Maximize Revenue with 99% Accurate Medical Charge Posting
Outsource Charge Entry Services
Specialized charge entry solutions that capture every billable service while eliminating claim errors and denials.
99% Accuracy Guarantee – Reduce denials with precise CPT/ICD-10 coding and charge validation.
24–48 Hour Turnaround – Faster claim submissions for improved cash flow and revenue cycle efficiency.
HIPAA-Compliant Workflow – Ensure full data security and patient privacy.
Integration with Any EHR – Compatible with Epic, AdvancedMD, Kareo, and more.
Certified Billing Experts – Managed by experienced RCM professionals at RxCredentialing.
HIPAA-Compliant
Pay as you go
No fixed contract
What is Charge Entry in Medical Billing?
Charge Entry Services
Charge entry is the critical first step in revenue cycle management where billable healthcare services are accurately recorded and coded for claim submission.
Service Documentation
Transcribing procedures from encounter forms/superbills
Verifying CPT® (procedures) and ICD-10 (diagnoses) codes
Data Validation
Cross-checking patient demographics/insurance
Confirming provider credentials and service dates
Compliance Auditing
Flagging mismatched codes (e.g., unrelated CPT-ICD pairs)
Applying correct modifiers (e.g., -25 for separate E/M services)
HIPAA-Compliant Teams – Secure handling of PHI with SOC 2 certified protocols
Specialty-Specific Expertise – Custom workflows for your practice type (Surgical, Primary Care, etc.)
Private Practices lose 15-30% of their revenue to these preventable issues
Biggest Medical Charge Entry Challenges
Incomplete Charge Capture
Studies show 12-15% of billable services are never entered, especially for ancillary services like infusions or injections.
Expert Solution:
Our certified coders implement dual-entry verification catching 98% of missed charges
CPT/Modifier Errors
Incorrect code combinations (e.g., missing -25 modifiers) cause 30% of claim denials in primary care practices.
Expert Solution:
AAPC-certified specialists maintain >95% coding accuracy
Timely Filing Deadlines
Medicare (1 year) and commercial payers (90-180 day) deadlines result in $22k+ annual losses per provider when missed.
Expert Solution:
Automated tracking with 48-hour entry guarantee
EHR Interface Issues
18% of charges fail to transmit from Epic/Cerner due to interface mapping errors.
Expert Solution:
HL7-certified engineers optimize EHR charge routing
Credentialing Gaps
Non-credentialed providers cause 100% denials on entered charges.
Expert Solution:
Integrated provider enrollment verification
Charge Lag Days
Average 5.7-day delay from service to charge entry reduces cash flow by 19%.
Expert Solution:
Same-day entry with real-time documentation alerts
Schedule a Consultation with Our Medical Billing Experts
We understand your need to keep things small, intimate, and personalized. Our medical billing specialists for independent small practices thoroughly study your needs and offer custom-made solutions.
Medical Charge Entry
Services we offer
Real-Time Charge Capture
Our HL7-integrated system auto-captures billable services from 40+ EHRs with 98.7% accuracy, reducing missed charges by 22%.
Key Features:
• Epic/Cerner/Athena integrations
• Duplicate charge prevention
• Missing charge alerts
• Real-time dashboards
• Duplicate charge prevention
• Missing charge alerts
• Real-time dashboards
Intelligent Patient Onboarding
Automated account creation with 12-point verification reduces registration errors by 65%.
Key Features:
• Insurance eligibility checks
• Identity validation
• Prior auth tracking
• Family account linking
• Identity validation
• Prior auth tracking
• Family account linking
Comprehensive Patient Verification
Our system cross-checks 8+ data sources to ensure 100% accurate demographics and coverage.
Key Features:
• Real-time PING/270/271
• MBI validation
• Benefits breakdown
• COB determination
• MBI validation
• Benefits breakdown
• COB determination
Certified Medical Coding
CPC/CCS-certified specialists ensure 99.1% coding accuracy across all specialties.
Key Features:
• ICD-10-CM/CPT®/HCPCS
• NCCI edit resolution
• Modifier optimization
• LCD/NCD compliance
• NCCI edit resolution
• Modifier optimization
• LCD/NCD compliance
Multi-Layer Quality Assurance
5-stage audit process reduces claim errors by 73% before submission.
Key Features:
• AI-powered charge scrubber
• Documentation adequacy checks
• Fee schedule validation
• Supervisor sign-off
• Documentation adequacy checks
• Fee schedule validation
• Supervisor sign-off
Advanced Charge Scrubbing
Proprietary technology flags 250+ error types before claim creation.
Key Features:
• Payer-specific rule engine
• Modifier conflict detection
• DOS validation
• Place of service checks
• Modifier conflict detection
• DOS validation
• Place of service checks
Charge Entry Services
Process
1
Comprehensive Records Analysis
Our CPC-certified specialists conduct 3-layer audits of EHR/EMR data to identify all billable services with 99.1% accuracy.
