Our Charge Entry Process
- Collecting documents - Encounter forms, superbills, charge sheets, scanned documents, etc. through fax or other document management systems.
- Gathering patient information - Gather patient demographic information, insurance details, and the information regarding services rendered.
- Verifying insurance coverage - Verify insurance coverage to ensure the patient is eligible for the services provided.
- Reviewing medical records - Review medical / health records to ensure that the services provided are accurately captured and billed.
- Assigning codes - Ensure procedural and diagnosis codes, with specialty-appropriate modifiers are applied to the services rendered.
- Entering charges - Once the codes have been assigned, charges are entered into the medical billing system. This includes the charges for the services provided, any co-payments, and deductibles.
- Double-checking entries - Before submitting the charges to the insurance company, entries are double-checked to ensure that all information is accurate.
- Submitting claims - The final step in the charge entry process involves submitting the claims to the insurance company for payment.
- Reporting - Providing daily reports to the customer and resolving pending issues for improved process turn-around time.
Our Charge Audit Process
- Reviewing charges - The charges are reviewed to ensure they are accurate and compliant with the coding guidelines and policies of the payer.
- Identifying coding errors - Coding errors, such as incorrect modifiers, upcoding, and undercoding, are identified to prevent denials or audits from payers.
- Checking documentation - The documentation is checked to ensure that it supports the medical necessity of the services provided and meets the requirements of the payer.
- Verifying reimbursement - The reimbursement is verified to ensure that it is consistent with the contracted rates and the fee schedules of the payer.
- Reporting findings - The audit findings are documented and communicated to the billing staff or the providers, along with recommendations for improvement.
- Implementing corrective action - The corrective action is taken to address the issues identified during the audit and to prevent similar errors in the future.
- Monitoring results - The audit results are monitored to ensure that the corrective action is effective and that the billing processes are optimized for maximum revenue generation.
The Bristol Healthcare Promise
- End-to-end secured HIPAA-compliant workflow management.
- A professional team well-versed in the latest RCM systems.
- AAPC & AHIMA certified coder and billers.
- Proven multi-specialty expertise.
- Quick clean claim generation within 12 to 24 hours.
- Accurate charge entry and audit for faster reimbursements.
- 96% claim first pass rate.
- Eliminate denials and outstanding AR days.
- 99% customer retention rate.
Enlist Certified Expertise
Simplify Your Medical Billing Process with Our Comprehensive Charge Entry and Audit Services
The revenue cycle process is a mechanism with scope for errors at various phases. One such area witnessing increased inaccuracies is the charge entry process, which also happens to be a crucial aspect of the overall medical billing scenario. The charge entry process involves documenting, claims submission, and reconciliation of charges for services rendered to a patient.
The quality of the charge entry process directly affects a practice’s revenue and outstanding days in accounts receivables. Staffing shortages and increasing denied claims by payers are also proving to be an obstacle for physicians in achieving their revenue cycle targets.
At Bristol Healthcare, our AAPC and AHIMA certified coders and billers process a large volume of transactions on a daily basis into various medical billing systems, across the specialty spectrum, with high accuracy. Our experienced billers come equipped with the know-how to help you navigate through each payer's unique requirements and process entries based on their specifications.
We consistently keep track of industry changes and regulations to ensure high accuracy, strict compliance with regulations and maximized revenue generation.
Schedule a Free Consultation Today
Choose us as your partner in patient care and see the difference our services can make. Contact us today to learn more about our customizable charge entry and charge audit solutions.Connect
Our team of experts are well versed and experienced with most of the popular software used by clients today.
What Our Clients Say
Together with our clients, BHS experts partner to achieve desired outcomes
and push the boundaries of what's possible.
“Jay – Great. I really appreciate your in-depth analysis on our outstanding. Your AR recovery process has been excellent.”
“We greatly appreciate the conscientious nature of your team. Their concern for quality is clear in the work that they perform.”
“Your attention to detail is excellent. Thanks for catching my staff’s error. I just love talking to Ray about process improvements.”
“Jay! Thanks to you and your team for formulating a winning team! I am proud to be aligned with you guys!”
“Our partnership with Bristol proved to be a game-changer. Their expertise in revenue cycle management and their commitment to delivering excellent service has truly transformed our practice's financial outlook.”
“If it wasn’t for your verification team, I would’ve never known I needed authorization for this surgical procedure. They have consistently sent verified reports on time, every day.”
“I highly recommend Bristol to any healthcare provider seeking a reliable and efficient medical billing partner. Their commitment to excellence, attention to detail, and dedication to maximizing revenue has been instrumental in helping our practice thrive financially.”
“Do you guys ever sleep? Thank you for answering all my questions immediately. I can’t imagine what I will do without your team.”
“I thank your coders for clearing our four months backlog within two weeks. I appreciate all your recommendations, it surely helps to improve our documentation.”
“Partnering with Bristol has been one of the best decisions I've made for my clinic, and I am grateful for their invaluable support."
“You have consistently provided accurate billing entries for us. I thank the entire team for a job well done."
“Your follow-up methodology seems to be working. Our collections have been increasing month on month. Great job! Stay on it.”
“I wanted to pass on our appreciation for the work the Bristol team is doing on the new BristolByte™ Quick Save feature. I am quite impressed by the speed with which the team is making design changes and implementing a process that will surely save us time. We appreciate it!”
“Their team took the time to understand our practice’s unique needs and workflows to implement a personalized billing process that ensured improved reimbursement rates. We’ve now eliminated duplicate data entry, minimized errors, and saved our staff valuable time.“
“With their expertise in managing our billing processes, we have been able to focus on what truly matters – delivering outstanding orthopedic care to our patients.”