Tip: Use reconciliation reports to improve charge capture
Patient Financial Services Weekly Advisor, August 13, 2004
Avoid denials before they happen by ensuring accurate billing, says Susan Reaves, director of revenue enhancement at Saint Claire's Health System in Denville, NJ. Analyzing charges is a good place to start.
At Saint Claire's, all departments are responsible for reviewing each day's charges to look for errors that could cause denials, such as double charges, missing charges, or incorrect dates.
Reaves' department then analyzes charges each month to see how much revenue was generated from incorrect charging. You can see how much you were going to lose or what you saved, she says.
Her reconciliation policy includes the following provisions:
1. Operations will generate a daily charge reconciliation report from the previous day.
2. The reports print in each department every day at 5 a.m.
3. The following discrepancies must be immediately addressed:
4. Once charges have been validated, reports are placed in a confidential bin for removal.
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