Charge Entry in Medical Billing Services

Charge Entry in Medical Billing is a basic procedure that directly influences the quality of the claims, the reimbursement cycles, and the performance of the revenue cycle. By capturing accurate and consistent charge data, the providers get reduced denials, improved payment speed, and better financial management. 

19+ Years of Experience

20+Medical Centers and Laboratories

50+Specialties

Velan– Reliable Charge Entry Servicesfor Accurate Medical Billing

Charge entry involves the practice of transferring recorded medical services to a billing system with appropriate procedure codes, diagnosis codes and patient information to submit insurance claims. Precision at this point is vital. Any mistakes, even minor ones, like wrong CPT or ICD-10 codes, the absence of a necessary modifier, or some patient details, may result in rejection of claims, loss of payments, or even loss of revenues.

At Velan HCS, charge entry is considered a core revenue cycle activity and not a mere input of data. The workflow of our structured workplaces is aimed at first-pass accuracy and assists providers:

  • tick Reduce Rework & Billing Corrections
  • tick Minimize Claim Denials
  • tick Improve Reimbursement Timelines
  • tick Maintain Predictable Cash flow
Billing

What is Our Charge Entry Process & How Does It Improve Billing Efficiency?

The medical billing charge entry process is structured in such a way that it ensures that billing information is passed from the clinical documentation into the billing system correctly. Our processes are geared towards eliminating inconsistency, supporting the use of clean claims, and ensuring that the payer and regulatory provisions are met in any specialty.

Our Step-by-Step Charge Entry Workflow

Reviewing Medical Records Analysis

Reviewing Medical Records Analysis

We review clinical notes, come across forms, operative statements, and other supporting documentation to ensure that all the billable services are in the right documentation and as per the medical necessity requirements.

Entering Patient Information

Entering Patient Information

The patient demographic, insurance, and encounter data are verified and integrated into the billing system to facilitate correct patient identification and referral to the correct payer.

Assigning Medical Codes

Assigning Medical Codes

CPT, ICD-10, HCPCS codes, modifiers, and units are assigned. Our charge entry experts ensure that documentation, coding standards and payer requirements are all consistent.

Computing Total Fees

Computing Total Fees

All payments are completed on agreed fee schedules, payer agreements, and units of service, which prevents the occurrence of underbills and overbills that would raise enquires amongst the payers.

Charge Entry Application

Reviewing Entered Information

Multi-level quality measures are applied to identify anomalies, lapses or even errors in the coding before completion of the charges in billing process.

Submitting Charges

Submitting Charges

Charges are finalized and submitted to the billing system to generate downstream claims, which are used in ensuring timely submission and clean acceptance of claims.

Streamline your charge entry process with experts who prioritize accuracy from day one

What Charge Entry ServicesDo We Offer to Streamline Billing?

Our charge entry support services can be used in a manner that blends in with your current billing operations. We customize our processes to your specialty, EHR system and payer mix and provide accurate, scalable and consistent billing processes in all billing situations.

Comprehensive Charge Entry Capabilities

Entry of CPT, ICD-10, HCPCS Codes, Modifiers, & Units

Entry of CPT, ICD-10, HCPCS Codes, Modifiers, & Units

We correctly enter all the necessary procedure and diagnosis codes, modifiers, and service units to fully comply with the billing of all types of payers.

Patient Demographic Updates & Validation

Patient Demographic Updates & Validation

Our data concerning patient demographics is updated and validated to avoid rejection of claims due to missing or obsolete information.

Charge Entry From Scanned, EMR-Based, or Electronic Charge Sheets

Charge Entry From Scanned, EMR-Based, or Electronic Charge Sheets

Our teams deal with charge entry of various source forms, which provides flexibility and consistency in your documentation process, no matter the approach you are using.

Creation of New Patient Accounts

Creation of New Patient Accounts

We generate and update our new patient records by ensuring the correct demographic and insurance information is able to bill clean at the initial encounter.

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Insurance & Benefit Verification Support

We help in insurance validation to make sure that charges are consistent with active coverage and payer policies.

