Outsource Charge Entry Services

Boost your revenue cycle management (RCM) with Nexus io’s charge entry services. We ensure accurate data entry, medical coding with ICD-10, CPT, and HCPCS standards, and efficient posting in EHR/EMR systems.

Our process reduces claim denials, improves compliance with Medicare, Medicaid, and private payers, and speeds up reimbursements. With charge capture, scrubbing, and clean claim submission, your practice benefits from fewer errors, faster payments, and stronger cash flow. Just contact us today.

Nexus io is a trusted leader in medical billing solutions, with over 250+ satisfied clients nationwide. Your practice could be our next success story.

97%

Collection Ratio

98%

First Pass Clean Claim Rate

30%

Reduction in A/R

What is Charge Entry in Medical Billing?

The charge entry process in medical billing involves accurately recording every service, diagnosis, treatment, and posting charges for medical services rendered to patients.  Charge entry is one of the most critical steps in the medical billing cycle to ensure that the healthcare providers are accurately and timely reimbursed and secure proper revenue collection.

Medical charge entry goes beyond basic data entry. It required each service to be properly coded with the correct CPT, ICD-10, and HCPCS codes, which are precisely for that procedure and treatment being done. Besides, it also ensures an end-to-end compliant process of claims, denial reduction, and supports a sound revenue cycle.

Proven Success in Numbers

98%

Coding Accuracy Rate

20 - 30%

Revenue Growth

50+

States Served

98%

Clean Claim Rate

Challenges Healthcare Practices Face in Charge Entry Billing

Charge entry in medical billing is one of the most challenging steps to manage accurately in the revenue cycle, and even small mistakes can cause major financial setbacks. Incomplete or inaccurate patient demographics, insurance details, or policy numbers often lead to claim rejections, with studies showing that nearly 20% of medical claim denials are linked to simple data entry errors.

Incorrect use of ICD-10-CM diagnosis codes, CPT procedure codes, or HCPCS supply codes further increases the risk of denied claims from insurance payers such as Medicare, Medicaid, and commercial insurers. Manual charge entry without integrated EHR/EMR systems not only consumes valuable staff time but also raises error rates.

In addition, when physicians’ notes or clinical documentation are incomplete, the billing team cannot accurately record services, leading to underbilling, compliance concerns, and revenue leakage. Together, these challenges delay reimbursements, extend accounts receivable (A/R) days, and disrupt the steady cash flow that healthcare practices depend on.

Medical Charge Entry Services We Offer

An efficient medical charge entry process is a critical part of the healthcare revenue cycle, helping hospitals, clinics, and healthcare providers secure accurate reimbursement from insurance payers such as Medicare, Medicaid, and private health insurance companies.

At Nexus io, we provide end-to-end charge entry services that cover every stage from charge capture (recording patient services and procedures) to charge scrubbing (verifying codes, checking for compliance errors, and ensuring clean claims submission).

Our team make sure that each claim aligns with ICD-10-CM diagnosis codes, CPT procedure codes, and HCPCS supply codes, reducing claim denials and improving billing compliance.

By maintaining accuracy, timeliness, and regulatory adherence, our charge entry solutions strengthen the entire medical billing cycle, leading to faster reimbursements and improved financial performance for healthcare providers.

Accurate Medical Charge Capture for Revenue Cycle Efficiency

Our charge entry specialists ensure every billable healthcare service is properly captured and recorded within your electronic health record (EHR) or electronic medical record (EMR) system. By aligning with ICD-10-CM diagnosis codes, CPT procedure codes, and HCPCS supply codes, we maintain accuracy and compliance from the start.

Each entry is verified, synced in real time, and matched with payer requirements, ensuring that claims are processed correctly, reducing errors, and supporting faster reimbursements across Medicare, Medicaid, and commercial insurance providers.

Patient Verification & Medical Coding for Clean Claim Submission

At Nexus io, we streamline the medical billing cycle with precise patient account verification and medical coding services. Our experts validate demographics, insurance details, and coverage eligibility, then code all services using ICD-10, CPT, HCPCS, and CDT standards. With multi-level charge scrubbing and compliance checks against payer guidelines and HIPAA regulations, we minimize claim denials and rejections. This structured process enables healthcare providers to achieve steady cash flow, improved billing accuracy, and regulatory compliance, while strengthening the entire revenue cycle management (RCM) process.

Why Outsource Charge Entry Services to Nexus io?

