Charge Entry

Charge entry is the systematic process of allocating appropriate monetary values to healthcare services based on standardized medical codes. After a patient encounter, clinical documenters record the diagnoses and treatments via ICD-10, CPT, and HCPCS code sets. Charge entry professionals take these authenticated codes to create an official financial claim.

This phase is about far more than manual data entry; it requires deep domain expertise. Charge entry specialists must analyze medical charts to verify that the billed amounts align perfectly with provider fee schedules, regional insurance regulations, and individual payer contracts.

Our Comprehensive Charge Entry Services

Medics Care offers a meticulous, multi-tiered approach to charge entry. We remove the operational burden from your internal staff while maximizing clean claim rates. Our specialized services cover every stage of the process:

• Superbill and Encounter Form Processing: We meticulously review and extract data from digital or physical superbills, cross-referencing clinical notes to ensure zero omissions.
• Multi-Specialty Charge Capture: Our billing teams possess deep expertise across diverse clinical fields, ensuring accurate entry for complex multi-specialty practices, hospital systems, and ambulatory surgical centers.
• Demographic and Insurance Verification: We perform secondary checks on patient identifiers and insurance coverage parameters to eliminate front-end registration errors before submission.
• Fee Schedule Management: Our team precisely applies your practice’s custom fee schedule, ensuring that modifier-impacted values, bilateral procedures, and packages are appropriately priced.
• Comprehensive Internal Auditing: Every batch of entered charges undergoes rigorous quality assurance scrubbing to identify under-coding, over-coding, or unbundling issues.