Capture Every Appropriate Charge. Strengthen Revenue Integrity.
Incomplete or inaccurate charge capture can create revenue leakage and billing inconsistencies. Our Charge Capture and Charge Description Master (CDM) Audit services help healthcare organizations review charge processes, validate charge descriptions, and identify potential gaps between services provided and charges recorded.
Our specialists evaluate departmental workflows, charge reconciliation mechanisms, and fee schedules to ensure that every billable clinical service is appropriately captured, accurately coded, and compliant with payer requirements.
Comprehensive evaluation of clinical source documentation against billed claims to verify that all delivered services are captured.
Learn moreDetailed examination of the Charge Description Master to maintain active, valid CPT, HCPCS, and revenue codes across all departments.
Learn moreVerification that line-item charge descriptions clearly and accurately represent clinical services, supplies, and pharmaceuticals.
Learn moreBenchmarking fee schedules and standard charges against regional market rates, CMS fee schedules, and cost-to-charge ratios.
Learn moreTargeted detection of unbilled procedures, missed diagnostic tests, omitted supplies, and unregistered bedside interventions.
Learn moreStructured cross-walking reconciling electronic clinical logs (EHR, PACS, LIS, surgical logs) directly against billing system entries.
Learn moreVerification of billing modifiers, units of service, and coding combinations linked to CDM line items to prevent unbundling rejections.
Learn moreTailored charge assessments across emergency, surgical suites, radiology, laboratory, cardiology, and inpatient nursing units.
Learn moreAutomated and clinical anomaly detection highlighting encounters with disproportionately low charges or omitted secondary services.
Learn moreIn-depth analysis of clinical order entry, charge generation, CDM maintenance protocols, and late-charge mitigation workflows.
Learn moreIdentifying missed or inconsistent charges can help protect appropriate revenue.
Regular CDM reviews help maintain accurate and consistent charge information.
Charge validation creates stronger alignment between services, documentation, coding, and billing.
Audit findings help organizations identify process weaknesses and improvement opportunities.
Connect with our charge capture and chargemaster specialists today to discuss CDM audits, reconciliation workflows, and revenue integrity.