Outsourcing charge entry services to professionals at Nexus io ensures accuracy and compliance at every step. From entering correct patient details to assigning precise medical codes and calculating charges to final reviews, we manage the entire process with expertise. What we offer:

Partner with Nexus io for reliable charge entry services and unlock consistent financial growth.

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Our Medical Billing Charge Entry Process

Medical Record Review & Patient Data Entry

At Nexus io, our charge entry workflow begins with a careful review of the provider’s medical records to identify all billable services for each patient. This process ensures that accurate medical codes and charges are assigned while also verifying patient information. Our specialists then record complete details, including demographics, insurance data, provider information, and services rendered, into the billing system under separate patient accounts. With each encounter, outdated data is updated to maintain accuracy, compliance, and efficiency throughout the charge entry process.

Assigning Medical Codes & Computing Total Fees

At this stage, the charge entry specialist assigns the right ICD-10, CPT, and HCPCS codes to reflect each service provided. The precision of proper coding simplifies the claim process and helps insurance payers provide the correct reimbursement. Once coded, charges are carefully entered or calculated for every service. If the provider’s fee schedule contains the charges, our specialists retrieve the values directly; otherwise, the billing software automatically inputs the charges and calculates the total, ensuring accuracy and compliance in the billing process.

Review, Validate, & Submit Charges

This stage of the charge entry workflow is known as charge scrubbing. Our specialists carefully review all patient information, medical codes, and fee entries to detect and correct any errors or discrepancies, whether through manual checks or automated charge scrubbers. Once the data is validated, the charges are forwarded to the medical billing team for clean claim creation. By ensuring accurate and compliant charges for your practise revenue cycle, Nexus io helps providers secure faster reimbursements and gain clear visibility into the payments they can expect from payers.

24/7 Support Across All Specialties

At Nexus io, we understand that each medical specialty faces unique billing challenges. That’s why we offer round-the-clock customer support tailored to your practice’s specific needs. Whether you’re managing complex oncology claims, dermatology coding, or cardiology reimbursements, our team is available 24/7 to provide expert guidance and fast resolutions.

Trusted By

Client Testimonials

Our achievements are a testament to our hard work team to deliver exceptional revenue boost results and gain the client’s trust in us.

Frequently Asked Questions

What are the charge entry outsourcing services at Nexus io?

Outsourcing charge entry services at Nexus io means we handle the entire process for you. Our team records patient details, applies the right medical codes, and enters charges into the system. This makes the billing process faster, cleaner, and more accurate for your practice.

We minimize charge entry billing errors by thoroughly checking every detail. Our specialists review patient data, codes, and charges, and we use smart tools to catch mistakes early. This helps your claims go through without problems and reduces denials.

The charge entry workflow at Nexus io starts with reviewing medical records and patient information. Then we assign the correct CPT, ICD-10, and HCPCS codes, add charges, and run quality checks. At the end, we send clean data to the billing team so claims get paid faster.

For charge posting in medical billing, we enter all patient services, codes, and fees into their accounts. Final payments are posted here, too. This keeps records accurate and ensures providers receive the correct reimbursement from payers.

Choosing Nexus io means stronger billing performance with minimal errors and faster payments. Our specialists apply coding precision, compliance standards, and advanced charge entry tools to support steady revenue for your practice.

 

Charge capture and medical coding are two essential yet distinct processes in healthcare revenue cycle management (RCM). Charge capture is the step where healthcare providers, physicians, or clinical staff record all patient services, procedures, medications, and treatments in the electronic health record (EHR) system to ensure no billable activity is missed.

On the other hand, medical coding is the process of converting that clinical documentation into standardized medical codes such as ICD-10-CM for diagnoses, CPT (Current Procedural Terminology) codes for procedures, and HCPCS (Healthcare Common Procedure Coding System) codes for supplies and services. These codes are then used by medical billers and insurance payers (like Medicare, Medicaid, or private health insurance companies) to accurately process claims, determine reimbursement rates, and reduce compliance risks.

 

HIPAA-Compliant, Secure & Reliable

Nexus io place the utmost priority on our patient privacy, we ensure that our healthcare revenue cycle management services fully comply with HIPAA regulations; to protect patient’s data with strong security measures:

  • Securing patient information both at rest and during transmission. 
  • Always use strict access control with user authentication and authorization.
  • Conduct regulatory audits to address any vulnerabilities.

Get In Touch with a Charge Entry Specialist

Has medical charge entry become overwhelming for your practice? At Nexus io, our charge entry specialists handle every detail with accuracy. From coding services correctly to posting exact charges, we streamline billing for timely and error-free payments.

Let’s get in touch

Please provide the required information so we can reach you out.