Documentation-to-Billing Alignment (CMS Guidelines)
Charge Entry Services for Medical Practices & Clinics
Dastify Solutions provides charge entry services for medical practices in the USA designed to reduce revenue leakage and charge lag and improve first-pass claim accuracy through billing and coding specialists plus automated validation checks.
Same-Day Posting (Standard Cases)
HIPAA-Compliant Workflows
Experienced Specialists
Works Within Your Existing EHR/EMR/PMS
Revenue Leakage Starts Here Charge Entry Errors
Most practices lose revenue due to poor charge entry processes in medical billing. Charge entry errors are one of the most overlooked causes of hidden revenue cost in practices.
Missing or unposted charges
Coding mismatches (CPT/ICD-10)
Modifier errors
Delayed charge posting increasing A/R days
These issues directly impact your revenue cycle management (RCM) and reduce reimbursement speed.
Outsource Charge Entry Services That Protect Your Revenue
Charge Capture Review
Every patient encounter is reviewed to ensure all billable services are identified and captured from your EHR/EMR system.
Missing charges are flagged early; preventing revenue loss before claims are created.
Modifier Application and Verification
We validate all required billing modifiers to prevent preventable claim denials, including:
Modifier 25 for E/M visits with same-day procedures
Modifier 95 and other telehealth modifiers each payer requires. (Medicare uses GT only on institutional claims under CAH Optional Payment Method II.)
Modifier 59 for distinct procedural services
Incorrect or missing modifiers are one of the most common causes of avoidable denials in medical billing
Pre-Submission Validation at the Charge Entry Stage
Before claims are created for submission, we perform an early validation layer to reduce downstream scrubbing and claim rework.
NCCI edit awareness at charge entry stage
Payer-specific rule flagging before claim generation
Missing data detection (encounters, modifiers, diagnosis linkage)
Basic claim completeness checks prior to billing system finalization
Early error correction to reduce downstream scrubbing workload
Fixes errors before claims are sent to payers
CPT, ICD-10, and HCPCS Code Validation
We validate all codes against:
Clinical documentation accuracy
CPT–ICD-10 medical necessity alignment
Cross-code consistency checks
This reduces coding mismatches that commonly trigger payer rejections or downcoding.
Charge Entry and System Posting
All validated charges are entered into your billing system with:
Correct units of service entered
Accurate encounter-to-charge mapping
Fee schedule alignment applied
Payer-specific billing rules followed
Complete documentation converted into billable claims
Same-day posting to reduce charge lag
Charge Reconciliation
We reconcile posted charges against clinical encounters to identify:
Missing or dropped charges
Under-coded services
Unbilled encounters
This helps recover revenue that is often lost in manual or in-house workflows.
Our Charge Entry Workflow
Most charges are processed same-day upon receipt of complete documentation.
- 1
Encounter Data Intake
We receive data directly from your EHR or practice management system.
- 2
Charge Capture Review
All billable services are identified and verified against documentation.
- 3
CPT, ICD-10, and Modifier Validation
Codes are validated for payer compliance and medical necessity.
- 4
Charge Entry and Formatting
Charges are entered into your billing system accurately.
- 5
Quality Assurance Review
Secondary review ensures accuracy and completeness.
- 6
Clean Claim Delivery
Claims are scrubbed, validated, and ready for submission.
How We Achieve High First-Pass Accuracy
We combine automation with expert billing oversight.
Automation Layer
Robotic Process Automation (RPA) handles:
EHR encounter data extraction
CPT / ICD-10 pre-validation
Duplicate & missing charge detection
Standardized charge formatting
Human Expertise
Experienced billing specialists handle:
Clinical coding validation
Modifier accuracy review
CPT–ICD-10 pairing for medical necessity
Final charge approval before submission
Incorrect or missing modifiers are one of the most common causes of avoidable denials in medical billing. This mix of automation and human review is how we keep charge entry accurate.
What Sets Dastify Solutions Charge Entry Services Apart
| What We Provide | What That Means for Your Practice |
|---|---|
| Same-day or next-day charge entry turnaround | Faster claim submission, reduced days in A/R |
| Experienced billing specialists | Coding reviewed by Stephanie Jason, CPC, CPMA, CCS |
| Built-in pre-submission claim scrubbing | Errors caught before the payer sees the claim |
| CPT-ICD-10 pairing validation before submission | Medical necessity alignment that holds up under payer review |
| Full reporting: volume, turnaround, error rate | Performance that is measurable, not assumed |
| HIPAA-compliant data handling with BAA | PHI protected under a signed Business Associate Agreement |
| Multi-specialty experience | Payer-specific rules applied correctly by specialty |
| EHR and practice management system integration | No disruption to existing clinical workflows |
Specialties We Support
We provide charge entry services for practices across the US.
ASC
Physical Therapy
Cardiology
Mental Health
Ophthalmology
Orthopedics
Radiology
Family Practice
OB/GYN
Gastroenterology
Timely Filing Deadlines: Why Charge Entry Speed Matters
Every payer enforces timely filing limits that determine how long providers have to submit claims after the date of service. If a charge is entered late or never captured, the claim may become uncollectable regardless of medical necessity or documentation quality.
Common filing limits include:
Medicare: 1 calendar year from the date of service (42 CFR 424.44)
Commercial payers: set by your contract, often much shorter than Medicare
Medicaid: varies by state
When charges sit unentered for weeks or months, practices increase their risk of missing these deadlines entirely.
Our same-day charge entry workflow helps identify encounters quickly, validate documentation, and move charges into the billing system before filing deadlines become a financial risk.
HIPAA Compliance and Charge Entry Audit Controls
All charge entry workflows at Dastify Solutions operate under:
Charge Capture Accuracy (OIG Risk Prevention)
Audit Trail for Every Charge Entry Action
Undercoding vs Overcoding Risk Controls
Secure PHI Handling (HIPAA Compliant)
Frequently Asked Questions
What is charge entry in medical billing?
Charge entry is the process of entering patient services, procedures, diagnoses, and related billing information into a medical billing system before claims are submitted to insurance payers.
How does charge entry reduce denials?
It identifies coding errors, missing modifiers, and documentation gaps before claims reach payers.
Can outsourcing improve revenue cycle performance?
It can. Outsourcing helps most when charges sit unentered or coding errors repeat. Your monthly report shows how your billing is performing, so you can see whether it's working.
What is the ideal charge entry turnaround time?
Post charges promptly after the patient encounter. Faster posting lowers charge lag, shortens A/R days, and reduces the risk of missing timely filing deadlines.
Will outsourcing disrupt our existing EHR workflow?
No. We integrate with your existing EHR and practice management system, so your clinical workflows stay exactly as they are.
See Where Your Charge Entry Process Is Costing You Revenue
Looking for charge entry services in the USA? If your practice's denial rate, days in A/R, or charge entry turnaround time hasn't been reviewed recently, there's a good chance the gap is larger than it appears month to month and it's compounding.