Quick Charge Submission to Speed Up Reimbursement
Charge entry is where clinical work becomes billable revenue — and where small errors become denied claims. Our process starts by collecting all your patients’ and medical services’ information to regulate your charge entry workflow. Your dedicated RCM team then uses your EHR system to verify that the collected data is complete and accurate before a single code is assigned.
After verification, certified coders assign the appropriate ICD-10 and CPT codes with required modifiers, and cross-check fee schedules from different insurance payers to prevent undercharging or overcharging. The staff then generates accurate electronic claims to bill insurance providers against the medical services rendered — every charge supported, every code compliant, every claim ready for submission.
How Our Charge Entry Process Works
Step 1: Complete Information Collection
We gather patient and medical service details needed for charging — building on verified data from eligibility verification, so charge entry starts from accurate inputs.
Step 2: EHR Data Verification
Your dedicated RCM team verifies completeness and accuracy inside your EHR system — missing or incorrect details are corrected before coding begins.
Step 3: Code & Modifier Assignment
Certified coders assign ICD-10 and CPT codes with the correct modifiers, in full compliance with current coding standards — the foundation of accurate medical coding.
Step 4: Fee Schedule Cross-Checks
We cross-check fee schedules across different insurance payers to prevent undercharging and overcharging — protecting both your revenue and your compliance.
Step 5: Accurate Electronic Claim Generation
Charges are converted into accurate electronic claims and passed to claim scrubbing — claims generated right the first time, keeping your revenue cycle moving.
Who Benefits from Outsourced Charge Entry?
- Practices with coding errors causing denials and rework
- Groups without certified coders on in-house staff
- High-volume practices where charge entry creates a daily backlog
- Any practice that has experienced undercharging or overcharging audits
Frequently Asked Questions
Q: Why is charge entry so important in the revenue cycle?
Charge entry converts documented services into billable claims. Errors at this stage — wrong codes, missing modifiers, incorrect fees — propagate into denials, underpayments, and compliance risk downstream. Accurate entry is the cheapest denial prevention there is.
Q: Who performs the coding in your charge entry process?
Certified coders assign ICD-10 and CPT codes with modifiers, verified against payer-specific rules and fee schedules — followed by two-layer quality assurance before claims are generated.
Q: How do fee schedule cross-checks protect my practice?
Undercharging leaves revenue uncollected; overcharging invites audits and recoupments. Cross-checking each charge against payer fee schedules ensures billing is accurate and defensible.
Q: Do you work inside our existing EHR?
Yes. Our RCM team works within your EHR system — verifying, coding, and generating claims where your data already lives, with no duplicate workflows.
Why Choose Us?
The reasons why you should outsource charge entry responsibilities to our RCM professionals are:
- 25 Years of Experience — RCM professionals who have processed charges across every major specialty and payer
- Accurate Coding — certified coders assigning correct ICD-10, CPT codes, and modifiers on every charge
- Two-Layer QA — every charge reviewed twice before it becomes a claim
- Affordable Outsourcing — expert charge entry at a fraction of in-house staffing costs
- Regular Reporting — clear visibility into charge volumes, accuracy, and claim readiness