Charge Capture Services
In today’s healthcare environment, the gap between a patient encounter and a submitted claim is one of the most common sources of revenue leakage. Research shows that hospitals lose approximately 3% to 5% of net revenue annually due to inefficiencies, missed billing opportunities, and underpayments. With operating margins under constant pressure, protecting revenue integrity is essential. Revix MD helps strengthen your revenue cycle by identifying missed charges, improving billing accuracy, and reducing preventable revenue loss.
The Hidden Cost of Systemic Revenue Leakage
Charge capture is the most vulnerable stage of the billing process. Revenue often escapes through overlooked bedside procedures, forgotten hospital consultations, or intentional “down-coding” by providers to avoid audit flags.
Specialty-Specific Leakage Patterns
We target your practice’s unique failure points. For surgical groups, we capture missed implant charges and unbundled secondary procedures. For hospitalists, we identify missed Critical Care units (99291/99292) and ensure the correct Observation vs. Inpatient status is billed.
Chargemaster (CDM) Alignment
A daily census audit is only effective if your Chargemaster is accurate. We perform comprehensive CDM reviews to ensure your service codes and pricing are aligned with the latest 2026 CMS guidelines, preventing systemic underpayment at the source.
Retrospective 12-Month Recovery
We don’t just look forward. Our team performs deep-dive audits going back one full year to reclaim lost revenue from undocumented procedures and unbilled diagnostic components that have already been performed.
Comprehensive Healthcare Charge Capture Solutions
We provide tailored solutions that integrate with your existing EHR, including Epic, Cerner, and AthenaHealth, to ensure a seamless flow from the point of care to the bank.
Daily Census & Surgical Log Reconciliation
We perform a ground-level audit every day, cross-referencing your provider schedules and surgical logs against the charges actually captured. If a patient was seen but the charge is missing, we flag it immediately. This human-in-the-loop process ensures 99%+ volume capture for multi-provider groups.
Documentation Review (By Humans, Not Just Bots)
Automated scrubbers often miss the nuance of clinical complexity. Our certified coders review documentation to ensure your CPT® and ICD-10 codes accurately reflect the severity of the visit, stopping the “under-coding” that leaves money on the table while maintaining strict 2026 compliance.
Shrinking the Lag: 48-Hour Execution
Slow charge entry is a silent killer for cash flow. Revix MD prioritizes a fast turnaround, ensuring every charge is validated and entered within 24 to 48 hours. By accelerating this process, we pull down your “Lag Days” and significantly lower your total Days in A/R.
Surgical Implant & Supply Recovery
For operating room-heavy specialties, unbilled implants are a massive revenue drain. We cross-reference preference cards and intraoperative logs to ensure every high-value supply is captured with the correct HCPCS code, ensuring your material margins are protected.
Structured 15-Day Implementation
Workflow & CDM Audit
We review your current Chargemaster and interface with your EHR via HL7 or API. Our team pulls schedules and census lists to ensure full integration.
Baseline Leakage Analysis
We perform a ninety-day retrospective review to establish your missing charge rate. Our experts identify specific provider down-coding trends to stop systemic revenue loss immediately.
Real-Time Reconciliation
Go-live with daily audits, forty-eight-hour submission windows, and our twelve-month recovery project. We reconcile every encounter to ensure no billable procedure or consultation is missed.
Optimization & Reporting
Our monthly KPI reviews track your lag days, clean claim rates, and recovered revenue. We provide total transparency to help you maximize your practice’s profitability.
What Our Partners Say
Revix MD identified a 4% revenue leakage in our surgical department within the first month. Their daily reconciliation process ensured we never missed a hospital consultation again. The ROI was immediate.
Dr. John Codwell
Multi-Specialty Surgical Group
Our charge lag dropped from 9 days to 48 hours. The transparency of their real-time dashboards allowed us to see exactly where our documentation was failing and fix it before it hit the payer.
Dr. Emelia J. Benjamin
Regional Hospital System
Don't Let Hard-Earned Income Slip Through the Cracks.
Stop leaving revenue to chance. Revix MD’s charge capture experts identify every unbilled procedure and hospital consult, delivering 98.2% accuracy and 48-hour submission speed to turn your lost encounters into cash.
Frequently Asked Questions
How do you handle surgical implant charge capture?
We cross-reference surgical preference cards and intraoperative logs against the submitted charges. If a high-value implant was used but not billed, our team flags the documentation gap and ensures the charge is captured with the correct HCPCS code.
What is a ChargeMaster (CDM), and do you review it?
The CDM is the master list of all billable services and supplies. We perform regular CDM reviews to ensure your codes are current and your pricing is optimized for 2026 payer contracts, preventing systemic underpayment.
How far back can you audit for missed charges?
We offer a 12-month retrospective recovery audit. We analyze your past year of data to find missed procedures or unbilled diagnostic components, often recovering tens of thousands of dollars in previously “lost” revenue.
How do you handle Observation vs. Inpatient charge distinctions?
This distinction is a high-stakes audit area. We review the physician’s order and the clinical documentation to ensure the patient is captured in the correct status, preventing the technical denials and recoupments associated with “status mismatches.
What specialties benefit most from charge capture services?
Surgical groups, ED groups, and Hospitalists see the highest ROI. These specialties have high-velocity encounters and complex bedside procedures where manual entry errors and “missed charges” are most common.
How do you prevent "down-coding" by providers?
Providers often under-code due to time constraints. Our certified coders review clinical notes to ensure the E/M level matches the actual complexity of the encounter, ensuring you are reimbursed for the work you actually performed.