Frequently Asked Questions
Charge entry is the process of inputting all patient service details into the billing system, including procedures, diagnoses, and modifiers. Accurate charge entry ensures that claims are correctly generated for insurance submission and timely reimbursement.
Medical coding translates clinical documentation into standardized codes. This step is essential before charge entry, as it ensures the services rendered are represented correctly for billing and comply with payer-specific requirements.
Mistakes in charge entry can lead to claim denials, delays in reimbursement, or even compliance issues. Ensuring accuracy at this stage is critical for clean claims and smooth revenue cycle management.
Quality review involves checking charge entries for accuracy, completeness, and compliance. This step helps catch errors before claims are submitted, reducing rejections and improving overall financial performance.
