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Charge Integrity

SureDecisions offers a software solution and optional managed service enabling the capture of missing charges.  Our solution typically provides a 0.5% revenue improvement opportunity.  Automated patient encounter and CDM variance detection tool captures missing charges and codes, identifies compliance and documentation issues.  Robust reporting and quick implementation.

Charge Flow

Thorough process facilitates capture of all charge opportunities, in addition to reducing compliance risks.
  • Daily upload of charge data is mapped against proprietary Sure Decisions chargemaster, and potential missing charges flagged and patient encounters are loaded into worklist
  • Charge Reconciliation Specialists review each flagged patient encounter, and make final charge determination using appropriate level of detail from patient records
  • Appropriate charges are uploaded into host system - with review by client if desired - before billing occurs.
  • Daily report of changes and overview of all audited encounters generated for client
Request Proposal
James Constantine
Business Development Lead
(312) 324-5330
  Copyright 2008 by Sure Decisions