Key Checks:
• Service date validation
• Provider signature verification
• Medical necessity alignment
• NCCI edit compliance
• Provider signature verification
• Medical necessity alignment
• NCCI edit compliance
2
Precision Patient Data Entry
Dual-entry verification system ensures 100% accuracy for:
Data Points:
• Insurance eligibility (real-time PING)
• Demographic updates
• Referring provider NPI validation
• Prior authorization tracking
• Demographic updates
• Referring provider NPI validation
• Prior authorization tracking
3
Specialty-Specific Coding
Certified coders apply correct ICD-10-CM, CPT®, and HCPCS Level II codes using:
Resources:
• AMA CPT® Assistant references
• CMS National Correct Coding Initiative
• Payer-specific LCD/NCD policies
• Proprietary code logic engine
• CMS National Correct Coding Initiative
• Payer-specific LCD/NCD policies
• Proprietary code logic engine
4
Intelligent Fee Computation
Automated fee schedule application with contract management:
Features:
• 850+ payer fee schedule database
• RVU-based pricing for procedures
• Patient responsibility estimator
• Custom exception handling
• RVU-based pricing for procedures
• Patient responsibility estimator
• Custom exception handling
5
Multi-Stage Charge Scrubbing
5-point validation process reduces denials by 67%:
Checkpoints:
• AI-powered claim scrubber (250+ rules)
• Certified coding supervisor review
• Payer policy cross-check
• Documentation adequacy audit
• Final compliance sign-off
• Certified coding supervisor review
• Payer policy cross-check
• Documentation adequacy audit
• Final compliance sign-off
6
Secure Charge Submission
HIPAA-compliant transmission to payers with real-time tracking:
Protocols:
• Direct Payer Connections (X12 837)
• Clearinghouse integrations
• Encrypted batch submissions
• Instant rejection handling
• Clearinghouse integrations
• Encrypted batch submissions
• Instant rejection handling
Benefits of Outsourcing
Charge Entry Services
Increased Charge Capture
Specialized teams identify 12-18% more billable services than in-house staff through systematic charge reconciliation.
98% capture rateReduced Denials
Pre-submission scrubbing for coding accuracy and payer-specific rules cuts front-end denials by 65%.
<5% denial rateFaster Reimbursements
Same-day charge entry with real-time claim submission accelerates payments by 14-21 days.
85% within 14 daysCompliance Protection
HIPAA-trained specialists ensure proper documentation linkage, reducing audit risks by 80%.
100% audit-readyCost Savings
Eliminate $72k+/year in staffing costs (salary, benefits, training) per FTE billing specialist.
40-60% cost reductionAdvanced Analytics
Real-time dashboards track charge lag days, missing charges, and coder productivity metrics.
25+ KPIs trackedCharge Entry Services
FAQs
How quickly can charges be entered after patient visits?
We guarantee same-day charge entry for visits completed by 5pm local time, with 98% compliance. For after-hours visits, charges are entered by 10am the next business day.
Do you handle specialty-specific coding (e.g., infusions, surgeries)?
Yes. Our teams include coders certified in:
- CPC for primary care
- COC for outpatient hospital
- CCC for cardiology
- CANPC for anesthesia/pain management
What's your accuracy rate for charge entry?
Our 3-step quality process maintains:
- 98.7% CPT code accuracy
- 99.1% demographic accuracy
- 97.9% modifier accuracy
How do you handle missing documentation?
Our system flags incomplete charges and automatically:
- Pages the provider via secure messaging
- Escalates to practice manager after 24hrs
- Holds charges in queue until resolved
Can you work with our existing EHR?
We're certified on all major systems including Epic, Cerner, NextGen, and Athena. Typical integration takes 3-5 business days.
How do you ensure compliance?
All staff complete annual training on:
- HIPAA security
- OIG compliance
- Documentation guidelines
- Payer-specific rules
What about charge entry for telehealth visits?
We properly apply:
- Place of Service 02
- GT/95 modifiers
- Payer-specific telehealth rules
How are charges verified before submission?
Our 3-point verification:
- Automated claim scrubber checks 250+ rules
- Certified coder reviews complex cases
- Supervisor audits 10% of all charges
What reporting do you provide?
Daily/Monthly reports include:
- Charge lag analysis
- Coder productivity
- Missing charge trends
- Denial root causes
How do you handle updates to fee schedules?
