Charge Entry

Management of accounts and collaboration

A key component in assuring your invoices is paid appropriately starts with the Charge Entry process. This is the process of allocating to the patients’ accounts the appropriate dollar amount in accordance with the selected medical codes and associated fee schedule. The charges entered for the rendered medical services determine how much the healthcare professional will be reimbursed for their services. Charge Entry must be done accurately because mistakes could lead to more claim denials. By doing a thorough examination of the medical services offered, you can prevent millions of dollars from being lost to revenue leakage. To guarantee that the charges recorded are accurate, all procedures are captured, and the assigned codes are compliant, we ensure effective coordination between the coding and the charge entry teams.

Steps in the Charge entry process

The subsequent steps make up our procedure.

  • Receipt of paperwork via an FTP server, an EHR, or a document management system, including invoices, charge tickets, and related clinical documentation.

  • Recording the patient’s demographic information, date of service, billing provider, healthcare provider, place of service, date and time of admission, ICD/CPT codes, number of units, and modifiers.

  • Automation of workflows to offer daily reports to clients and promote collaboration to ensure adherence to filing deadlines.

  • Check imported charges for accuracy before billing.

  • SQC (Statistical Quality Control) to conduct a random audit to assess the process’s quality.

  • Observance of established provider-specific guidelines for various specialties and delivered services.

Benefits offered by our team

  • Through stated objectives for our agents, we will increase the efficiency and accuracy of the entry process.

  • We bring competency across medical specialties.

  • Utilizing our comprehensive global delivery architecture, we can increase turnaround time and ensure claims are filed on time.

  • Monitoring of denial patterns and constant benchmarking of fee schedules to ensure a decrease in claim denial.

  • Utilize charge audits to optimize revenues and locate lost revenue.

Claims Submissions – Work edits & rejections

Parsing claims data from the revenue cycle system to the clearinghouse and correcting any throwbacks are both steps in the claims submission process. The scrubbing procedure makes it possible to spot incorrect claims and gives medical billers the chance to correct them.

Aspects of the Management of Claims Submission and Rejection Processes

  • Batch operation from the clearinghouse system to the RCM system.

  • Updates the exceptions as necessary.

  • Parsing to the Payer Systems and making the necessary changes.

Advantages of the Claims Submission and Rejection Management Process at MSAI

Experts from the Rejection/Edits handling team proactively handle claim rejections to get rid of denials. We provide the following advantages to our clients:

  • 24–48-hour turnaround time, increased output, and increased accuracy.
  • Reduce claim rejections and maximize your reimbursement.
  • The documentation on all business regulations.
  • Daily calls to account support to address any problems
  • Costs can be cut by up to 50% by using offshore delivery.

Up to 10% of medical claims have problems with quality, payment, and reconciliation. Any issues with the submission of the claims will be handled by our staff of rejection management. As a result, you may deal with your denials right away and minimize rework on the claim denials.

The following advantages are provided by claims filing – work edits and rejection management teams.

  • Costs are reduced by 30–50% thanks to our worldwide delivery methodology.
  • By resolving difficulties up front, claim denials can be avoided.
  • Reduce the amount of claims that are refused to speed up the accounts payable cycle.
  • Obtain greater and faster reimbursement.
  • Costs can be cut by up to 50% by using offshore delivery.

Contact us today for a consultation to learn how our
medical coding and billing services can optimize
your practice’s revenue cycle management!