There’s no single secret to improve charge capture, but it helps to remember ‘garbage in, garbage out.’
How can you help providers reliably and accurately document their services?
#1: Avoid delays
Don’t make your clinicians do their documentation at midnight. Provide hand-held or in-the-room charge capture devices so they can make note of services with the patient upfront and visible. If you’re still relying on paper, use encounter forms that make it easy for providers to give the right information and level of detail.
#2: Help providers maximize billing opportunities
Clinicians are experts at performing services for patients, not billing for them.
For example, physicians may do all the requirements for a Level 4 office visit. But if they don’t use the right documentation they can only bill at a Level 3.
Give providers short training and usage guides so they know how to maximize billing opportunities. Help them document once⎼don’t make them go back and re-think what they did.
#3: Show providers mistakes so they stop making them
If providers understand the billing cycle, they’re quite willing to help you get the right information. After all, it affects their paycheck.
Rather than grumbling in the back office that a charge can’t be billed because documentation is missing, send it back to the clinician and explain what you need.
Show providers specifically what it takes to get claims paid. That makes it more likely their future documentation will be spot-on.
Need more tips? In my next blog post I’ll talk about system-level breakdowns and how to avoid them.