A patient charge is a transaction entered into a computer by a staff person or machine to record the fact that a hospital service has been provided to a patient.
Errors and omissions in the charging process can cause downstream errors in costing, billing, collections, inventory reconciliation, patient payments, and even affect litigation ensuing from the medical encounter.
To help the provider produce “clean” bills, CostFlex invented a software product which allows the user to create hundreds (or even thousands) of audits which automatically analyze each discharged patients’ detailed bill just before it is printed or electronically sent to the insurance company. Audit exceptions are exposed and can be corrected before the final bill is sent.
Charge audits can be based on any patient demographic including gender, age, any charge code or clinical code, the service location, charge amount, charge quantity, rev codes, date of service, and more.
Examples of a few simple audits of the final bill include:
- Charges for a set of crutches to a patient who has no radiology charges
- OB/GYN charge on a male patients’ bill
- The sum of a series of corrected charges show a net credit amount
- The date of service is before admission or after discharge (may be OK)