πŸ‡ΊπŸ‡ΈUnited States

Delayed Charge Entry Extending Revenue Cycle

3 verified sources

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 Real-time capture is urged to shorten cycles and reduce denial risks from outdated or missing data.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€’ $10,000–$75,000 per year in concessions, write-offs, and staff time spent reworking self-pay accounts distorted by late charge entry. β€’ $100,000–$500,000 per year in lost reimbursement and unfavorable variances against expected contract yields due to late or incomplete charge capture.

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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.

Evidence Sources:

Related Business Risks

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