OPTIMIZATION SUITE

Charge Capture

Identify inconsistencies in coding, charging, and billing to find missed reimbursement with Cloudmed’s award-winning Revenue Intelligence™ solution for charge capture, powered by the CloudmedAI™ platform.

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Recover revenue other solutions won’t find

Proprietary matching technology makes Cloudmed Charge Capture the only solution available today that links hospital and physician billing to identify missing charges other solutions can’t see. Add up to 40% to your bottom line.

overview path

Charge Capture Overview

Optimize your back-end revenue cycle to find missing reimbursement due to inconsistencies in coding, charging, and billing with Cloudmed Charge Capture. Using proprietary matching technology and rules-based algorithms, our highly skilled auditors put decades of industry experience into helping you recover every missed, miscoded, or misaligned opportunity.

Cloudmed Charge Capture is a back-end revenue optimization solution for health information management and revenue cycle leaders that stops leakage and identifies significant reimbursement.

Get results 10x faster

Identify revenue opportunities faster with Cloudmed’s propriety rules-based algorithms enabled by robotic process automation (RPA) and machine learning.

Uncover every opportunity

Rest assured that every opportunity is uncovered with our analysis of 100% of patient charges/visits across all care settings.

Rely on our expertise

Trust our decades of experience and full-time professional auditors to ensure accuracy and compliance.

The Cloudmed Difference

Charge Capture Results

100%

Of patient charges/visits analyzed

80%

Average findings agreement rate

40%

More revenue recovered

10x

Faster results

*Representative customer results

Work smarter and keep getting better

Benefit from measurable process improvements in accuracy, compliance, and quality. There’s zero risk with Cloudmed’s 100% contingency fee-based model. Here’s how we work together:

Startup

You provide high-level visit information using our universal data spec (UDS). Automated file extracts are delivered to us weekly through a secure file transfer protocol (sFTP).

Review

We validate the information and run it through our proprietary rules and machine learning algorithms. Our experienced hospital and physician auditors review cases and provide supporting documentation from the medical record, along with industry-recognized references.

Recovery

Intuitive dashboards monitor and identify missing charges for staff to review, change, and capture in real-time. Our invoicing team monitors rebilling and resolution to maximize reimbursement.

Continuous Improvement

Robust reporting and root cause analysis equip you to better manage your workflow, team, and ongoing education efforts. We meet monthly with operational teams to review trends and findings and provide periodic business reviews.

Ranked #1 by KLAS

We’re proud to be recognized for outstanding performance and excellence in customer satisfaction. In the Revenue Integrity / Underpayment Services segment, our clients rated us:

A+

Loyalty

A+

Operations

A

Services

A

Relationship

A+

Value
*Cloudmed is the 2021 Best in KLAS® in the Revenue Integrity/Underpayment Services and Robotic Process Automation (Databound) segments.
2021-Best-in-KLAS-Revenue-Integrity-Underpayments
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Optimization Suite

Capture missed or underpaid revenue for the care you provided, across the entire revenue cycle, with our comprehensive payment review that catches what others miss.

DRG Validation

Ensure coding and documentation are optimized for reimbursement and compliance.

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Charge Capture

Identify inconsistencies in coding, charging, and billing to find missed reimbursement.

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Underpayment Recovery

Improve revenue collection by identifying and recovering underpaid revenue.

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Transfer DRG

Find revenue lost through the Transfer DRG rule and recover underpayments.

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Find out how Cloudmed Charge Capture Revenue Intelligence solution can help you identify inconsistencies in coding, charging, and billing to find missed reimbursement.