AR Management
CDM Management
Charge Capture
Contract Management
Credit Balance Automation
Denial Management
Patient Safety and Quality
Underpayment Recovery

It is estimated that hospitals lose, on average, 1% of revenue each year due to incorrect or incomplete coding. Although revenue leakage from charge capture and coding errors is a widely known problem, historically healthcare organizations have been unable to allocate the right resources and advanced technologies required to aggregate, research, and analyze the data in an efficient way to identify missing charges.

MethodCare's predictive analytics uses data mining technology to provide healthcare organizations with the needed advanced statistics to automate the identification of missing charges and deliver immediate, actionable results. MethodCare's data mining algorithms analyze historical data to detect new trends and anomalies at the claim level to flag the greatest opportunity to capture missed charges. In head-to-head tests, MethodCare has proven its predictive analytics identify more missed net revenue opportunity than manual audits or static rules-based software. By leveraging MethodCare's Charge Capture Solution, health systems are now able to more proactively prevent charge capture leakage, resolve process inefficiencies, and improve coding compliance.

MethodCare's Charge Capture Solution

Automates the detection of missed charges
Configures data mining algorithms for each facility
Applies over 2,000 best practice charging edits
Integrates AMA and CMS coding guidelines
Identifies net revenue for each missed charge
Detects documentation errors
Identifies compliance issues

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MethodCare's Charge Capture Solution seamlessly integrates into our complete suite of revenue cycle solutions, including CDM Management, Underpayment Recovery, Denial Management, Contract Management, Credit Balance Automation, AR Management, and Patient Safety and Quality.

MethodCare's Solutions are delivered as Software as a Service (SaaS), alleviating hospitals with the burden and cost for hardware, software maintenance, and ongoing operations and support.