Charge Capture & Coding
Capture charges at the point of care and code them accurately with CPT/ICD support and automated scrubbing - so nothing leaks and nothing goes out wrong.
Revenue leaks when charges are missed or mis-coded. MedXFlow reconciles the day's encounters against the schedule to surface missing charges, assists coders with CPT, ICD-10 and modifier suggestions, and runs a rules engine that checks medical necessity, bundling and payer-specific edits before a claim is ever created.
What's inside Charge Capture & Coding
- Missing-charge reconciliation - Encounters are matched to the schedule so no rendered service goes uncharged.
- Coding assistance - CPT, ICD-10 and modifier suggestions with medical-necessity and LCD/NCD checks.
- Automated charge scrubbing - A rules engine catches bundling, mutually-exclusive and payer-specific edits pre-submission.
- Coder review queue - Ambiguous or high-risk charges route to a certified coder before release.
How it works
- Charges captured at care - Rendered services are recorded against the encounter, not reconstructed later.
- Coded and scrubbed - Codes are assigned and validated against clinical and payer rules.
- Clean charge released - Only compliant, complete charges pass through to claim creation.
What you get
- Recover revenue from missed and under-coded charges
- Fewer coding-related denials and takebacks
- Compliance with payer and medical-necessity rules
- Faster coder throughput with assistive suggestions
Frequently asked questions
What is charge capture in medical billing?
Charge capture is the process of recording every billable service a provider delivers so it makes it onto a claim. Services that are missed at the point of care are revenue that never gets billed.
What is charge capture leakage?
Charge capture leakage is revenue lost when rendered services are not captured or are under-coded. Reconciling the day's encounters against the schedule surfaces the missing charges before they are lost.
What is the difference between upcoding and downcoding?
Upcoding bills a higher-level code than the documentation supports (a compliance risk); downcoding bills a lower level than warranted (lost revenue). Accurate, documentation-supported coding avoids both.
How does AI assist medical coding?
AI drafts codes from documentation, flags NCCI/MUE and medical-necessity edits before submission, and clears routine charts so certified coders focus on complex cases. MedXFlow keeps a coder on the exceptions.