DEMO AND CHARGE ENTRY

Updating charges and codes for every medical procedure is the key to a successful claim. This specific area in medical billing is updated constantly and we stay ahead of competitors when it comes to implementing these changes in codes and charges in our Demo and Charge entry process services.

Our goal is to get it right at the very first –time and the team relentlessly pushes harder to achieve higher standards and benchmarks when it comes to the first –pass rate of claims. Charging requires niche skills with an eye for perfection and accuracy, as they determine the actual reimbursement of Healthcare provider for the services rendered.

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Demo-and-Charge-entry-services

Demo and Charge entry services from Qway will capture:

  • Charge Entry
  • Service Date
  • Billing Provider
  • Healthcare Provider
  • Admission Date
  • Referring Physician
  • Pre-Auth Code
  • CPT Code
  • Diagnosis code
  • Demo Entry:
  • Patient Details: Patient name and ID#, Gender, Marital Status, Email, Date of Birth, Social Security Number, Contact numbers work and home and Address work and home.
  • Guarantor/Account Details: Guarantor Name, Date of Birth, Work and Home Phone and Address details
  • Insurance Details: Insurance Identification Number, Name and address of the Insurance company, Group name/ group number, Details of the policy and policy effective date and termination, policy number, Name of the insured, Date of Birth and the relationship of the insured to the patient

frequently asked questions

  • What is Charge entry?

    The process of updating Charges for the Medical Procedures as per the appropriate Fee Schedule.This is a crucial area in the Medical Billing process, as it determines proper and adequate reimbursement for the claims billed to the insurance.

  • What does Charge entry Capture?

    Capturing the DOS, Provider information, POS, Facility information, Diagnosis codes, CPT Codes,Units, Modifiers, Prior Authorization number, Admission date, Injury date, and Referring provider information.

  • What is Demographic Entry?

    Patient’s Information: Name, DOB, Address, Phone number, Sex, Marital status, SSN, Emergency contact information. Guarantor/Account Details: Guarantor Name, Date of Birth, Work and Home Phone and Address details Insurance Details: Insurance Identification Number, Name and address of the Insurance company,Group name/ group number, Details of the policy and policy effective date and termination, policy number, Name of the insured, Date of Birth and the relationship of the insured to the patient.

  • How does this benefit the healthcare professional?

    Accurate Patient Demo and Charges updated on the claim form reduces the below mentioned parameters:
    Denials and rejection:
    Claims that do not have accurate information and are passed through for the insurance to process will result in claims being rejected or denied. This is a chain process; if overlooked will contribute to reduced collections for the Provider/ Healthcare professional, thus resulting in lower reimbursements.
    Time:
    Initially overlooking errors on the claims would invariably deliver an end result of time consuming accounts receivable analysis in-order to point out the errors on the claims, fixing the denials and following up with the claims being refilled to the insurance. The process is time-consuming, causing a serious impact on the reimbursement for that month. Skillfulness and proficiency is required to deliver higher standards when it comes to first-pass rate of claims.

  • How do we help your practice?

    QWay’s goal is to get it right at the very first time; increasing the practice’s clean claim rate, first pass rate. Charging requires niche skills with an eye for perfection and accuracy, as they determine the actual reimbursement of Healthcare provider for the services rendered.

COMPLIANCE / AFFILIATIONS

We Respect Rules & Regulations

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HIPAA

Compliance to HIPAA regulation

HBMA
HEALTHCARE BILLING

Robust quality system with stringent controls at highest standards of data security.

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ISO 9001:2015

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