology plus experts
We provide a complete solution to execute these initiatives, including the technology platform, expertise and all needed charge auditor bandwidth to ensure every billable service on your bottom line.
Baseline each charge capture optimization initiative prior to execution
Clients receive a benefit acknowledgement form for each of optimization initiative, which documents performance baseline for that initiative and how we are going to measure benefit to your organization going forward.
Examples of areas where missing charges or errors are typically found
- Operating room
- Physical therapy
OUR TECHNOLOGY PLUS OUR EXPERTS
Increase Revenue With Complete Charge Capture Coverage
Our charge capture solution includes:
- Over 1.5 million charge capture algorithms
- Charge auditor experts
- Charge capture experts
- Validation of missed charges
- Real time performance reporting for agreed-upon charge capture initiatives
- Analytics of gross charges, net reimbursement and new revenue
HOW IT WORKS
Developed For Maximum Recovery
Our charge capture optimization solution is driven by a thorough assessment and intelligent workflows developed to drive consistent results.
last 12 months of claims and payer contracts
initiatives to include missing billed services and prevent mischarges
initiatives to focus on in order of recovery value
charge capture to ensure all billable services get included
workflows with actionable insights to improve charge accuracy
Ensure Services Published In Chargemaster Gets Billed
In order to bill for a service, the charge needs to be in the provider’s published chargemaster.
When clients retain us, even though the service may be officially published in their chargemaster, billing staff still misses included that specific service in the bill after service is rendered which ends up resulting in that service not getting reimbursed. We help prevent this from occurring.
Leverage Our IT Infrastructure
For those providers who have limited IT bandwidth to allocate to charge capture optimization right away they can lean on our team of data specialists who are experts with EHR and billing systems so all data and interface requirements are taken care of for them, without the need to divert current IT staff attention from ongoing responsibilities.
Pay For Only Billable Services We Discover
For any missing billable services our solution discovers, we charge our clients a percentage of the missing services or mischarges identified. We get paid only on the billable opportunities our solution discover
We also offer FTE support on monthly retainers to help with any charge capture workflow gaps your organization may be experiencing.
Positive Results After Implementation
net patient revenue improvement
missing outpatient charges discovered
billable events charged
Compatible With Most EMRs
We offer bi-directional integration with most EHR/EMR/LIS/RIS with API, HL7, FHIR, X12 or EMR developer programs so that your staff can continue to capture charges while we help prevent missing charges from your local system Here are some of the systems we integrate or are compatible with.
Helpful Resources For Your Team
We create educational materials frequently in the form of virtual office hours, articles, white papers, webinars and podcast episodes which help our clients and peers with common charge capture challenges they face. If you would like us to address a specific topic, feel free to reach out to us.
Our Clients Grow With Us
Happy clients makes it easier for us to help them continue to scale.
Rural hospitals face many challenges, including hiring experienced revenue cycle talent. To be successful, you must either hire experienced talent, provide extensive training, or find an experienced business partner to assure cash is being collected in a timely manner. Jason and his team has surpassed our expectations.
Chief Executive Officer
At a time when hospitals face tremendous economic pressures to meet changing regulatory, clinical and consumer demands, they are a tremendous resource providing a no-risk solution that delivers bottom line impact.
Chief Executive Officer
Regional Medical Center
The only certainty in healthcare is revenue cycle is more and more complicated. As pressure mounts, our partnership on a myriad of engagements - all of which have delivered results which exceeded expectations. Value added in action - they are a strong RCM partner to our organization.
Director, Patient Financial Services
Regional Medical Center