Videl Nelson, Lead Consultant

Tightening the Loop of Charge Reconciliation

The charge reconciliation process within a healthcare organization is a vital aspect of the revenue cycle. The purpose of charge reconciliation is to ensure timely, consistent, and accurate charge capture. Each department generally has allocated staff responsible for completing this charge reconciliation daily. The charge reconciliation process can prove to be time-consuming, taking an individual several hours a day to complete this process. Generally, most organizations must utilize multiple generated reports for cross referencing and must review clinical documentation to verify what was charged on a given encounter is the accurate charge.

Softek’s Charge Reconciliation control can help tighten the charge reconciliation loop by expediting this process in three main ways:

  1. Reduce or eliminate the reports that are generated daily for charge reconciliation.
  2. Help alleviate the amount of time necessary to perform the charge reconciliation process.
  3. Facilitate communication among department analysts, department managers, and organizational leadership.

This control provides users the ability to pinpoint the charges that they are responsible for, while at the same time providing visibility to leadership that the charges have been reviewed and reconciled by the users/department. Subsequently, the departments gain ownership of their charges and workflow while fully understanding the process by which potential charges become posted charges and those posted charges translate to revenue for the department. This control can help bolster the “good” workflow process of reviewing and completing their tasks to ensure that their department gets the appropriate revenue. The use of the Charge Reconciliation control can ultimately lead to increasing the accuracy of getting all charges on the bill in a timely manner, thus avoiding late charging. More importantly, organizational leaders can take advantage of Softek’s Charge Reconciliation control to track and see what departments are reconciling their charges in a timely manner in real time.

What does Softek® do?

Softek’s mission is to help hospital systems maximize their investment in Oracle Cerner Millennium®. We do this by providing innovative software solutions and consulting services that can achieve more together than either can alone.

At Softek, our team of innovators and software developers brings expertise beyond the ordinary to every client. Our experts are involved with Oracle Cerner Millennium® hospitals throughout the country, consulting clients so they can optimize system performance and revenue integrity.

Softek delivers a full suite of consulting services and software solutions to assess and optimize EMR system performance, including revenue cycle integrity and patient accounting.

Softek was awarded 2021 Best in KLAS for Revenue Cycle Optimization.

Let’s talk about how you can get the most out of your Oracle Cerner Millennium® system.