Our system automatically:
- Updates CPT/HCPCS codes quarterly
- Adjusts payer-specific rules in real-time
- Flags discontinued codes before entry
Save Time & Money with Our Medical Billing Service
Specialties covered
Family Medicine
Nurse Practitioners
Internal Medicine
Pediatrics
OB/GYN
Pain Medicine
Sleep Medicine
Cardiology
Dermatology
Endocrinology
Gastroenterology
Neurology
Podiatry
Pulmonology
Physical Therapy
Urgent Care
Psychiatry
Anesthesiology
Speech Therapy
Occupational Therapy
Otolaryngology (ENT)
Physical Medicine & Rehab
Geriatrics
Allergy & Immunology
Mental Health Therapists
Nephrology
Ambulatory Surgery Center
Wound Care
Addiction Medicine
Infectious Disease
Charge Entry Services
Insurances Covered
Medicare
Medicaid
VA Health
TRICARE
ACA Marketplace
UnitedHealthcare
Aetna
Cigna
Humana
Anthem
BCBS National
BCBS Alabama
Florida Blue
BCBS Michigan
Empire BCBS
Horizon BCBS
BCBS NC
Highmark BCBS
BCBS Texas
Premera BCBS
Kaiser Permanente
Molina
Centene
Oscar Health
Health Net
CDPHP
Capital Blue
Independence BC
CareFirst
Regence BCBS
UHC Medicare
Humana Medicare
Aetna Medicare
Cigna Medicare
BCBS Medicare
Trusted Medical Billing Services
Verified Results
Rx Credentialing LLC did an excellent job helping my practice join the MCOs. Their team made the process seamless and stress-free, answering all my questions promptly. I highly recommend them—their service is efficient, professional, and reasonably priced! 😁
I am a licensed psychotherapist and could not be more pleased with the efficient, professional services from RX credentialing services. No AI or bots here. Instead, RX offers real human beings who understand the needs of solo providers or group practice owners who are spread thin and have to wear many hats. Rx has hired talented individuals, like my account manager, Tyler, who will go the extra mile for you to ensure credentialing goes smoothly. We hit a hiccup on the road to becoming credentialed, but Tyler quickly intervened, advocating for my business so that the issue was resolved and I was approved for various insurance panels--some which have very high bars or administrative requirements. RX handled it all, informing me through each step of the process with clear and concise credentialing updates that put my fears to rest. Their services are kind of like therapy for therapists, because when you worry less about admin burdens, you can better focus on the client, while growing your business capacity. I would highly recommend them to any solo or group practice needing such services.
RxCredentialing has been a wonderful partner in helping with my credentialing for my new primary care practice as well as are assisting me with a few other services. They are very knowledgeable and most importantly they are not pushy in working with my needed timeline. Moreover, they are very responsive, and I am looking forward to expanding our relationship to include their other services such as medical billing. I was fortunate to find them while searching the web and so refreshing to deal with an organization that is really focused on helping me establish a medical practice the smart way and not just spend money foolishly on things I do not need until the time is right.
Adam and his team are excellent at what they do. They walk you through every step of the process. Highly recomend Adam and his team. always responding in quickly.
Attention to detail
Very attentive and efficient
Always available to explain things or answer questions or concerns
Very attentive and efficient
Always available to explain things or answer questions or concerns
Tyler has been an excellent person to work with. He kept us (our clinic) informed of our status throughout the credentialling process. They did the "heavy lifting" tracking down and following up so we didn't need to. Because this company handled our credentialling process, it allowed our company to focus on our number one priority--patient care. Thanks for taking care of us!!
they handled the issue quickly and professionally. I truly felt supported and confident in their assistance.
I can’t say enough great things about RX Credentialing! From the beginning, they’ve been incredibly efficient, responsive, and always a pleasure to work with. Anytime I had a question or needed assistance, they got back to me quickly with clear, helpful answers. They made the entire credentialing process smooth and stress-free! It truly feels like they care about their clients and go the extra mile to make sure everything is handled correctly and on time. I would highly recommend RX Credentialing to anyone looking for a credentialing partner who delivers every time!
David is wonderful very responsive and on top his work. Great experience.
Making the decision to use Rx Credentialing for my billing service was a game changer for my practice. Solo practice as an NP and lipid specialist has been challenging for sure. Rx Credentialing has provided the professional knowledgeable support I needed. I am so grateful to be partnering with them for my billing and credentialing needs.
The staff is great and very helpful. I have been with them for 2 years with no complaints. I am very satisfied with their service.
I have been working with this company for over a year and I have no complaints…They are really the best at what they do.
Trusting a third party with your sensitive information can be difficult. I encountered this challenge while seeking credentialing services for my business with various insurance providers. Although I received numerous proposals from credentialing firms, I was uncertain about the security of my personal data. A trusted colleague recommended Rx Credentialing LLC, based on her positive experience. I decided to engage their services, and I’m pleased to report that they handled my information securely. Moreover, their expertise and competitive pricing make them an excellent choice for anyone needing credentialing support.
Adam is very professional and kind, always responsive when I need assistance. I have billing service through this company which has been going good so far. I was lucky enough to get a wonderful virtual assistant from Adam, I don’t know what I would do without her.
Rx Credentialing did a phenomenal job assisting with credentialing for my Ophthalmology practice start-up. Tyler is responsive and kept me up to date throughout the entire process. I would recommend Rx Credentialing to anyone hands down the best. Dr. Montenegro.
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