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🔧 Change Healthcare Charge Capture Advisor

Change Healthcare Charge Capture Advisor

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Overview

Change Healthcare's Charge Capture Advisor is a technology solution designed to improve revenue integrity by scrutinizing 100% of outpatient accounts for charge capture opportunities. It uses a comprehensive rules engine, which is continuously updated, to identify missing charges, coding errors, and compliance issues before the claim is sent. This proactive approach helps reduce denials, decrease audit risks, and ensure that all earned revenue is captured.

✨ Key Features

  • Reviews 100% of outpatient accounts
  • Comprehensive and continuously updated rules engine
  • Identifies missing charges and coding errors pre-bill
  • Helps ensure billing compliance
  • Provides actionable insights to address root causes of errors

🎯 Key Differentiators

  • Leverages Change Healthcare's vast network and data insights
  • Focus on pre-bill analysis of all outpatient accounts
  • Extensive, continuously maintained rules engine

Unique Value: Proactively protects and captures revenue by applying a comprehensive, continuously updated rules engine to 100% of outpatient accounts before billing.

🎯 Use Cases (4)

Maximizing charge capture for outpatient services Reducing claim denials related to charging and coding errors Ensuring compliance with payer-specific billing rules Identifying and fixing systemic charge capture issues

✅ Best For

  • Recovering significant revenue from previously missed charges in high-volume outpatient departments

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Organizations primarily focused on inpatient chargemaster file maintenance and pricing strategy

🏆 Alternatives

Waystar FinThrive Optum

Leverages the scale and data intelligence of the broader Change Healthcare network to power its rules-based charge capture engine.

💻 Platforms

Web

🛟 Support Options

  • ✓ Email Support
  • ✓ Phone Support
  • ✓ Dedicated Support (Standard tier)

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ ISO 27001 ✓ SSO ✓ HITRUST CSF ✓ SOC 2 Type 2 ✓ ISO 27001

💰 Pricing

Contact for pricing
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