Effective documentation of care information is crucial to prevent revenue leakage, which can amount to millions of dollars in lost revenue. Implementing robust charge capture workflow solutions and fostering collaboration between coding and charge entry teams can significantly reduce lost revenue and improve the overall process.

With expertise in multiple specialties and revenue cycle platforms, our charge entry experts at Zephyr Health Management Service process a high volume of transactions with exceptional accuracy. Our client portal ensures smooth communication for a seamless end-to-end process.

Charge Capture

Our charge entry transactions are consistent and reliable:

• Document Reception: Receive documents such as superbills, charge tickets, source documents, etc., through FTP, document management systems, or client’s systems.
• Information Capture: Capture the date of service, billing provider, referring provider, POS, admission date, CPT/procedure codes, ICD-10, number of units, and modifiers.
• Real-Time Reporting: Use our proprietary tool ARC.flow to provide real-time reporting, escalating pending issues for faster turnaround.
• Direct Import: Import charges directly from the EMR, reviewing for accuracy before billing.

Charge Audit

Leverage Zephyr Health Management Service’s Charge Audit services to identify missed charges, over-billing instances, and coding errors that lead to revenue loss.

Our analytical approach includes:

• Order Validation: Validate written orders for the level of care and all treatments rendered.
• Modifier and Unit Accuracy: Ensure necessary modifiers are appended and the exact number of units are billed.
• Charge Comparison: Compare charges by patient accounts.
• Fee Schedule Verification: Verify charges against updated fee schedules.
• Error Identification: Identify undercharges, duplicate postings, and overcharges.
• Department Verification: Verify charges with various department billers and coders.

Charge audits help reveal the causes of variances, such as issues with charge entry, provider absences, failure to report timely charges, changes in coding patterns, unbilled services, and other reasons for claim denials. Ideally, charges should be consistent month-to-month, barring changes in physician productivity due to unavailability.

Value Proposition

Zephyr Health Management Service’s Charge Entry and Charge Audit services offer several benefits:

• Improved Productivity and Accuracy: Enhance the accuracy and efficiency of charge entry processes.
• Specialty Competency: Competency across multiple specialties.
• Timely Claims Filing: Ensure timely filing of claims and benchmarking of fee schedules and denial patterns.
• Revenue Leakage Mitigation: Review charge entry processes to implement audits and prevent revenue leakage.
• Appropriate Reimbursement: Ensure appropriate reimbursement collection.
• Compliance Fixes: Identify and correct compliance issues for charge overages.
• Lost Charge Recovery: Recover lost charges and avoid delays in processing accounts receivable.
• Real-Time Collaboration: Benefit from real-time collaboration and reporting through our client portals.

Contact Us

Learn how your organization can leverage Zephyr Health Management Service’s charge entry and audit services