Question 1

What is charge capture in medical billing?

Accepted Answer

Charge capture is the process of recording and submitting patient charges to insurance providers for reimbursement. It involves tracking procedures, treatments, medications, and supplies provided to a patient and ensuring that all billable services are accurately recorded and submitted for reimbursement. The charge capture process is crucial for healthcare providers to maintain a transparent and efficient revenue cycle management system. It helps to locate revenue leakage and secure revenue integrity by accurately documenting medical services and communicating them to the billing office. Charge capture and medical coding are both essential components of the healthcare industry; however, they are distinct practices that serve distinct purposes. While charge capture refers to the process of recording and submitting patient charges to insurance providers for reimbursement, medical coding involves translating the diagnoses, procedures, and treatments provided to patients into standardized codes that are used by healthcare providers, insurance companies, and government agencies.

Question 2

What is charge capture also known as?

Accepted Answer

Charge capture is also known as charge entry. It refers to the process of recording and submitting patient charges to insurance providers for reimbursement. The charge capture process involves tracking procedures, treatments, medications, and supplies provided to a patient and ensuring that all billable services are accurately recorded and submitted for reimbursement.

Question 3

What is physician mobile charge capture?

Accepted Answer

Physician mobile charge capture is the ability for physicians to capture (create) their charges instead of having someone else do this for them on their phone, iPad, or computer.

Question 4

Who is responsible for charge capture?

Accepted Answer

Responsibility for charge capture varies based on the organization and can include providers, billing personnel, and scribes.

Question 5

Is charge capture same as coding?

Accepted Answer

Charge capture and coding are distinct practices that serve different purposes. Charge capture refers to the process of recording and submitting patient charges to insurance providers for reimbursement1. It involves tracking procedures, treatments, medications, and supplies provided to a patient and ensuring that all billable services are accurately recorded and submitted for reimbursement. The charge capture process is crucial for healthcare providers to maintain a transparent and efficient revenue cycle management system. Coding, on the other hand, involves translating the diagnoses, procedures, and treatments provided to patients into standardized codes that are used by healthcare providers, insurance companies, and government agencies. Medical coding ensures that the information in a patient’s medical record is accurately represented and can be easily understood and processed by various stakeholders.

Question 6

What is the charge capture rate?

Accepted Answer

The charge capture rate is the percentage of charges captured compared to the total charges that should have been captured. Charges should be captured each time a patient is seen or services are performed. For example, if a provider sees 10 patients and captures charges for 9 of them, the charge capture rate would be 90%.

Question 7

What is charge capture and reconciliation?

Accepted Answer

Charge capture is the process of recording and submitting patient charges to insurance providers for reimbursement. It involves tracking procedures, treatments, medications, and supplies provided to a patient and ensuring that all billable services are accurately recorded and submitted for reimbursement. Charge reconciliation is the act of comparing charges generated to services provided. It is an important component of accurate and comprehensive charge capture and revenue generation. Completing charge reconciliation daily protects revenue streams and promotes early identification of root cause issues affecting financial stability. Organizations often identify and realize 0.5‒1% of annual net revenue improvement through system updates/enhancements, charge methodology enhancements, effective charge reconciliation processes, and the capture of missed charges.

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