Delayed Charge Entry Extending Revenue Cycle
Definition
Charge capture delays beyond 3-5 days after service date hinder timely billing and reimbursement, with nearly one in four revenue cycle leaders reporting issues. Real-time capture is urged to shorten cycles and reduce denial risks from outdated or missing data. This drag slows cash flow and increases administrative burden.
Key Findings
- Financial Impact: $Tied to denial rates; industry avg 4-day target often missed
- Frequency: Daily
- Root Cause: Manual documentation lags, clinicians not entering charges at point-of-care, and poor integration between EHR and billing systems
Why This Matters
This pain point represents a significant opportunity for B2B solutions targeting Hospitals.
Affected Stakeholders
Clinicians, Billing Teams, Revenue Cycle Leaders
Deep Analysis (Premium)
Financial Impact
$ tied to denial rates from missing data β’ $10,000β$75,000 per year in concessions, write-offs, and staff time spent reworking self-pay accounts distorted by late charge entry. β’ $100,000β$500,000 per year in lost reimbursement and unfavorable variances against expected contract yields due to late or incomplete charge capture.
Current Workarounds
Accounts Receivable Manager exports aging encounter reports to Excel to identify cases with missing or late charges, then manually nudges coding and registration teams via email and in-person huddles to finalize charges so self-pay bills can be generated. β’ Accounts Receivable Manager uses spreadsheets and color-coded aging lists to track open workers comp encounters awaiting charges or documentation, then manually coordinates with case management, CDI, and physicians via email and phone to push them through. β’ Batch processing charges weekly via Excel reconciliation
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Methodology & Sources
Data collected via OSINT from regulatory filings, industry audits, and verified case studies.
Related Business Risks
Manual Delays and Idle Billing Resources from Charge Capture Bottlenecks
Incorrect Coding Leading to Fraud and Abuse Penalties
Missed Charges from Incomplete Documentation and Coding Errors
Claim Denials from Submission Errors
Delayed Payments from Claim Rejections
Staff Bottlenecks in Manual Claim Rework
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