Processes

Capture charges

How capture charges are reshaped as AGI capability advances.

ProcessesCapture charges
Capture charges — illustrated

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How the work flows

Trigger: A healthcare provider completes a patient encounter and finalizes the corresponding clinical documentation.

  1. Review clinical documentation from the patient encounter
  2. Assign medical codes to diagnoses and procedures
  3. Apply appropriate modifiers and fee schedules
  4. Enter charge data into the billing system
  5. Validate charges against coding rules and payer edits
  6. Post verified charges to the patient account

Outcome: Medical services are accurately coded, priced, and posted to the patient account for claim generation.

Measured by

Charge Entry Lag TimeLate Charge PercentageCoding Accuracy RateClean Claim Rate