Charge entry is where coding becomes a claim. Every CPT and HCPCS code has to be matched with the correct units, modifiers, and fee schedule for that patient's payer — get one line item wrong, and a perfectly coded chart can still turn into a rejected claim.
What is Charge Entry?
Charge entry is the process of transferring coded charges from the superbill or encounter form into your practice management or billing system. It means capturing the correct procedure codes, diagnosis pointers, units, and modifiers, and applying the fee schedule specific to each payer contract — so the claim generated is ready to submit, not returned for correction.
Done well, charge entry is invisible. Done poorly, it shows up as underbilling, overbilling, or a growing pile of claims stuck before they even reach a payer.
What poor charge entry costs your practice
Charge entry sits at the narrowest point of the revenue cycle — a small error here creates outsized problems downstream.
Delayed claim generation and slower cash flow
Underbilling that quietly erodes revenue
Overbilling that invites audits and paybacks
Modifier mismatches that trigger denials
Fee schedule mismatches against payer contracts
Charge backlogs that build up during high-volume weeks
Adrotack's charge entry team cross-verifies every encounter against the coded chart and the payer's current fee schedule before a claim is generated — catching mismatches while they're still cheap to fix.
How every encounter is entered
Receive coded encounters
Coded superbills and encounter forms arrive from your coding team or our own certified coders.
Match charges to fee schedule
Each procedure code is priced against the correct, current fee schedule for that patient's specific payer contract.
Apply modifiers & units
Modifiers, units, and diagnosis-to-procedure linkages are applied precisely as documented in the chart.
Validate against the source chart
Every line item is checked back against clinical documentation to confirm nothing was under- or over-stated.
Run a QA pass
A second reviewer audits the batch for accuracy before it's released — the same two-set-of-eyes standard we apply to coding.
Release for claim submission
Reconciled, error-checked charges move straight into claim scrubbing and submission — no manual re-entry.
Charge entry services we provide
CPT & HCPCS charge capture across specialties and encounter types
Modifier application (25, 59, 76, and specialty-specific modifiers)
Fee schedule maintenance aligned to each payer contract
Daily charge reconciliation against the day's encounters
Missing-charge audits to recapture revenue left on the table