Charge Entry Services
Accurate and Reliable Charge Entry Services
The charge entry process plays a vital role in the overall revenue cycle management system. It is a process of entering all important data to enable claims processing. All data that is entered should be accurate, error-free and in accordance with the guidelines.
Charge entry is crucial as all patient accounts created are assigned the appropriate dollar value as per the codes and fee schedule. The values entered will determine the reimbursements for the physician’s service. Meaning, there should be no room for errors. Scribe4Me’s charge entry specialists pay attention to detail to ensure that every entry is made accurately and in an approved manner.
Scribe4Me’s Charge Entry Process
Accurate charges are crucial for claims to pass through the first time and Scribe4Me does it right, each time. This is how our charge entry process looks like.
Receive files
We receive scanned copies of checks and Explanation of Benefits (EOBs) from our clients through a secure FTP site. Our billing team downloads these files, reviews them and assigns them to the respective charge entry team.
Enter crucial information
This is a two-step process which includes the entering of both patient information and billing information into the billing system. The patient information includes inputting patient demographics like name, address, birthdate, age, sex, ethnicity, race, social security number etc. The billing information includes inputting patient account number, date of service, place of service, admission date and time, billing provider and referring provider, amount billed and amount allowed, amount adjusted and paid, procedure code and diagnosis code etc. We then double check each and every entry to ensure accuracy.
Audit data
Our charge entry experts comb through every aspect of the charge entry process to spot any incongruities. They thoroughly scrutinize and review all pertinent details to ensure accuracy, completeness and compliance with relevant billing regulations. This helps to create a fool-proof charge entry process and ensure accurate claims are submitted to insurance providers.
Submit
Once all the charges entered have been thoroughly audited to ensure they meet all quality and compliance standards, they are submitted to the payers in the prescribed format for getting the reimbursements.
EOB follow-up
In cases where patients are responsible for some or all of the balances due, and there are issues such as late or missed payments, our team undertakes to perform a thorough investigation into the EOB and other aspects of its coverage or lack thereof. This helps to decide on any corrective action that may be required.
Denial analysis and recovery
In case of any denials or rejections we provide denial management support to investigate into each case and analyze the EOB claims. We quickly identify the root cause behind these denials and work to resolve it. With the right steps in place, we ensure a quick and successful recovery of the amount due.
Collect feedback
We are committed to providing high-quality charge entry services that exceed client expectations. That is why we collect client feedback and continually strive to improve the accuracy and efficiency of our process in order to provide the best-in-class charge entry services.
Service Highlights
Benefits
Revenue Cycle Management
Are you a healthcare provider under increased pressure to focus on providing care as well as maintaining financial viability? Do you feel overwhelmed with administrative and financial responsibilities? Feel like you are losing pace on follow-ups for efficient collection? Are you short of trained experts to handle the complex maze of RCM? Scribe4Me is here to help you.
Insurance Eligibility Verification
The first and most important step is to determine the patient's eligibility and insurance coverage. People often tend to forget to renew their health insurance policy annually. And insurance companies are in no way responsible for payments covered under the plan during the period of lapse. As a result the patient has to pay for the services out of his own pocket. What if the patient is reluctant to pay the bills?
Medical Coding
Medical Coding quality holds the key to accurate reimbursements. Scribe4Me has perfected the art of creating accurate and clean claims on the first go. We have a team of AAPC certified, trained medical coders who are proficient in coding rules and can provide accurate and complete coding necessary to optimize reimbursements.
Claims Transmission
Scribe4Me undertakes to do an EDI set-up for those medical practices that wish to get-off paper transaction claims and switch to electronic data interchange (EDI) for claim submission. Submission of the claims through EDI reduces the chances of inaccuracies and errors. Your claims will reach the payer instantly resulting in quicker reimbursements and eliminating claim processing delays.
Payment Posting
We believe that accurate charges contribute to attaining clean submission goals. Scribe4Me offers fast and accurate Payment Posting solutions as a part of the Revenue Cycle Management services and also as a standalone service depending on the client's requirements. Our team of experts has extensive experience in several specialties and in handling a wide range of medical software.
Accounts Receivable Management
We at Scribe4Me understand that Accounts Receivable is an important part of cash flow and requires rigorous follow up. That is why we have a streamlined system in place to control and manage your practice's accounts receivable and recovery. Simply trust the experts for efficiency, and we assure you that all the medical services provided by you will be paid for, fully and promptly.
Denial Management
Scribe4Me helps recoup revenue and maximize reimbursements Denial of medical claims is one of the major issues faced by physicians. Scribe4Me's Denial Management service is designed to perform a root-cause analysis, identify the reason for the denial and take action to resolve it. Most importantly we implement process improvements to stop recurring denials in its tracks.
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