Charge Capture & Entry

Missed and inaccurate charges are silent revenue leaks. We reconcile every encounter against your schedule and documentation so each billable service is captured, coded, and submitted — nothing left behind.

Every day, we reconcile your appointment schedule against what was actually billed, so a visit that happened but never generated a charge gets caught within days, not discovered during a year-end audit. We also keep your fee schedule current and match every charge back to the clinical documentation that supports it, which protects the revenue you’ve captured and keeps the claim defensible if a payer ever asks questions.

Missed charges are hardest to catch precisely because nothing goes wrong — no denial, no rejection, just an appointment that quietly never turned into revenue. That’s why reconciliation has to start from your schedule, not your billing system: comparing what was billed against what should have been billed is the only way to find a charge that was never created in the first place.

This service is especially valuable for practices with high patient volume, multiple providers, or ancillary services — labs, in-office procedures, supplies — where it’s easy for a charge to fall through the cracks simply because there are so many moving pieces to track.

A sign this is happening already: your appointment volume has been steady or growing, but your billed charges per provider haven’t moved the way you’d expect. That gap is usually charges that were never captured, not a change in what your providers are actually doing.

Your providers and clinical staff document encounters exactly as before; the difference is a daily reconciliation step behind the scenes that compares your schedule against what actually got billed, catching a missing charge within a day or two instead of at year-end, if ever.

Charge capture is the first step in a chain — a charge that’s never created can’t be fixed by good claims management downstream, no matter how clean your scrubbing process is. We treat this as the foundation everything else builds on.

Our standard is simple: every service documented should generate a charge, every time. When we find a gap, we don’t just fix that one instance — we look for why it happened so it doesn’t repeat.