Inadequate documentation of care information can result in substantial revenue leakage, leading to millions of dollars in lost revenue. Implementing efficient charge capture and workflow solutions proves instrumental in mitigating instances of revenue loss. Additionally, fostering effective collaboration between coding and charge entry teams contributes to a sustained enhancement in the overall process.
Expertise in multiple specialties and Revenue Cycle Platforms
At VertexHealth, our proficiency spans across multiple medical specialties, ensuring accurate charge entry regardless of the complexity or nuances of the field. Whether it’s cardiology, orthopedics, or behavioral health, our experts are adept at coding and submitting charges that align with each specialty’s specific guidelines. This precision reduces denials, accelerates reimbursement, and ensures compliance with the ever-evolving regulatory standards. Our seamless integration with various revenue cycle platforms allows us to optimize your billing processes, ensuring transparency and efficiency every step of the way.
Our audit services provide an additional layer of protection, meticulously reviewing charge entries to prevent errors before they lead to revenue loss. We leverage advanced auditing tools and a deep understanding of both payer policies and specialty-specific billing requirements to identify and rectify any discrepancies. By partnering with VertexHealth, your practice benefits from our proactive approach to auditing, improving accuracy, compliance, and overall financial performance.
Charge Capture
Charge Audit
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.
Leverage VertexHealth’s 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 are 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.
Vertexhealth’s Value Proposition for Charge Entry and Charge Audit services:
- Enhance productivity and accuracy.
- Proficiency across multiple specialties.
- Timely claims filing and benchmarking fee schedules and denial patterns.
- Review charge entry processes through Charge Audits to prevent revenue leakage.
- Ensure appropriate reimbursement.
- Identify and rectify compliance issues related to charge overages.
- Recover lost charges and expedite AR processing.
- Real-time collaboration and reporting through client portals.
Cut costs while you improve your productivity
With our managed service packages, we’ll handle all the headaches for you. No more spending hours on the phone, playing vendor roulette while your systems are down. We’ve got you.