Our solution helps you to identify potential lost revenue and charge issues before claims are submitted for improved billing compliance, and gross and net revenue capture.

• Provides electronic audits, with CCA® , for all inpatient and outpatient itemized bills, for accurate charging and compliant billing
• Audits bills based on multiple sources with more than 2,000 rules
• Flags charging issues based on clinical practice guidelines and Medicare coding requirements
• Updates to rules are performed daily as needed and new rules are introduced monthly
• Offers ability to develop custom rules
• Identifies net revenue impact of missing charges based on client-specific contract terms
• Allows timely audit of charts based on net revenue opportunity, gross charges or bill age
• Reduces staff time associated with manual reviews and costs involved with rebilling
• Allows process improvements and increases first-pass rate of claims

MedAssets professional services help you to review revenue cycle process around charge capture to drive maximum customer value, optimization, and operational adoption of the Charge Capture Audit solution. We help our customers to:

• Identify existing process gaps and obstacles that hinder success in using the Charge Capture Audit solution
• Benefit from recommendations for process improvement throughout the revenue cycle
• Implement changes as needed from training and documentation requirements
• Gain insight into the identified value of Charge Capture Audit by by working product exceptions on a temporary basis 

Realize additional reimbursement based on payer contracts by identifying missed charges on retrospective claims. 

• Augments existing staff’s ability to capture lost revenue on retrospective accounts
• Provides resources to review, identify and recover lost revenue on billed accounts
• Performs ongoing retrospective reviews on a contingency fee basis