Failure to effectively document care information can often lead to revenue leakage – amounting of millions of dollars of lost revenue. While deploying effective charge capture, workflow solutions can help reduce instances of lost revenue. Also, effective collaboration between coding and charge entry teams leads to a sustainable improvement in the overall process.
With expertise in multiple specialties and Revenue Cycle Platforms, our charge entry experts process high volume of charge entry transactions with exceptional accuracy. CPJ’s client portal enables a smooth communication between our teams, for a seamless end-to-end process.
Leverage CPJ’s Charge Audit services to identify missed charges, instances of over-billing, and coding errors that led to revenue loss.
We take an analytical approach to:
Charge Audits help reveal causes for variances including problems with charge entry, provider absences, failure of providers to report timely charges, a change in coding patterns, services not billed for, and other reasons for claim denials. Ideally, charges should be consistent from month-to-month; barring changes in physician productivity due to unavailability.
CPJ offers and provides Medical Billing solutions and the process being worked on behalf of the Providers in US. In simple term, Medical Billing is the process of submitting and following upon on all the claims with the health insurances in order to receive payments for services rendered by the healthcare provider. The Providers outsource their billing process to a third party billing companies in US and outside US due to its complexity and difficulties in coding, understanding insurance specific rules and AR follow-up on outstanding claims.This also includes resolving the Patient AR by sending Statements and follow up with patients .
We at CPJ provide Medical Coding services and the process is about transforming the healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The diagnosis and procedure codes are taken from documentation (Medical Records) produced by the providers, such as transcription of physician’s notes, laboratory and radiology results, etc. AAPC – American Academy of Professional Coding (regulatory authority of complete medical coding in the United States) certified Medical Coding Professionals in CPJ Techno Solutions Team help ensure the codes are applied accurately during the medical billing process, which includes abstracting the information from documentation, assigning the appropriate codes, and creating a claim to be paid by insurance carriers. The major task of the Medical Coder is to review the Medical Records and assign standard codes using CPT, ICD 10, HCPCS Level II classification systems defined by AAPC .