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Charge Audit & Reconciliation

We perform regular audits of documents to balance charges against documents to detect omitted charges or inconsistencies prior to claims filing.

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Clean Claim Generation & Submission

Properly recorded charges facilitate the development of clean claims, which support fewer payer rejections and shorten payer reimbursement timelines.

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Ongoing Process Optimization

Our charge entry patterns are analyzed to find a way to improve, lessen the error rate, and enhance the overall performance of billing.

Our charge entry outsourcing services assist healthcare providers in their quality billing by avoiding the growth of extra internal staffing pressure.

Benefits of Outsourcing Charge Entry Services

The medical billing outsourcing charge entry enables healthcare providers to enhance accuracy and minimize the complexity of operations. By outsourcing this volume/heavy/data-driven activity to highly skilled experts, revenue cycle practices become more efficient.

Key Advantages of Outsourced Charge Entry

Higher Clean Claim Rate (CCR)

The correct charge capture allows the elimination of mistakes at the source, enhancing accurate claim acceptance and the reduction of downstream corrections.

Faster Payment Turnaround

Clean claims will flow through payer systems faster, resulting in faster reimbursements and better cash flow.

Lower Administrative Costs

Outsourcing will also save the cost of recruitment, training, and retention of in-house charge entry teams.

Improved Accuracy & Compliance

We have charge entry services that meet payer policies, CPT, and ICD No.1 updates, compliance requirements at the lowest risk.

Scalable Operational Support

We scale up the capacity with volume variations, so that we maintain the same level of performance when there is a peak in the volume without internal disturbance.

Reduced Denial Rates

Early accuracy eliminates denial triggers, which helps to smooth out operations in the revenue cycle and allows the A/R aging to decrease.

Reduce claim rejections and speed up payments. Get a free charge entry assessment today.

Why Choose Velan HCS for Charge Entry in Medical Billing?

The choice of the appropriate charge entry in medical billing company is critical to the accuracy and financial stability of billing. We deal with accuracy, accountability, and long-term performance improvement throughout the revenue cycle.

What Sets Velan HCS Apart

AAPC-Certified Charge Entry Specialists

Our staff is educated about the coding standards, billing regulations, and rules regarding payers in order to provide quality charge entries.

HIPAA-Compliant Processes

Our data security and privacy practices are stringent and ensure that patient data is not compromised in any of the charge entry processes.

99% Accuracy Rate in Data Entry

You are guaranteed an excellent degree of accuracy in our quality assurance procedures, which minimizes rework and problems with claims.

Scalable Teams for Volume Changes

We promote seasonal surges, growth of practice and operations without affecting turnaround time.

Support for All Major EHR & Billing Platforms

Our teams collaborate on most of the dominant EHR and billing systems to provide hassle-free integration with your current infrastructure.

Revenue Cycle-Focused Approach

We also consider the charge entry a strategic revenue cycle, rather than a simple data entry, which makes it aligned with the reimbursement objectives.

Strengthen Your Billing Accuracy With Expert Charge Entry

Proper charge capture is the beginning of a good revenue cycle.Velan HCS provides medical claim entry solutions that are expert-led to decrease the rate of denials, enhance the turnover of reimbursement, and contribute to long-term financial development.

Whether you need outsourced charge entry services to enhance accuracy, reduce denials, and ensure sustainable revenue growth, we are at your service. Our charge entry solutions are designed to protect revenue, streamline processes, and enhance financial performance over the long term.

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Frequently Asked Questions

Charge entry refers to the process of keying coded medical services, patient demographics and billing charges into a billing system to produce insurance claims to be reimbursed.

Outsourcing enhances accuracy, reduces the denial of claims, speeds up billing processes, and reduces staffing and training expenditures.

Proper charge entry helps in facilitating clean claims, minimizing the amount of rework and denials, and results in quicker turnaround of payment.

Yes. We sponsor hospital billing, urgent care, primary care, behavioral health, therapy practice, surgical departments, and 40+ other specialties.

Partner with Velan HCS for charge entry services that strengthen accuracy and accelerate revenue.