Charge Entry
Accurate and timely entry of CPT, ICD-10, and modifier codes, strictly following NCCI guidelines to ensure clean claims, faster reimbursements, and full compliance with every payer submission.
What We Do for Your Practice
- Review of superbills and patient charts for accuracy before any code is entered
- Application of correct CPT, ICD-10, and HCPCS codes for every service rendered
- Strict adherence to National Correct Coding Initiative (NCCI) edits to prevent bundling errors
- Correct modifier application (25, 50, 59, GT, TC, etc.) to maximise reimbursement
- Reduction of coding-related denials and compliance risks through pre-entry scrubbing
- Same-day charge entry to ensure claims are submitted within 24 hours of patient visits
- Full HIPAA compliance and alignment with payer-specific coding guidelines and LCD/NCD policies
- ✓Unbundling and NCCI bundling conflicts
- ✓Missing or incorrect modifiers
- ✓Upcoding or undercoding of services
- ✓Incorrect diagnosis-to-procedure linkage
- ✓Duplicate charge entry submissions
Code Types We Work With
Our certified coders are proficient in all major medical coding systems — ensuring every service is captured with the right code, the right specificity, and the right modifier.
99202–99215 office visits, hospital encounters, and consultations at all complexity levels.
10000s–69999s covering all surgical specialties from minor excisions to complex operations.
70000s–79999s including X-rays, CT, MRI, ultrasound, and nuclear medicine studies.
80000s–89999s including blood panels, urinalysis, cultures, biopsies, and molecular testing.
90000s–99999s covering immunisations, psychiatry, physical therapy, and cardiology.
99381–99397 annual wellness visits, preventive exams, and Medicare Annual Wellness Visits.
Bacterial, viral, parasitic, and fungal conditions coded with maximum specificity.
Diabetes (E10–E13), thyroid disorders, obesity, and metabolic conditions.
Hypertension, heart disease, stroke, and vascular disorders to highest specificity.
Arthritis, back pain, fractures, and joint disorders with full laterality coding.
Depression, anxiety, ADHD, substance use disorders per DSM-5 aligned guidelines.
Z-codes for wellness visits, screenings, vaccine encounters, and personal history.
Durable medical equipment, orthotics, prosthetics, and medical supply codes.
Wheelchairs, walkers, oxygen equipment, hospital beds, and CPAP devices.
Injectable drug codes for chemotherapy, biologics, and infusion therapy.
G-codes for screening, preventive services, and functional limitation reporting.
Miscellaneous services including biologics, cast supplies, and Medicare drugs.
Custom orthotics, prosthetic limbs, braces, and supportive devices billing.
Separately identifiable E&M service on the same day as a procedure by the same physician.
Procedure performed on both sides of the body during the same operative session.
Service not normally reported together but appropriate under circumstances documented.
Services delivered via real-time interactive audio and video telecommunications systems.
Repeat procedure by the same physician on the same day — prevents duplicate claim denial.
Technical component only of a service — used for facility billing of imaging and diagnostics.
Our Charge Entry Process
A meticulous, multi-step workflow that ensures every charge is reviewed, coded correctly, and entered into your billing system the same day — ready for clean submission.
Every day we receive your superbills, encounter forms, and clinical notes — reviewing each carefully to identify all billable services, confirm documentation supports the planned codes, and flag any missing information before charge entry begins.
Our certified coders assign the most accurate and specific codes for every service — CPT for procedures, ICD-10 for diagnoses linked to medical necessity, and HCPCS for supplies, drugs, and DME — ensuring correct code pairing and complete charge capture.
Before entry, every charge is reviewed for modifier requirements and run against NCCI bundling rules. Appropriate modifiers are applied to prevent incorrect bundling, and any conflicts are resolved before the charge reaches the billing system.
All reviewed and verified charges are entered into your practice management system the same day they are received — ensuring claims can be submitted within 24 hours and your charge capture cycle stays current with your patient visit volume.
We perform regular charge audits — comparing appointment logs against posted charges to identify any missing or duplicated entries. Discrepancies are flagged, investigated, and resolved immediately so your practice never loses revenue from unposted charges.
Why Accurate Charge Entry Matters
Charge entry is the very first step in your revenue cycle. A single error here — a wrong code, a missing modifier, a duplicated charge — can cascade into denials, delays, and lost revenue throughout the entire billing process.
Accurate coding ensures every billable service is captured and correctly valued — preventing undercoding that silently erodes your practice revenue visit by visit.
NCCI-compliant coding with correct modifiers eliminates the most common causes of claim denials — keeping your first-pass acceptance rate above 98%.
Same-day charge entry means your claims are submitted within 24 hours — getting your money moving through the payer pipeline as fast as possible.
Precise, documented coding with proper medical necessity linkage protects your practice from payer audits, OIG scrutiny, and costly compliance violations.
Accurate charge entry feeds clean data into every downstream billing process — making payment posting, AR management, and reporting more accurate and efficient.